Evaluation of Chronic, Noncancer Pain Management Initiative in a Multidisciplinary Pain Clinic

Panicker, Latha; Prasun, Marilyn A.; Stockmann, Cherrill; Simon, Jolene M.

doi:10.1016/j.pmn.2021.09.003

Cited by 6 publications

(11 citation statements)

References 18 publications

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“…The 4 sub-attributes are thoughts and behaviors ( 23 , 24 , 35 , 38 , 40 , 41 , 45 – 53 , 55 – 57 , 59 , 61 , 64 – 68 , 70 , 72 ), psychological counseling ( 23 – 25 , 36 , 39 , 41 , 42 , 44 – 49 , 51 – 55 , 58 – 61 , 70 , 72 ), reassuring the patient ( 23 , 37 , 43 , 54 , 55 , 57 , 60 , 64 ), and positive reinforcement ( 54 , 57 , 62 , 65 , 66 ). Thoughts and behaviors are influenced by cognitive behavioral therapy (CBT) and addressing beliefs, behavior, (de-catastrophizing) thoughts, emotions, expectations and preferences to positively influence the patient and rehabilitation.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the first sub-attribute, there are several education types in the references. Pain education ( 23 , 25 , 37 , 40 , 50 , 57 , 61 – 63 , 67 , 72 , 73 ), psycho-/CBT education ( 23 , 24 , 40 , 45 , 48 , 51 , 66 , 67 ), back ergonomics ( 36 , 37 , 42 , 45 ), anatomy and physiology ( 24 , 37 , 50 , 54 ), and education on the BPS model ( 38 , 49 , 50 , 65 ) were taught the most. Other prevalent education topics included education on body awareness ( 24 , 54 ); re-educating the body-self neuro-matrix ( 40 ); giving a booklet ( 45 , 55 ); lessons on fear avoidance and beliefs ( 40 , 53 , 61 ); risk factors ( 50 , 56 , 66 , 73 ); symptom maintenance ( 56 ); expectations ( 64 ); prevalence and course of disease ( 65 , 73 ); and activity pacing, management of flare-ups and load-capacity balance ( 50 , 67 ).…”

Section: Resultsmentioning

confidence: 99%

“…The first and second sub-attributes: individualization/tailoring ( 23 – 25 , 36 – 41 , 44 – 46 , 48 – 55 , 57 , 58 , 60 – 62 , 64 , 66 – 69 , 71 , 72 ) and guidance ( 23 – 25 , 38 – 41 , 46 , 48 , 51 , 57 , 58 , 63 , 64 , 71 ), appear the most, in 32 and 15 references, respectively. The other 7 sub-attributes are less prevalent: interdisciplinary communication ( 23 – 25 , 38 , 60 , 65 , 66 , 69 , 72 ), patient-centeredness ( 24 , 25 , 57 , 64 , 65 , 72 ), therapist consistency ( 24 , 48 , 55 , 65 ), graded activity ( 23 , 62 , 66 , 67 ), biofeedback ( 23 , 54 ), protocol induced ( 44 , 45 ), and shared decision-making ( 50 , 61 ).…”

Section: Resultsmentioning

confidence: 99%

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Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Ceulemans,

Moens,

Reneman

et al. 2024

JRM

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Objective: To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population. Design: A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions. Methods: Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated. Results: Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given. Conclusion: This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Ceulemans,

