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1

Pines, Malcolm. "Mental pain." Psychotherapy Section Review 1, no. 57 (2016): 39–44. http://dx.doi.org/10.53841/bpspsr.2016.1.57.39.

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Tashjian, Vartan C., Sasan Mosadeghi, Amber R. Howard, Mayra Lopez, Taylor Dupuy, Mark Reid, Bibiana Martinez, et al. "Virtual Reality for Management of Pain in Hospitalized Patients: Results of a Controlled Trial." JMIR Mental Health 4, no. 1 (March 29, 2017): e9. http://dx.doi.org/10.2196/mental.7387.

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Background Improvements in software and design and reduction in cost have made virtual reality (VR) a practical tool for immersive, three-dimensional (3D), multisensory experiences that distract patients from painful stimuli. Objective The objective of the study was to measure the impact of a onetime 3D VR intervention versus a two-dimensional (2D) distraction video for pain in hospitalized patients. Methods We conducted a comparative cohort study in a large, urban teaching hospital in medical inpatients with an average pain score of ≥3/10 from any cause. Patients with nausea, vomiting, dementia, motion sickness, stroke, seizure, and epilepsy and those placed in isolation were excluded. Patients in the intervention cohort viewed a 3D VR experience designed to reduce pain using the Samsung Gear Oculus VR headset; control patients viewed a high-definition, 2D nature video on a 14-inch bedside screen. Pre- and postintervention pain scores were recorded. Difference-in-difference scores and the proportion achieving a half standard deviation pain response were compared between groups. Results There were 50 subjects per cohort (N=100). The mean pain reduction in the VR cohort was greater than in controls (−1.3 vs −0.6 points, respectively; P=.008). A total of 35 (65%) patients in the VR cohort achieved a pain response versus 40% of controls (P=.01; number needed to treat=4). No adverse events were reported from VR. Conclusions Use of VR in hospitalized patients significantly reduces pain versus a control distraction condition. These results indicate that VR is an effective and safe adjunctive therapy for pain management in the acute inpatient setting; future randomized trials should confirm benefit with different visualizations and exposure periods. Trial Registration Clinicaltrials.gov NCT02456987; https://clinicaltrials.gov/ct2/show/NCT02456987 (Archived by WebCite at http://www.webcitation.org/6pJ1P644S)
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Nanay, Bence. "Pain and Mental Imagery." Monist 100, no. 4 (September 1, 2017): 485–500. http://dx.doi.org/10.1093/monist/onx024.

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4

Wildemeersch, Davina, Lisa Bernaerts, Michiel D’Hondt, and Guy Hans. "Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study." JMIR Mental Health 5, no. 2 (May 31, 2018): e45. http://dx.doi.org/10.2196/mental.9806.

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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 support 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 the International Council for Harmonisation–Good Clinical Practice guidelines 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). An online preoperative psychological inventory was performed using the Rosenberg Self-Esteem Scale, Hospital Anxiety and Depression Scale, and State-Trait Anxiety Inventory. Postoperatively, pain intensity and interference were assessed using the Multidisciplinary Pain Inventory, Coping With Pain Questionnaire, and numeric pain rating scale assessment. Patient satisfaction of the Web-based platform was evaluated. Results A total of 21 adolescent patients used our Web-based psychological perioperative screening platform. Patients rated the mobile phone app, usability, and accessibility of the digital platform as good or excellent in 85% (17/20), 89% (17/19), and 95% (20/21) of the cases, respectively. A total of 89% (17/19) of the patients rated the effort of generating answers to the online questionnaires as low. The results from the completed questionnaires indicated a strong negative correlation between self-esteem and the anxiety trait (R=–0.72, P<.001) and overall anxiety characteristics (R=–0.49, P=.04). There was a positive correlation between depressive and anxiety characteristics and the anxiety trait (R=0.52, P=.03 and R=0.6, P=.02, respectively) measured by the online self-report questionnaires. Moreover, preoperative anxiety was positively correlated with postoperative pain interference (R=0.58, P=.02). Finally, there was a negative correlation between self-esteem and pain interference (R=–0.62, P=.01). Trial Registration ClinicalTrials.gov NCT03100669; https://clinicaltrials.gov/ct2/show/NCT03100669 (Archived by WebCite at http://www.webcitation.org/6zPvHDhU5)
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5

Paolillo, Emily W., Bin Tang, Colin A. Depp, Alexandra S. Rooney, Florin Vaida, Christopher N. Kaufmann, Brent T. Mausbach, David J. Moore, and Raeanne C. Moore. "Temporal Associations Between Social Activity and Mood, Fatigue, and Pain in Older Adults With HIV: An Ecological Momentary Assessment Study." JMIR Mental Health 5, no. 2 (May 14, 2018): e38. http://dx.doi.org/10.2196/mental.9802.

