Comorbidity of pain and anxiety disorders

Gureje, Oye

doi:10.1007/s11920-008-0051-0

Cited by 108 publications

(83 citation statements)

References 43 publications

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“…In addition, persistent pain has immediate and delayed expectations for one's functional capabilities and quality of life [45]. While the assessment of mood disturbances such as depression, anxiety, and anger continue to be important dimensions of psychological functioning relevant to the treatment of chronic pain [64][65][66], the examination of pain-related maladaptive cognitions has become increasingly salient in understanding parameters of pain morbidity.…”

Section: The Central Role Of Cognitive/affective Factors In Understanmentioning

confidence: 99%

Interventional pain medicine: retreat from the biopsychosocial model of pain

Roth

Geisser

Williams

2011

Behav. Med. Pract. Policy Res.

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The field of pain medicine has shifted from multidisciplinary rehabilitation to procedure-focused interventional pain medicine (IPM). Considerable controversy exists regarding the efficacy of IPM and its more narrow focus on nociception as an exclusive target of pain treatment. This topical review aims to examine pain research and treatment outcome studies that support a biopsychosocial model of pain, and to critique the clinical practice of IPM given its departure from the premises of a biopsychosocial model. A modern definition of pain and findings from clinical and basic science studies indicate that pain-related psychological factors are integral to pain perception. The clinical viability of IPM is challenged based upon its biomedical view of peripheral nociception as a primary source of pain and the potential of this viewpoint to foster maladaptive pain attributions and discourage the use of pain coping strategies among chronic pain patients. IPM should adopt a biopsychosocial perspective on pain and operate within a framework of multidisciplinary pain rehabilitation to improve its effectiveness. KEYWORDS

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Section: The Central Role Of Cognitive/affective Factors In Understanmentioning

confidence: 99%

Interventional pain medicine: retreat from the biopsychosocial model of pain

Roth

Geisser

Williams

2011

Behav. Med. Pract. Policy Res.

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“…2 Pain can be complex to understand and treat as it is multifactorial, with physiological, psychological, and social determinants. 3 In particular, across illnesses those with more medical comorbidities, 4 higher levels of depression and anxiety, 5,6 and lower social support 7 report higher levels of pain.…”

Section: Introductionmentioning

confidence: 99%

Pain is prevalent and persisting in cancer survivors: Differential factors across age groups

Moye

June

Martin

et al. 2014

Journal of Geriatric Oncology

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Objective-The Institute of Medicine documents a significant gap in care for long term side effects of cancer treatment, including pain. This paper characterizes age differences in the prevalence and predictive characteristics of pain to guide clinicians in identification and treatment.Materials and Methods-A sample of 170 adults with head and neck, esophageal, gastric, or colorectal cancers were recruited from two regional Veterans Administration Medical Centers. Face to face interviews were conducted 6, 12, and 18 months after diagnosis with the PROMIS scale to assess pain and PHQ-9 scale to assess depression. Descriptive statistics characterized incidence and prevalence of pain impact and intensity ratings. Multivariate linear hierarchical regression identified clinical characteristics associated with pain in older versus younger age groups.Results-Clinically significant pain was endorsed in one third (32%) of the sample, with younger adults reporting higher levels of the impact of pain on daily activities and work, and also higher pain intensity ratings than older adults. In younger adults, pain ratings were most associated with lower social support and higher depression, as well as advanced cancer stage. In older adults,

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“…Chronic persistent pain can cause significant impairment of physical and psychological health, and performance of social responsibilities, including work and family life [1][2][3][4][5][6][7][8][9][10][11][12]. While modern medicine has shown significant improvements in the understanding of pain (including diagnosis and treatment), chronic pain continues to be an epidemic resulting in vocational, social and family discord, which may make the difference between life and death, and is accompanied by claims of inadequate treatment [1][2][3][4][5][13][14][15][16][17].…”

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confidence: 99%