Moens,

Reneman

et al. 2024

JRM

View full text Add to dashboard Cite

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“… 7 Indeed, adequate pain management includes optimal treatment of co-occurring psychiatric conditions and active monitoring. 1 , 7 , 37 However, this should not result in undertreatment of pain in people with a psychiatric disorder, and opioids should not be withheld when they are indicated.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric risk factors for chronic high-dose opioid prescribing: register-based cohort study

et al. 2023

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Background Chronic high-dose (CHD) prescription opioid use is a major public health concern. Although CHD opioid use has been associated with psychiatric disorders, the causality could go both ways. Some studies have already linked psychiatric disorders to an increased risk of transitioning to chronic opioid use, and longitudinal data identifying psychiatric disorders as predictors of CHD opioid use could shed further light on this issue. Aims To prospectively examine the relationship between the presence of a psychiatric disorder and subsequent development of CHD opioid use in primary care patients newly receiving opioids. Method Data were included from 137 778 primary care patients in The Netherlands. Cox regression modelling was used to examine the association between psychiatric disorders prior to a new opioid prescription and subsequent CHD opioid use (≥90 days; ≥50 mg/day oral morphine equivalents) in the subsequent 2 years. Results Of all patients receiving a new opioid prescription, 2.0% developed CHD opioid use. A psychiatric disorder before the start of an opioid prescription increased the risk of CHD opioid use (adjusted hazard ratio HR = 1.74; 95% CI 1.62–1.88), specifically psychotic disorders, substance use disorders, neurocognitive disorders and multiple co-occurring psychiatric episodes. Similarly, pharmacotherapy for psychosis, substance use disorders and mood and/or anxiety disorders increased the risk of CHD opioid use. Psychiatric polypharmacy conferred the greatest risk of developing CHD opioid use. Conclusions Psychiatric disorders increase the risk of developing CHD opioid use in patients newly receiving prescription opioids. To reduce the public health burden of CHD opioid use, careful monitoring and optimal treatment of psychiatric conditions are advised when opioid therapy is initiated.

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“…Moreover, there are many pain related journals, which indicates that acupuncture intervention on pain is being widely studied. [60][61][62][63][64][65][66][67][68][69][70][71][72] But the top productive journals on acupuncture for CP's average IF is not high (4.19). Therefore, the international influence of research on acupuncture for CP is relatively insufficient.…”

Section: Discussionmentioning

confidence: 99%

Knowledge Mapping of International Research on Acupuncture for Chronic Pain: A Bibliometric Analysis

Jiao¹,

Ding²,

Jin³

et al. 2022

JPR

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Introduction With the wide acceptance of acupuncture, many papers and guidelines recommend that acupuncture is effective for chronic pain (CP). In this study, we applied bibliometric methods to analyze the current research situation of acupuncture intervention in CP, to gain insight into the current situation and future development trend of this field. Material and Methods Science Citation Index Expanded was searched for publications related to acupuncture for CP between 1900 and 2022. VOSviewer, CiteSpace and Thomson Data Analyzer were used to analyze the annual publication, authors and cited authors and their countries (regions) and institutions, journals and cited journals, cited references, co-occurrence keywords, burst keywords, and the relevant centrality. Results A total of 1968 papers were retrieved, the annual publications have shown a rapid growth trend in the recent 20 years. The USA (708) and the Kyung Hee University (31) were the most productive country and institution, respectively, while the USA (0.37) and University of Maryland (0.13) had the highest centrality. MacPherson, Hugh published the most papers in this field (29), and Vickers, A J were the most influential author (289 times cited). Journal of Alternative and Complementary Medicine was the most productive journal (92), whereas PAIN was the most influential one (4743 times cited). Breivik, H’s (2006) paper had the most citation count (3025), while Furlan’s (2005) paper had the highest centrality (0.23). The research focuses in this field mainly include pain, electroacupuncture, Low back pain, Systematic review, Randomized controlled trial etc. Researchers are currently paying more attention to the psychological problems caused by CP. Conclusion The research of acupuncture for CP will be further expanded. International cooperation of this research field needs to be further strengthened. More high-quality designed trials need to be conducted.

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Evaluation of Chronic, Noncancer Pain Management Initiative in a Multidisciplinary Pain Clinic

Cited by 6 publications

References 18 publications

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Psychiatric risk factors for chronic high-dose opioid prescribing: register-based cohort study

Knowledge Mapping of International Research on Acupuncture for Chronic Pain: A Bibliometric Analysis

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