The Psychology of Pain

Hansen, George R.; Streltzer, Jon

doi:10.1016/j.emc.2004.12.005

Cited by 65 publications

(47 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The overall mean Catastrophizing score was low. This result is inconsistent with the literature on coping behaviors [33,34]. However, some authors have remarked on the concept of catastrophizing in children and adolescents [35,36,37,38].…”

Section: Psychological Factors In Pain Persistencecontrasting

confidence: 56%

Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

Wildemeersch¹,

Bernaerts²,

D'Hondt³

et al. 2018

Preprint

View full text Add to dashboard Cite

Background: Preoperative anxiety and depression are predominant risk factors for increased postoperative pain. Thoracic wall deformities in adolescents often cause low self-esteem, which contributes to psychological concerns. Several studies have suggested a relationship between preoperative mental health treatment and enhanced recovery after surgery. Objective: This study investigated the validity of screening questionnaires concerning psychological trait and state characteristics via a patient-specific online platform. Methods: Patients scheduled for elective pectus surgery between June 2017 and August 2017 were invited to participate in clinical interviews and online self-report questionnaires. All patients were recruited in the Anesthesiology Department, Antwerp University Hospital, Belgium. This single-center observational cohort study was performed in accordance with the ethical standards of Good Clinical Practice guidelines (ICH-GCP) and the Declaration of Helsinki after obtaining study approval by the Institutional Review Board and Ethics Committee of the Antwerp University Hospital, Belgium (study identifier: 17/08/082). Patients with a history of a psychiatric disease, chronic opioid use (more than three months) or revision surgery were excluded. A preoperative psychological inventory was performed using the Rosenberg self-esteem scale (RSES), Hospital Anxiety and Depression Scale (HADs) and State-Trait Anxiety Inventory (STAI). The results were postoperatively compared with pain intensity and interference using the Multidisciplinary Pain Inventory (MPI), Coping Pain Questionnaire (CPQ) and numeric pain rating scale assessment (NRS). Results: Of the 22 patients, 21 used our web-based psychological perioperative screening platform. A "success" was reported by 85% of the patients for the smartphone application, 89% for individual online platform usability and 95% for accessibility. A total of 89% of the patients rated the effort of generating answers to the online questionnaire as low. The results from the completed questionnaires indicated a strong negative correlation between self-esteem and the anxiety trait (R = -0.72, p < 0.01) and overall anxiety characteristics (R = -0.49, p = 0.04). There was a positive correlation between depressive and anxiety characteristics and the anxiety trait (R = 0.52, p = 0.03; R = 0.6, p = 0.02, respectively). Moreover, preoperative anxiety was positively correlated with postoperative pain interference (R = 0.58, p = 0.02). Finally, there was a negative correlation between self-esteem and pain interference (R = -0.62, p = 0.01). Conclusions: Perioperative screening of psychological symptoms and trait characteristics with specific treatment, if necessary, could further improve postoperative pain and overall health status. Research on E-health technology, even for psychological patient care, is rapidly increasing. Trial Registration: ClinicalTrials.gov NCT03100669

show abstract

Section: Psychological Factors In Pain Persistencecontrasting

confidence: 56%

Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

Wildemeersch¹,

Bernaerts²,

D'Hondt³

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

“…This may predispose patients to experience pain more often, as recent evidence suggests that anxiety and depression can alter pain threshold levels 14. Since chronic pain in itself can cause or aggravate anxiety and depression,15 a vicious cycle begins, which can significantly impact the course and management of these chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

Anxiety and depression in patients with osteoarthritis: impact and management challenges

Sharma

Kudesia

Shi

et al. 2016

OARRR

186

152

View full text Add to dashboard Cite

BackgroundAnxiety and depression are common psychological comorbidities that impact the quality of life (QoL) of patients. In this systematic review, we 1) determined the impact of anxiety and depression on outcomes in patients with osteoarthritis (OA) and 2) summarized unique challenges these comorbidities present to current OA management.Patients and methodsA systematic literature search was performed using the OVID Medline and EMBASE databases until April 2016. Full-text research articles published in English from the year 2000 onward with a sample size of >100 were included in this review. Eligible research articles were reviewed and the following data were extracted: study author(s), year of publication, study design, and key findings.ResultsA total of 38 studies were included in the present review. The present study found that both anxiety and/or depression were highly prevalent among patients with OA. Patients with OA diagnosed with these comorbidities experienced more pain, had frequent hospital visits, took more medication, and reported less optimal outcomes. Management strategies in the form of self-care, telephone support, audio/video education programs, and new pharmacotherapies were reported with favorable results.ConclusionAnxiety and depression adversely impact the QoL of patients with OA. Physicians/caregivers are highly recommended to consider these comorbidities in patients with OA. Ultimately, a holistic individualized management approach is necessary to improve patient outcomes.

show abstract

“…Accurate injury diagnosis underpins expectations about the path to recovery and pain resolution. Most athletes will recover from injury in the predicted manner 244. However, monitoring recovery closely, quickly identifying any deviation from the predicted path (figure 1) and re-assessing if recovery is not occurring as predicted are all of critical importance.…”

Section: Pain Management Strategies When Expected Recovery Is Delayedmentioning

confidence: 99%

International Olympic Committee consensus statement on pain management in elite athletes

et al. 2017

View full text Add to dashboard Cite

Pain is a common problem among elite athletes and is frequently associated with sport injury. Both pain and injury interfere with the performance of elite athletes. There are currently no evidence-based or consensusbased guidelines for the management of pain in elite athletes. Typically, pain management consists of the provision of analgesics, rest and physical therapy. More appropriately, a treatment strategy should address all contributors to pain including underlying pathophysiology, biomechanical abnormalities and psychosocial issues, and should employ therapies providing optimal benefit and minimal harm. To advance the development of a more standardised, evidenceinformed approach to pain management in elite athletes, an IOC Consensus Group critically evaluated the current state of the science and practice of pain management in sport and prepared recommendations for a more unified approach to this important topic.

show abstract

The Psychology of Pain

Cited by 65 publications

References 53 publications

Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

Anxiety and depression in patients with osteoarthritis: impact and management challenges

International Olympic Committee consensus statement on pain management in elite athletes

Contact Info

Product

Resources

About