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Background Social isolation is associated with an increased risk for mental and physical health problems, especially among older persons living with HIV (PLWH). Thus, there is a need to better understand real-time temporal associations between social activity and mood- and health-related factors in this population to inform possible future interventions. Objective This study aims to examine real-time relationships between social activity and mood, fatigue, and pain in a sample of older PLWH. Methods A total of 20 older PLWH, recruited from the University of California, San Diego HIV Neurobehavioral Research Program in 2016, completed smartphone-based ecological momentary assessment (EMA) surveys 5 times per day for 1 week. Participants reported their current social activity (alone vs not alone and number of social interactions) and levels of mood (sadness, happiness, and stress), fatigue, and pain. Mixed-effects regression models were used to analyze concurrent and lagged associations among social activity, mood, fatigue, and pain. Results Participants (mean age 58.8, SD 4.3 years) reported being alone 63% of the time, on average, (SD 31.5%) during waking hours. Being alone was related to lower concurrent happiness (beta=−.300; 95% CI −.525 to −.079; P=.008). In lagged analyses, social activity predicted higher levels of fatigue later in the day (beta=−1.089; 95% CI −1.780 to −0.396; P=.002), and higher pain levels predicted being alone in the morning with a reduced likelihood of being alone as the day progressed (odds ratio 0.945, 95% CI 0.901-0.992; P=.02). Conclusions The use of EMA elucidated a high rate of time spent alone among older PLWH. Promoting social activity despite the presence of pain or fatigue may improve happiness and psychological well-being in this population.
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Sansone, Randy A., Daron A. Watts, and Michael W. Wiederman. "Pain, pain catastrophizing, and past mental healthcare utilization." Journal of Psychosomatic Research 76, no. 2 (February 2014): 169–71. http://dx.doi.org/10.1016/j.jpsychores.2013.11.013.

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Brammer, Susan, and Elaine L. Miller. "Connecting Pain and Mental Illness." Pain Management Nursing 23, no. 5 (October 2022): 566–67. http://dx.doi.org/10.1016/j.pmn.2022.08.012.

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Rosnick, Phillida. "Mental pain and social trauma." International Journal of Psychoanalysis 94, no. 6 (December 2013): 1200–1202. http://dx.doi.org/10.1111/1745-8315.12165.

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9

Tossani, Eliana. "The Concept of Mental Pain." Psychotherapy and Psychosomatics 82, no. 2 (2013): 67–73. http://dx.doi.org/10.1159/000343003.

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Akhtar, Salman. "The Mental Pain of Minorities." British Journal of Psychotherapy 30, no. 2 (April 15, 2014): 136–53. http://dx.doi.org/10.1111/bjp.12081.

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Kohrt, Brandon A., James L. Griffith, and Vikram Patel. "Chronic pain and mental health." PAIN 159 (September 2018): S85—S90. http://dx.doi.org/10.1097/j.pain.0000000000001296.

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Framarin, Christopher G. "Mental Pain in the Mahābhārata." International Journal of Hindu Studies 23, no. 2 (June 28, 2019): 103–22. http://dx.doi.org/10.1007/s11407-019-09254-3.

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13

Haddox, J. David. "Pain-Focused mental status examination." Current Review of Pain 3, no. 1 (February 1999): 42–47. http://dx.doi.org/10.1007/s11916-999-0063-4.

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Savelieva, Iryna. "Mental pain as a predictive risk factor for committing suicide. Mentalization of mental pain." Kyiv journal of modern psychology and psychotherapy 4 (December 21, 2022): 87–96. http://dx.doi.org/10.48020/10.48020/mppj.2022.02.08.

