Chronic Pain Syndrome

Addison, Robert G.

doi:10.1016/s0002-9343(84)80102-3

Cited by 41 publications

(22 citation statements)

References 2 publications

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“…While various pain conditions are generally considered to be a global clinical phenomenon rather than discrete entities (Addison, 1984; Macfarlane, 1999), supporting the validity of mapping depression responses in a broad pain population, several studies have shown that multiple pain sites as well as specific types of pain could increase the risk for depression (Bair et al, 2003; Gureje et al, 2001). Thus, it is important to bear in mind the specific characteristics of pain and their associated risks when applying the current results in assessing depression outcomes among pain patients.…”

Section: Discussionmentioning

confidence: 98%

Heterogeneous depression responses to chronic pain onset among middle-aged adults: A prospective study

Zhu

Galatzer‐Levy

Bonanno

2014

Psychiatry Research

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Studies on depression response to chronic pain are limited by lack of clarification of different forms of response patterns and cross-sectional measures. The current study examined heterogeneous long-term patterns of depression response to chronic pain onset using the mixture modeling technique. Depression symptoms prior to and following pain onset over a course of six years were charted in a nationally representative middle-aged sample. Four distinct depression symptom trajectories emerged. The resilience (72.0%) trajectory describes a pattern of no/minimal depression symptoms prior to and following pain onset. The post-pain depression trajectory (11.4%) describes a pattern of low depression at baseline and increasing symptoms following pain onset. The chronic depression (6.8%) trajectory is characterized by persistently high depression symptoms irrespective of pain onset. The prior depression improved (9.8%) trajectory describes a pattern of high depression at baseline and gradually declining symptoms following pain onset. Self-rated health at both baseline and following pain onset predicted the resilience trajectory. Baseline self-rated health distinguished the post-pain depression and chronic depression trajectories. Individuals in the prior depression improved trajectory were older and had more chronic illnesses at baseline but fewer illnesses following pain onset, compared to those in the resilience or post-pain depression trajectory.

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Section: Discussionmentioning

confidence: 98%

Heterogeneous depression responses to chronic pain onset among middle-aged adults: A prospective study

Zhu

Galatzer‐Levy

Bonanno

2014

Psychiatry Research

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“…Sistemas neuronais supra-espinais permitem ao organismo utilizar a experiência passada para controlar a sensibilidade nos vários setores do neuroeixo e intervir de modo variável e determinado. Medicamentos, medicina física, terapia ocupacional, psicoterapia e condicionamento físico devem ser aplicados nos doentes com dor crônica, com a finalidade de melhorar o rendimento funcional e o desempenho psíquico e social dos doentes 2,68 . A eliminação dos fatores que originam a dor, o controle da ansiedade, o esclarecimento das situações, a reabilitação precoce e o retorno às atividades cotidianas são fundamentais 2 .…”

Section: T T T T Tabelaunclassified

Dor em doentes com lesões raquimedulares

Teixeira¹,

Yeng²,

Montagnini³

et al. 1999

Arq Bras Neurocir

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“…As with symbols, the pain afflicting the chronic pain patient has certain arbitrary characteristics. It is often situated in unusual areas which have little physiological correlation ; it does not respond predictably to known interventions; and its course does not follow any familiar clinical pattern (Addison, 1984;Ford, 1984). The meaning of the pain often is hidden from patient and physician alike.…”

Section: -2mentioning

confidence: 99%

A semiotic perspective on chronic pain: Implications for the interaction between patient and physician

Priel

Rabinowitz

Pels

1991

British Journal of Medical Psychology

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A semiotic conceptualization of pain in the chronic pain syndrome is proposed. It is suggested that among chronic pain patients pain ceases to be an icon or an index and acquires a symbolic structure: this transformation interferes with the usual patient-physician relationship. The semiotic perspective on the structure of meaning in the chronic pain syndrome underlines the need to include a psychotherapeutic approach in the patient-physician relationship; specific aspects of the approach to chronic pain as a symbolic communication are discussed.

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Chronic Pain Syndrome

Cited by 41 publications

References 2 publications

Heterogeneous depression responses to chronic pain onset among middle-aged adults: A prospective study

Heterogeneous depression responses to chronic pain onset among middle-aged adults: A prospective study

Dor em doentes com lesões raquimedulares

A semiotic perspective on chronic pain: Implications for the interaction between patient and physician

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