Neuropathic sensory symptoms: association with pain and psychological factors

Shaygan, Maryam; Böger, Andreas; Kröner‐Herwig, Birgit

doi:10.2147/ndt.s61492

Cited by 11 publications

(8 citation statements)

References 48 publications

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“…Assessing psychological variables based only on self-report questionnaires might endanger our findings. 62 Furthermore, we used a shortened version of the Chronic Pain Acceptance Questionnaire with only ten items; however, these ten items showed an excellent internal consistency and convergent validity in the present sample. We could not interpret the clinical importance of individual patient improvements with regard to disability.…”

Section: Discussionmentioning

confidence: 89%

Predicting factors of outcome in multidisciplinary treatment of chronic neuropathic pain

Shaygan

Böger

Kröner‐Herwig

2018

JPR

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PurposeEvidence of the effectiveness of multidisciplinary treatment with a focus on neuropathic pain is still rare. The present study investigated whether multidisciplinary treatment leads to improvement of neuropathic pain in outcome (pain intensity and disability) and psychological (depression, pain acceptance, and catastrophizing) variables at posttreatment and 3-month follow-up. We examined whether and to what extent psychological changes can predict long-term outcome at 3-month follow-up, when other variables are controlled for (baseline characteristics and changes in pain parameters).Patients and methodsPatients suffering from a chronic neuropathic pain condition (n=141) attended an inpatient multidisciplinary program lasting about 15 continuous days with self-report data collected at pretreatment, posttreatment, and 3-month follow-up.ResultsRepeated-measures ANOVAs showed a significant improvement of pain intensity, disability, pain acceptance, catastrophizing, and depression at posttreatment. These improvements remained stable over the 3-month follow-up for all variables except for depression. The inclusion of psychological changes in multiple regression analyses greatly increased the variance in outcome, explained by baseline characteristics and changes in pain parameters.ConclusionThe results could help clinicians to determine which variables should be emphasized during inpatient treatment and during the follow-up period, in order to maintain the gains after an inpatient multidisciplinary treatment for neuropathic pain.PerspectiveThe present study demonstrates the beneficial effects of an inpatient multidisciplinary program for neuropathic pain and further question the resistant nature of neuropathic pain to treatment. The results add evidence to the relevance of cognitive-behavioral models of pain positing an important role for pain-related thoughts and emotions in long-term outcome following multidisciplinary pain treatment.

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Section: Discussionmentioning

confidence: 89%

Predicting factors of outcome in multidisciplinary treatment of chronic neuropathic pain

Shaygan

Böger

Kröner‐Herwig

2018

JPR

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“…First, given the cross-sectional design, our findings do not shed light on causal relationships. Moreover, compared to clinical assessment, the accuracy of self-report measures may be affected by response bias (38). Another limitation of the study is related to the inclusion of a sample of patients from clinics affiliated with Shiraz University of Medical Sciences and, thus, prevents generalization.…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors for Disability in Patients with Acute and Chronic Headache

et al. 2019

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Background: Headache is one of the most common types of pain which is considered among the most disabling of diseases. However, the severity of disability in some headache patients is more than others. Objectives: The aim of the present study was to compare different types of headache regarding pain-related variables and psychological factors. We also examined the predicting factors of disability in patients with headache. Methods: This cross-sectional study was performed in 320 patients with various types of headache based on the International Headache Society criteria, which was assessed by neurologists. Data was collected using migraine disability assessment for disability, frequency of headache and for pain intensity, patient health questionnaire for depression, and pain anxiety symptoms scale for pain-related anxiety. ANOVAs and post hoc Tukey's tests were used for comparing various types of headaches regarding pain-related and psychological factors. Regression analyses assessed the relation of pain-related and psychological variables with disability. Results: Patients with different types of headache revealed no significant differences regarding pain intensity (P = 0.27). Migraine patients showed the most pain frequency and chronicity compared to the other patients (P = 0.000). The levels of disability (P = 0.000), anxiety (P = 0.000) and depressive symptoms (P = 0.000) were also higher in patients with migraine compared to patients suffering from cluster or tension type headache. Pain chronicity (P = 0.01), anxiety (P = 0.007) and depression (P = 0.002) made significant contributions to the explanation of variance in 'disability'. Conclusions: The findings add further evidence to the relevance of cognitive-behavioral models of pain suggesting an important role for pain-related emotions regarding the consequences of pain (e.g. disability). The current data could help clinicians to decide which factors should be considered for a successful treatment of disability in headache patients.