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The article examines the concept of mental pain and its potential influence on the decision to commit suicide, as well as the role of the mentalization method in working with patients who are at risk of suicidal behavior. The relationship between the experience of mental pain and the risk of suicide attempts in the short term is described. A brief review of theories and research describing mental pain and the causal relationships between mental pain and suicidal behavior is provided. Mental pain is considered as a prognostic factor of high readiness to commit suicide and as one of the main risk factors, which is taken into account equally with depression, anxiety and feelings of hopelessness. The article briefly reviews additional influencing factors that can be predictors of suicidal behavior, they should be taken into account when assessing the psychological state and can complement the general psychological picture of suicidal risk. But the emphasis is on the key factor of suicidal risk - mental pain. The process of mentalizing is defined and the significance of object relations for the development of the ability to mentalize is considered; emphasis is placed on the impact of a violation of this process on the formation of the ability to monitor, analyze, endure, symbolize experiences and the negative impact on the development of the communication ability to convey messages about one's suffering. The hierarchy of mentalization in terms of the degree of mental processing, the function of mentalization and its various dimensions, as well as possible imbalances that may occur in one or more of its dimensions are described.
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Pongrácz, Kinga. "The examination of amputees’ psychological well-being “in the mirror” of phantom pain." Mentálhigiéné és Pszichoszomatika 15, no. 2 (June 2014): 109–38. http://dx.doi.org/10.1556/mental.15.2014.2.2.

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Hegedüs, Gábor, and Tibor Szolcsányi. "The role of imagery in treatment and rehabilitation with special regard to pain management." Mentálhigiéné és Pszichoszomatika 13, no. 3 (September 2012): 313–37. http://dx.doi.org/10.1556/mental.13.2012.3.4.

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Lalouni, Maria, Brjánn Ljótsson, Marianne Bonnert, Erik Hedman-Lagerlöf, Jens Högström, Eva Serlachius, and Ola Olén. "Internet-Delivered Cognitive Behavioral Therapy for Children With Pain-Related Functional Gastrointestinal Disorders: Feasibility Study." JMIR Mental Health 4, no. 3 (August 10, 2017): e32. http://dx.doi.org/10.2196/mental.7985.

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Background Pain-related functional gastrointestinal disorders (P-FGIDs; eg, irritable bowel syndrome) are highly prevalent in children and associated with low quality of life, anxiety, and school absence. Treatment options are scarce, and there is a need for effective and accessible treatments. Internet-delivered cognitive behavior therapy (Internet-CBT) based on exposure exercises is effective for adult and adolescent irritable bowel syndrome, but it has not been evaluated for younger children. Objective The objective of this study was to assess acceptability, feasibility, and potential clinical efficacy of Internet-CBT for children with P-FGIDs. Methods This was a feasibility study with a within-group design. We included 31 children aged 8-12 years and diagnosed with P-FGID, according to the ROME III criteria. Mean duration of abdominal symptoms at baseline was 3.8 years (standard deviation [SD] 2.6). The treatment was therapist-guided and consisted of 10 weekly modules of exposure-based Internet-CBT. The children were instructed to provoke abdominal symptoms in a graded manner and to engage in previously avoided activities. The parents were taught to decrease their attention to their children’s pain behaviors and to reinforce and support their work with the exposures. Assessments included treatment satisfaction, subjective treatment effect, gastrointestinal symptoms, quality of life, pain intensity, anxiety, depression, and school absence. Data were collected at pretreatment, posttreatment, and 6-month follow-up. Means, standard errors (SEs), and Cohen d effect sizes were estimated based on multi-level linear mixed models. Results Most children 25/31 (81%) completed 9 or 10 of the 10 treatment modules. Almost all children, 28/31 (90%), reported that the treatment had helped them to deal more effectively with their symptoms, and 27/31 (87%) children declared that their symptoms had improved during the treatment. Assessments from the parents were in accordance with the children’s reports. No child or parent reported that the symptoms had worsened. We observed a large within-group effect size on the primary outcome measure, child-rated gastrointestinal symptoms from pretreatment to posttreatment (Cohen d=1.14, P<.001, 95% CI 0.69-1.61), and this effect size was maintained at 6-month follow-up (Cohen d=1.40, P<.001, 95% CI 1.04-1.81). We also observed significant improvements from pretreatment to posttreatment on a wide range of child- and parent-rated measures including quality of life, pain intensity, anxiety, depression, and school absence. All results remained stable or were further improved at 6-month follow-up. Conclusions This study shows that children with longstanding P-FGIDs, and their parents, perceive exposure-based Internet-CBT as a helpful and feasible treatment. The included children improved significantly despite a long duration of abdominal symptoms before the intervention. The treatment shows potential to be highly effective for P-FGIDs. The results need to be confirmed in a randomized controlled trial (RCT).
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Becker, Gideon, Israel Orbach, Mario Mikulincer, Maya Iohan, Eva Gilboa‐Schechtman, and Ariella Grossman‐Giron. "Reexamining the Mental Pain–Suicidality Link in Adolescence: The Role of Tolerance for Mental Pain." Suicide and Life-Threatening Behavior 49, no. 4 (August 20, 2018): 1072–84. http://dx.doi.org/10.1111/sltb.12506.

