Psychological assessment and treatment of patients with neuropathic pain

Haythornthwaite, Jennifer A.; Benrud-Larson, Lisa M.

doi:10.1007/s11916-001-0080-4

Cited by 42 publications

(20 citation statements)

References 65 publications

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“…39 Factors that have been found to affect adjustment to SCI include depressed mood, 40,41 anxiety, sadness, and a perception of excessive fatigue. 42,43 In this group, depression (including feelings of sadness) was not found to be an important factor, although anxious symptoms increased.…”

Section: Discussionmentioning

confidence: 99%

Impact of spinal cord injury on self-perceived pre- and postmorbid cognitive, emotional and physical functioning

et al. 2007

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Study Design: Cross-sectional study with repeated measurements. Objectives: To examine the patient's perspective of the impact of spinal cord injury (SCI) on physical, cognitive, emotional function, and quality of life (QOL). Setting: Australia. Methods: A sample of 63 patients with SCI, 32 of whom had recent injuries, and 31 with established injuries were administered the Ruff Neurobehavioral Inventory to examine patients' subjective evaluation of pre-and post-injury functioning. Current happiness levels were also evaluated using the Subjective Happiness Scale. A follow up assessment was performed 6 months later to examine changes over time. Results: A significant difference was found between perception of pre-and postmorbid function on composite Cognitive (t ¼ 5.99, df ¼ 62, Po0.001), Physical (t ¼ 11.56, df ¼ 62, Po0.001), and QOL (t ¼ 7.16, df ¼ 62, Po0.001) scales and on several of the Emotional subscales including anxiety, paranoia and suspicion, and substance abuse (Po0.001). A series of hierarchical regression analyses indicate that post-SCI pain was a significant predictor of: cognitive (R 2 ¼ 0.20, Po0.001); emotional (R 2 ¼ 0.13, Po0.004); and of QOL (R 2 ¼ 0.22, Po0.001) functioning. With the exception of a decrease in happiness (Po0.01), there were no significant changes in any measures over the 6 month time period. Conclusions: There are significant changes in patients' perceptions of physical and cognitive functioning, and of QOL before and after SCI and some aspects of emotional functioning. Pain has a significant adverse effect on functioning. Happiness decreased slightly in the 6 months between surveys.

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Section: Discussionmentioning

confidence: 99%

Impact of spinal cord injury on self-perceived pre- and postmorbid cognitive, emotional and physical functioning

et al. 2007

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“…Furthermore, potentially at risk are patients with certain psychological features such as depression, anger issues, posttraumatic stress disorder, and victims of abuse who have lost the ability to trust. [19,26,30,31] Patients undergoing orthognathic surgery are usually young and healthy, which may explain the low incidence of neuropathic pain after BSSO surgery.…”

Section: Risk Factors For Nerve Damage and Neuropathic Painmentioning

confidence: 99%

“…As with other chronically painful conditions, cognitive-behavioral interventions may improve the quality of life in neuropathic pain conditions. [31] Reassurance and counseling of patients with neuropathic pain will go a long way toward alleviating their condition.…”

Section: Psychological Managementmentioning

confidence: 99%

Neuropathic pain after bilateral sagittal split osteotomy: management and prevention

Agbaje¹,

Lambrichts²,

Jacobs³

et al. 2015

Plast Aesthet Res

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Neuropathic pain is characterized by spontaneous and provoked pain and other signs reflecting neural damage. Aberrant regeneration following peripheral nerve lesions leaves neurons unusually sensitive and prone to spontaneous pathological activity, abnormal excitability and heightened sensitivity to stimuli. This review covers the current understanding of neuropathic pain after bilateral sagittal split osteotomy (BSSO) of the lower jaw. The reported incidence of neuropathic pain after mandibular osteotomies is less than 1%, while the incidence in patients with iatrogenic inferior alveolar nerve (IAN) injuries during BSSO can be as high as 45%. The factors which modulate the healing process toward neuropathic pain during or after nerve damage have not yet been elucidated. Patients at highest risk for developing post-BSSO neuropathic pain are older than 45 years and have undergone procedures involving IAN compression, partial severance, or complete discontinuity of the lingual nerve with a proximal stump neuroma, patients with nerve injury repair delayed longer than 12 months and patients with chronic illnesses that compromise healing or increase risk for peripheral neuropathy. Although neuropathic pain tends to be long-lasting, some patients can recover completely. Preventive measures include risk assessment prior to surgery, prevention of nerve damage during surgery, and early repair of nerve injury.

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“…La douleur neuropathique a autant, voire davantage que d'autres douleurs chroniques, un impact considérable sur l'humeur et le fonctionnement physique et social [15]. Selon certaines études, la dépression et les stratégies de coping telles que le catastrophisme et le soutien social pré-disent la chronicité douloureuse après une lésion nerveuse [15].…”

Section: Dimension éMotionnelle Symptomatologie Dépressiveunclassified

“…Selon certaines études, la dépression et les stratégies de coping telles que le catastrophisme et le soutien social pré-disent la chronicité douloureuse après une lésion nerveuse [15]. Il existe en outre une relation directe entre l'importance de l'humeur dépressive et l'intensité douloureuse.…”

Section: Dimension éMotionnelle Symptomatologie Dépressiveunclassified

Psychologie et douleurs neuropathiques

Masselin-Dubois

2010

Douleur analg

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L'évaluation des douleurs neuropathiques doit comporter la prise en compte des dimensions psychologiques, qui jouent certainement un rôle important dans leur chronicité. Ces dimensions incluent les aspects affectifs (notamment les symptômes anxiodépressifs), cognitifs et comportementaux, la kinésiophobie, les stratégies de coping, le catastrophisme et les cognitions. Une telle évaluation est nécessaire pour comprendre le rôle des facteurs psychologiques dans le développement d'une douleur neuropathique et mettre en place des stratégies psychocomportementales adaptées. Mots clés Coping · Cognitions · Catastrophisme · Douleurs neuropathiquesAbstract Assessment of neuropathic pain needs to include measurement of multiple psychological dimensions, that are believed to play a substantial role in its chronicization. These dimensions include affective factors (particularly depressive symptom and, anxiety), cognitive and behavioural factors, kinesiophobia, coping strategies, catastrophizing, and cognitions. Such assessment should provide a better understanding of the role of psychological factors in the development of neuropathic pain and propose individualized cognitivebehavioural interventions.

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Psychological assessment and treatment of patients with neuropathic pain

Cited by 42 publications

References 65 publications

Impact of spinal cord injury on self-perceived pre- and postmorbid cognitive, emotional and physical functioning

Impact of spinal cord injury on self-perceived pre- and postmorbid cognitive, emotional and physical functioning

Neuropathic pain after bilateral sagittal split osteotomy: management and prevention

Psychologie et douleurs neuropathiques

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