The Role of Psychiatric Education in Pain Management

Balon, Richard; Morreale, Mary K.; Coverdale, John; Brenner, Adam M.; Louie, Alan K.; Beresin, Eugene V.; Guerrero, Anthony P. S.; Roberts, Laura Weiss

doi:10.1007/s40596-018-0965-8

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…The search for studies that corroborate the argumentation is based on the literature of four researchers: Leo 5 , Elman 6 , Balon 30 and Belgrade 31 , which directly exemplify the relationship between psychiatry and the psychiatrist and the study of pain and its variants. This bibliography strengthens the importance of the possibility of in-depth pain education, whether through a subspecialization or the very introduction of the pain chair as one of the pillars of residency in psychiatry.…”

Section: Discussionmentioning

confidence: 99%

“…The MeSH terms used in this research were diverse, among the main ones: "pain residency", "pain education", "psychiatry pain residency" and "psychiatry pain education". Four main literary lines were selected, which became substrate for the gathering of argumentative ideas, namely Leo 5 , Elman 6 , Balon 30 and Belgrade 31 . In addition, bibliographies developed by the Brazilian Society for the Study of Pain (SBED) were used, such as the Pain Treaty and the documents of the National Campaign "Brasil sem Dor".…”

Section: Methodsmentioning

confidence: 99%

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The importance of the psychiatrist as a member of the multidisciplinary pain team / A importância do médico psiquiatra como integrante da equipe multidisciplinar em dor

Abreu¹,

Leeuwen²,

Filho³

et al. 2022

Braz. J. Hea. Rev.

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Introducion: In Brazil, pain is a relatively new specialty, as the largest entity responsible for distributing content related to the area, the Brazilian Society for the Study of Pain (SBED) started its activities in 2006. However, psychiatrists can’t act as a pain specialist under the Specialist Qualification Registry (RQE), since psychiatry is not a specialty listed as pre-requirement for applying in the pain specialization selection process. Objective: This article aims to present skills of the psychiatrist in relation to the study of pain, so that effective inclusion in the multidisciplinary pain team as specialist and not just as a supporting mediator. Methods: For the construction of this original article, the bibliographic databases PubMed and Google Scholar were used, The MeSH terms used in this research were diverse, among the main ones: “pain residency”, “pain education”, “psychiatry pain residency” and “psychiatry pain education”. Results: Many of psychiatric disorders such as depression, borderline personality disorder, post-traumatic stress disorder, among others, are commonly prevalent in patients with chronic pain. Mental health can be affected as a consequence of chronic pain, in the same way that a history of psychiatric disorder can be a risk factor for the development of chronic pain. Patients with pain and depressive disorder have a worse experience, because they report greater intensity, worse functioning and greater disability, compared to patients with pain without depression. Added to that, drugs considered pillars of pain treatment, such as antidepressants, gabapentinoids and antipsychotics, are frequently used by psychiatrists in their clinical practice. Conclusion: The relation between psychiatry and pain must be re-evaluated, this article aims to express the relevance of the psychiatrist in such a diverse and skillful team, in addition to unravel skills and competences for their incorporation in an important area of activity that tends to grow extraordinarily in Brazil and in the world.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The importance of the psychiatrist as a member of the multidisciplinary pain team / A importância do médico psiquiatra como integrante da equipe multidisciplinar em dor

Abreu¹,

Leeuwen²,

Filho³

et al. 2022

Braz. J. Hea. Rev.

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The unmet mental health needs of U.S. adults living with chronic pain

De La Rosa,

Brady,

Herder

et al. 2024

Pain

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Previous research suggests that individuals with mental health needs and chronic pain may be less likely to use mental health treatment compared with those with mental health needs only. Yet, few studies have investigated the existence of population-level differences in mental health treatment use. We analyzed data from the National Health Interview Survey (n = 31,997) to address this question. We found that chronic pain was associated with end-to-end disparities in the mental health journeys of U.S. adults: (1) Those living with chronic pain are overrepresented among U.S. adults with mental health needs; (2) among U.S. adults with mental health needs, those living with chronic pain had a lower prevalence of mental health treatment use; (3) among U.S. adults who used mental health treatment, those living with chronic pain had a higher prevalence of screening positive for unremitted anxiety or depression; (4) among U.S. adults living with both chronic pain and mental health needs, suboptimal mental health experiences were more common than otherwise—just 44.4% of those living with mental health needs and co-occurring chronic pain reported use of mental health treatment and screened negative for unremitted anxiety and depression, compared with 71.5% among those with mental health needs only. Overall, our results suggest that U.S. adults with chronic pain constitute an underrecognized majority of those living with unremitted anxiety/depression symptoms and that the U.S. healthcare system is not yet adequately equipped to educate, screen, navigate to care, and successfully address their unmet mental health needs.

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