OC.01.3 Pain Catastrophizing and Pain Experience During Endoscopic Procedures

Palma, Rossella; Panetta, Cristina; Pontone, Stefano; Rantolo, M.; Gallo, G.; Foglia, Anastasia; Spina, Gaia La; Cremona, M.; Tomai, Manuela; Lauriola, Marco

doi:10.1016/s1590-8658(18)30269-x

Cited by 2 publications

(1 citation statement)

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“…Moreover, PC is an emerging topic as it is associated with costly medical expenses, thus making it a central topic of urgency for medical reform in the U.S. For example, PC has been associated with persistent pain following surgery, resulting in an increased number of hospital visits and greater rates of post-surgery failure (Coronado, George, Devin, Wegener, & Archer, 2015;Palma et al, 2018). Due to such findings, several researchers have suggested that patients be administered the Pain Catastrophizing Scale (PCS), using a cutoff score of 30 or higher before surgery (Abraham, Wagg, Bigney, Daly, & Manson, 2017), because identifying PC would ultimately decrease medical expenses and allow for more precise treatment, both pre-and post-surgery.…”

Section: Overvie Wmentioning

confidence: 99%

An overview of a biopsychosocial model of epigenetics and pain catastrophizing

Brecht

Gatchel

2019

J Appl Biobehavioral Res

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In an earlier Special Issue in the Journal of Applied Biobehavioral Research (JABR), Gatchel (Journal of Applied Biobehavioral Research, 2017, 22[1], e12088) addressed the construct of pain catastrophizing (PC). The present article is meant to extend those reviews within a biopsychosocial context, as well as update recent research on PC with a specific concentration on genetic factors. An overview of biological factors as they relate to PC and epigenetics are reviewed first (brain areas associated with pain and how they adapt neurochemically to chronic noxious stimuli, polymorphism of various genes, etc.), proceeded by the discussion of psychological (depression, anxiety, and the genomic link to neuroticism) and social influences (reason people engage in PC, age's impact on neuronal restructuring) as they corroborate the argument of PC's link to genetic factors. Finally, this article concludes by providing future directions for research concerning PC such as examining the efficacy of Pain Neurobiology Education, as well as gene therapy.

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Section: Overvie Wmentioning

confidence: 99%

An overview of a biopsychosocial model of epigenetics and pain catastrophizing

Brecht

Gatchel

2019

J Appl Biobehavioral Res

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Efficacy of Sedation by Midazolam in Association With Meperidine or Fentanyl and Role of Patient Distress During Elective Colonoscopy

Pontone

Palma

Donato

et al. 2020

Gastroenterology Nursing

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Meperidine and fentanyl are opioids currently used in addition to midazolam for sedation and analgesia during colonoscopy in Italy. The aim of the study was to assess the impact of patients' psychological state before elective colonoscopy on the efficacy of the sedation regimens. Eighty outpatients who underwent an elective colonoscopy were included in our study. The Hospital Anxiety and Depression Scale questionnaire was self-administered to evaluate basal anxiety and depression state. The rate of baseline discomfort was evaluated by a standard 100-mm visual analog scale. Sedation was obtained alternatively with a midazolam–meperidine or midazolam–fentanyl combination. There were no statistically significant differences between the fentanyl and meperidine groups on body mass index, age, and gender composition. Patients in the meperidine group reported less pain during colonoscopy than patients in the fentanyl group. There were statistically significant positive correlations in the meperidine group with the distress, anxiety, and depression. Our study has pointed out greater effectiveness of the midazolam plus meperidine regimen, equal recovery times, and no significant differences in the duration of the endoscopic examinations. The evaluation of patients' psychological status seems to predict the efficacy of sedation when the nociceptive component of pain is well controlled.

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OC.01.3 Pain Catastrophizing and Pain Experience During Endoscopic Procedures

Cited by 2 publications

References 0 publications

An overview of a biopsychosocial model of epigenetics and pain catastrophizing

An overview of a biopsychosocial model of epigenetics and pain catastrophizing

Efficacy of Sedation by Midazolam in Association With Meperidine or Fentanyl and Role of Patient Distress During Elective Colonoscopy

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