The differential impact of neuropathic, musculoskeletal and neurovascular orofacial pain on psychosocial function

Smith, Jared G.; Karamat, Aalia; Melek, Lydia N.; Jayakumar, S.; Renton, Tara

doi:10.1111/jop.13071

Cited by 6 publications

(16 citation statements)

References 30 publications

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“… 27 This study and others using the IMPARTS screening tools have examined the prevalence of mental health problems in people with a range of long-term conditions and the role of perceived disease severity in this equation. 28 , 29 A number of groups have explored the feasibility and practicability of tailoring diabetes management interventions for persons with learning disability, 30 autism 31 or severe mental illness, 32 recognising the interaction between the conditions and how it impacts treatment.…”

Section: Next Steps: Enabling Bidirectional Prevention Of Mental and ...mentioning

confidence: 99%

Research policy for people with multiple long-term conditions and their carers

Owen

Dew

Logan

et al. 2022

Journal of Multimorbidity and Comorbidity

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People with multiple long-term conditions (MLTC) are a growing population, not only in the United Kingdom but internationally. Health and care systems need to adapt to rise to this challenge. Policymakers need to better understand how medical education and training, and service configuration and delivery should change to meet the needs of people with MLTC and their carers. A series of workshops with people with MLTC and carers across the life-course identified areas of unmet need including the impact of stigma; poorly coordinated care designed around single conditions; inadequate communication and consultations that focus on clinical outcomes rather than patient-oriented goals and imperfectly integrate mental and physical wellbeing. Research which embeds the patient voice at its centre, from inception to implementation, can provide the evidence to drive the change to patient-centred, coordinated care. This should not only improve the lives of people living with MLTC and their carers but also create a health and care system which is more effective and efficient. The challenge of MLTC needs to be bought to the fore and it will require joint effort by policymakers, practitioners, systems leaders, educators, the third sector and those living with MLTC to design a health and care system from the perspective of patients and carers, and provide practitioners with the skills and tools needed to provide the highest quality care.

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Section: Next Steps: Enabling Bidirectional Prevention Of Mental and ...mentioning

confidence: 99%

Research policy for people with multiple long-term conditions and their carers

Owen

Dew

Logan

et al. 2022

Journal of Multimorbidity and Comorbidity

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“…Sleep problems were greater in patients presenting with primary headaches in the orofacial region, particularly TACs. However, OFP patients with neurovascular pain often present with higher pain levels and have more bodily complaints, 16 and once the level of experienced pain intensity was accounted for, the presence of primary headache disorder was not a significant correlate of pain‐related sleep disturbances.…”

Section: Discussionmentioning

confidence: 98%

“…Mood alterations and increased bodily complaints are associated with sleep deprivation even in healthy adults 15 . OFP patients with headaches report higher pain intensity and somatic complaints 16 . Another component of interest is the role of stressful/adverse/traumatic events and the future development of sleep problems 17,18 .…”

Section: Introductionmentioning

confidence: 99%

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Sleep disturbances are associated with pain intensity and pain‐related functional interference in patients experiencing orofacial pain

Thimma Ravindranath,

Smith,

Niloofar

et al. 2023

J of Oral Rehabilitation

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BackgroundSleep and pain have a reciprocal relationship, interacting with psychosocial aspects including depression, anxiety, somatization and significant stressful events.ObjectiveThe aim of this study was to assess patients with oro‐facial pain (OFP) and related sleep disturbances and determine the strongest psychosocial correlates.MethodsA cross‐sectional study of anonymized data of consecutive patients with OFP {January 2019 and February 2020} were analysed. Diagnostic and Axis‐II data were integrated to assess the relationship between sleep disturbances, measured using Chronic Pain Sleep Inventory, and demographic factors, clinical comorbidities, recent stressful events, pain severity and pain‐ and psychological‐related function.ResultsFive out of six patients with OFP were presented with pain‐related sleep disturbances. Sleep problems were enhanced in patients with primary oro‐facial headache compared with other OFP conditions. However, once the level of pain intensity and interference was accounted for, primary headache, was not a significant correlate of pain‐related sleep disturbances. Multivariate analysis revealed (average) pain severity and pain interference were both significantly associated with sleep problems. There were also significant independent associations of sleep problems with somatization levels and reported experience of recent stressful events.ConclusionIdentifying sleep problems as a part of OFP management may be beneficial and could result in better management outcomes.

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“…Table 2 provides the characteristics of these included studies. 7,8,15,16,[20][21][22][23][24][25][26][27][28][29][30][31][32][33] Of the 17 clinic-based studies, 15 were conducted in headache clinics 7,8,15,16,20,21,[23][24][25][26][27][29][30][31][32] and two studies in orofacial pain clinics. 22,28 Prevalence and relative frequency of paroxysmal hemicrania…”

Section: Re Sultsmentioning

confidence: 99%

Epidemiology and clinical features of paroxysmal hemicrania: A systematic review and meta‐analysis

Henningsen,

Larsen,

Karlsson

et al. 2024

Headache

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ObjectiveTo assess the prevalence or relative frequency of paroxysmal hemicrania and its clinical features in the adult general population and among adult patients evaluated for headache in tertiary care.BackgroundParoxysmal hemicrania is a rare trigeminal autonomic cephalalgia with characteristic attacks of headache, associated cranial autonomic symptoms and signs, and an absolute response to indomethacin. Its epidemiological burden remains unknown in both the adult general population and among adult patients evaluated for headache in a tertiary care setting. Moreover, the frequencies of the clinical features associated with paroxysmal hemicrania have not been well established.MethodsA literature search of PubMed and Embase was conducted from January 1, 1988, to January 20, 2023. Eligible for inclusion were observational studies reporting the point prevalence or relative frequency of paroxysmal hemicrania or its clinical features in the adult general population or among adult patients evaluated for headache in tertiary care. Two independent investigators (M.J.H. and J.G.L.) performed the title, abstract, and full‐text article screening. Each included study's risk of bias was critically appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. Estimates of prevalence or relative frequency were calculated using a random‐effects meta‐analysis. The between‐study heterogeneity was assessed using the I2 statistic and further explored with meta‐regression. This study was pre‐registered on PROSPERO (identifier: CRD42023391127).ResultsA total of 17 clinic‐based studies and one population‐based study met the eligibility criteria. Importantly, an overall high risk of bias was observed across the eligible studies. The relative frequency of paroxysmal hemicrania was estimated to be 0.3% (95% CI, 0.2%–0.5%) among adult patients evaluated for headache in tertiary care with considerable heterogeneity (I2 = 76.4%). No cases with paroxysmal hemicrania were identified among 1,838 participants in a population‐based sample. Moreover, the most prevalent cranial autonomic symptoms were lacrimation (77.3% [95% Cl, 62.7%–87.3%]), conjunctival injection (75.0% [95% Cl, 60.3%–85.6%]), and nasal congestion (47.7% [95% Cl, 33.6%–62.3%]).ConclusionsOur findings suggest that paroxysmal hemicrania is a rare disorder among adults evaluated for headache in tertiary care, while its prevalence in the general population remains unknown. Further studies focusing on the clinical features of paroxysmal hemicrania are warranted.

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The differential impact of neuropathic, musculoskeletal and neurovascular orofacial pain on psychosocial function

Cited by 6 publications

References 30 publications

Research policy for people with multiple long-term conditions and their carers

Research policy for people with multiple long-term conditions and their carers

Sleep disturbances are associated with pain intensity and pain‐related functional interference in patients experiencing orofacial pain

Epidemiology and clinical features of paroxysmal hemicrania: A systematic review and meta‐analysis

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