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“…So, functional connectivity would confirm previous results acquired with other forms of investigations, adding some ideas, such as "sensitive" cerebellum, especially part of sensory-motor cerebellum (and vestibular) and being also able to include areas used by visual, auditory and interoceptive processing 44 . In a study with neuropathic pain patients 45 there has been no significant association among high pain intensity levels, cognitive and emotional evaluations and underlying pathology, and sensory neuropathic symptoms. Conclusions of this study were discussed in terms of possible differential response biases in patients with and without sensory neuropathic symptoms evaluated by clinical exam, medical exams or underlying pathology of the disease.…”

Section: Mental Processes and Cognitive Functionsmentioning

confidence: 93%

Psychobehavioral and psychosocial aspects of neuropathic pain patients

Perissinotti¹,

Portnoi²

2016

Revista Dor

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BACKGROUND AND OBJECTIVES:Identifying and treating psychosocial, intrapsychic, relational, psychiatric and psychobehavioral factors which influence neuropathic pain nature, severity and persistence are object of scientific concern and a lot has been done in this area; however it is clear the need for further emphasis and disclosure of contents for better professional knowledge. This study aimed at outlining the psychobehavioral and psychosocial scenario by means of literature review, through some theories about pain regulation, via cognitive functioning and stress theories, although it is known that the universe of this study is too broad but the idea is to outline a panoramic view of the field. CONTENTS: Incapacity, distress, painful and unhealthy behaviors and of gains are challenging factors for the treatment of neuropathic pain patients. Notions about thinking distortion, especially caused by pain perception leading to catastrophic thoughts and decreasing the efficacy of other non-addressed interventions, as well as aspects of the psychosocial impact influencing the development of chronicity and maintenance of unhealthy patterns. CONCLUSION: Psychological interventions aiming at changing beliefs and dysfunctional behaviors, incapacities and distress, at changing neuropathic pain perception, treatment of mental decompensations such as depression and anxiety and of recurrences, are critical to manage neuropathic pain patients. It is confirmed that knowledge about adaptations in the rewarding circuits is fundamental for psychological, psychotherapeutic and psychosocial interventions to be more effective, thus preventing problems related to pathological maintenance in cases of neuropathic etiology. Keywords: Cognitive functions, Mental processes, Neuropathic pain, Psychobehavioral factors, Psychosocial factors, Stress. RESUMO JUSTIFICATIVA E OBJETIVOS:Identificar e tratar os fatores psicossociais, intrapsíquicos, relacionais, psiquiátricos e psicocomportamentais que influenciem a natureza, gravidade, persistência da dor neuropática, vem sendo objeto de preocupação científica e muito se tem progredido na área, no entanto, é vigente a necessidade de maior ênfase e divulgação dos conteúdos para melhor conhecimento no meio profissional. O presente artigo visou esboçar o panorama da área psicocomportamental e psicossocial, por meio de levantamento da literatura, através de algumas teorias acerca da regulação de dor, via teorias do funcionamento cognitivo e estresse, embora sabidamente o universo de estudo seja muito amplo, pretende esboçar uma visão panorâmica do campo. CONTEÚDO: A incapacidade, o sofrimento, os comportamentos dolorosos e doentios e dos ganhos são fatores de desafio aos tratamentos do doente com dor neuropática. Noções acerca da distorção do pensamento, particularmente, decorrente da percepção da dor induzindo a pensamentos catastróficos reduzindo a eficácia de outras intervenções não abordadas, bem como aspectos da visão do impacto psicossocial que intervêm no desenvolvimento da cronificaçã...

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Neuropathic sensory symptoms: association with pain and psychological factors

Cited by 11 publications

References 48 publications

Predicting factors of outcome in multidisciplinary treatment of chronic neuropathic pain

Predicting factors of outcome in multidisciplinary treatment of chronic neuropathic pain

Predictive Factors for Disability in Patients with Acute and Chronic Headache

Psychobehavioral and psychosocial aspects of neuropathic pain patients

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