The aim of this study was to describe how patients with chronic back pain experience encounters with health care. Persons with chronic back pain are a stigmatized group often treated based on stereotypes, which may lead to misunderstandings and create frustrated patients and healthcare personnel. Few studies have examined the generic aspects of quality of care in this context. Open Access Article
Claire Ford, Lecturer, Adult Nursing, Northumbria University, Newcastle upon Tyne (claire.ford@northumbria.ac.uk) outlines the skills and tools health professionals use to help patients manage pain. To read the full article, log in using your MPFT NHS OpenAthens details.
Objectives: To (i) identify predictors of outcome for the physiotherapy management of shoulder pain and (ii) enable clinicians to subgroup people into risk groups for persistent shoulder pain and disability. To read the full article, log in using your NHS OpenAthens details.
Implications for practice and research:
>A mother’s pain beliefs are influential in shaping an adolescents beliefs, behaviours and coping strategies.
>There is a historical pattern of pain beliefs and behaviour within families.
>Further qualitative exploration is needed using co-design, a more diverse group and involvement of fathers. To read the full article, log in using your MPFT NHS OpenAthens details.
Fibromyalgia is a debilitating condition, characterized by extensive muscular pain and fatigue. Vitamin D is essential for overall health, with ubiquitous involvement in various inflammatory and pain pathways. Little is known about its role in fibromyalgia. We performed a systematic literature review to determine if vitamin D contributes to the pathology and disability of patients with fibromyalgia, and to assess the role of vitamin D supplementation in disease management.
Consistent terminology to describe the diagnostic criteria for fibromyalgia (FM) and myofascial pain syndrome (MPS) is required to address the reported inadequacies in diagnosis. The present review investigated intervention studies in FM and MPS populations to determine the lexicon of the current diagnostic criteria used to identify chronic musculoskeletal pain patients. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Chronic pain is associated with cortical reorganization, and interventions targeting cortical remapping, such as visual feedback of the painful body segment, seem promising. The primary aim of the present study was to evaluate the impact of visual feedback of the neck, using mirrors on pain intensity. Secondary aims were to evaluate the impact of visual feedback on neck range of motion and unadjusted cognitive processes. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Rehabilitation Psychology (Oct 8, 2018). DOI:10.1037/rep0000242
Objective: Much is known about the associations between negative factors and adjustment to chronic pain. However, less is known about how positive factors (e.g., positive affect [PA], resilience) function in relation to disability and mood in individuals with multiple sclerosis (MS).. To read the full article, log in using your NHS OpenAthens details.
An expert in addiction and mental health reacts to the Home Office announcement that cannabis-based products can be used to treat some medical conditions from 1 November 2018.
Blog post. In chronic pain, the pain system is locked in to a high-alert mode. One of my colleagues describes it as replacing your alarm system after a burglary, but with one so sensitive it goes off when a fly goes through the room. Mere touch may now be experienced as pain. The pain is real, it isn’t “just in the head”, but nor is there a hidden injury to fix or illness that can be cured. It’s a system that needs retuning, and that calls for participation from the body itself.
According to a new paper in the Journal of Clinical Psychology one particularly promising way that psychologists can help with this is by encouraging self-compassion: a practice of recognising one’s own suffering, accepting this is part of a shared human experience, and not over-identifying with the suffering.
Experimental and Clinical Psychopharmacology (Sep 27, 2018). DOI:10.1037/pha0000225
Prescription opioid misuse among chronic pain patients is undergirded by self-regulatory deficits, affective distress, and opioid-cue reactivity. Dispositional mindfulness has been associated with enhanced self-regulation, lower distress, and adaptive autonomic responses following drug-cue exposure. We hypothesized that dispositional mindfulness might serve as a protective factor among opioid-treated chronic pain patients.. To read the full article, log in using your NHS OpenAthens details.
The immune system has long been recognised important in pain regulation through inflammatory cytokine modulation of peripheral nociceptive fibres. Recently, cytokine interactions in brain and spinal cord glia as well as dorsal root ganglia satellite glia have been identified important— in pain modulation. The result of these interactions is central and peripheral sensitisation of nociceptive processing. Additionally, new insights and the term ‘autoimmune pain’ have emerged through discovery of specific IgGs targeting the extracellular domains of antigens at nodal and synaptic structures, causing pain directly without inflammation by enhancing neuronal excitability..... To read the full article, log in using your NHS OpenAthens details.
Practice Innovations (Sep 13, 2018). DOI:10.1037/pri0000079
The practice of yoga and the use of its components (relaxation, meditation, and mindfulness) can be useful adjuncts in substance abuse treatment. As a primary treatment of substance abuse, yoga and its components achieve low success to mixed results. In contrast, these approaches have been applied more successfully to comorbid conditions, especially depression with low to moderate success and to a lesser extent, anxiety. The practice of yoga may be especially effective in the management of chronic pain for individuals who abuse alcohol or opiates because it focuses on psychological and physical characteristics. Yoga has demonstrated moderate success in treating chronic pain as it provides an alternative coping strategy for these individuals. It is important to note that these conclusions are based on limited data with a need for more controlled research. (PsycINFO Database Record (c) 2018 APA, all rights reserved) (Source: journal abstract). To read the full article, log in using your NHS OpenAthens details.
The immune system has long been recognised important in pain regulation through inflammatory cytokine modulation of peripheral nociceptive fibres. Recently, cytokine interactions in brain and spinal cord glia as well as dorsal root ganglia satellite glia have been identified important— in pain modulation. The result of these interactions is central and peripheral sensitisation of nociceptive processing.. To read the full article, log in using your NHS OpenAthens details.
Open access. Accurate patient expectations are important to optimise treatment success, especially for complex conditions such as chronic pain. Communication may be the key to managing patient expectations. This study aimed to explore whether health care provider communication influences patient expectations and which communication aspects are most important.
Psychological Services Vol. 15, Iss. 3, (Aug 2018): 309-315.
The rates of suicidal ideation and completed suicide among adolescents have become increasingly alarming in recent years. Epidemiological studies indicate that a large portion of adolescents suffer from chronic pain, which research supports as a risk factor for suicidal ideation and behaviors. Further, psychological factors may account for the associations between chronic pain and suicidality. The current study sought to fill gaps in the literature on chronic pain and suicidality in adolescents, by examining whether depression mediates the links between various chronic amplified pain symptoms and suicidal ideation.. To read the full article, log in using your NHS OpenAthens details.
People with cerebral palsy (CP) are often unable to express pain owing to cognitive or speech impairments. Reports that rely on observation can be inaccurate, because behaviours such as grimacing, common in people with spastic CP, resemble pain expressions. We examined preliminary validity and reliability of the revised Face, Legs, Activity, Cry, and Consolability (r‐FLACC) scale in people with spastic CP.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
M. Ferreira, R. Herbert, M. Crowther, A. Verhagen, and A. Sutton. BMJ (Clinical research ed.), (January 2012)7186<m:linebreak></m:linebreak>JID: 8900488; epublish;<m:linebreak></m:linebreak>MDCI; RCT; Relació benefici/risc; Metaanàlisi.