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Volel, B. A., D. S. Petelin, and D. O. Rozhkov. "Chronic back pain and mental disorders." Neurology, Neuropsychiatry, Psychosomatics 11, no. 2S (June 22, 2019): 17–24. http://dx.doi.org/10.14412/2074-2711-2019-2s-17-24.

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Chronic back pain is a significant biomedical problem due to its high prevalence and negative impact on quality of life and socioeconomic indicators. Mental disorders play a substantial role in the genesis of chronic pain. This review discusses the issues of back pain comorbid with depressive, anxiety disorders, post-traumatic stress disorder, and somatoform disorder. It also considers the features of the clinical manifestations of pain associated with mental disorders. There are data on the neurobiological relationship between pain and mental disorders and on the personality traits of patients with chronic back pain.
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Mosadeghi, Sasan, Mark William Reid, Bibiana Martinez, Bradley Todd Rosen, and Brennan Mason Ross Spiegel. "Feasibility of an Immersive Virtual Reality Intervention for Hospitalized Patients: An Observational Cohort Study." JMIR Mental Health 3, no. 2 (June 27, 2016): e28. http://dx.doi.org/10.2196/mental.5801.

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Background Virtual reality (VR) offers immersive, realistic, three-dimensional experiences that “transport” users to novel environments. Because VR is effective for acute pain and anxiety, it may have benefits for hospitalized patients; however, there are few reports using VR in this setting. Objective The aim was to evaluate the acceptability and feasibility of VR in a diverse cohort of hospitalized patients. Methods We assessed the acceptability and feasibility of VR in a cohort of patients admitted to an inpatient hospitalist service over a 4-month period. We excluded patients with motion sickness, stroke, seizure, dementia, nausea, and in isolation. Eligible patients viewed VR experiences (eg, ocean exploration; Cirque du Soleil; tour of Iceland) with Samsung Gear VR goggles. We then conducted semistructured patient interview and performed statistical testing to compare patients willing versus unwilling to use VR. Results We evaluated 510 patients; 423 were excluded and 57 refused to participate, leaving 30 participants. Patients willing versus unwilling to use VR were younger (mean 49.1, SD 17.4 years vs mean 60.2, SD 17.7 years; P=.01); there were no differences by sex, race, or ethnicity. Among users, most reported a positive experience and indicated that VR could improve pain and anxiety, although many felt the goggles were uncomfortable. Conclusions Most inpatient users of VR described the experience as pleasant and capable of reducing pain and anxiety. However, few hospitalized patients in this “real-world” series were both eligible and willing to use VR. Consistent with the “digital divide” for emerging technologies, younger patients were more willing to participate. Future research should evaluate the impact of VR on clinical and resource outcomes. ClinicalTrial Clinicaltrials.gov NCT02456987; https://clinicaltrials.gov/ct2/show/NCT02456987 (Archived by WebCite at http://www.webcitation.org/6iFIMRNh3)
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Twillman, Robert K. "Mental Disorders in Chronic Pain Patients." Journal of Pain & Palliative Care Pharmacotherapy 21, no. 4 (January 2007): 13–19. http://dx.doi.org/10.1080/j354v21n04_04.

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Hooten, W. Michael. "Chronic Pain and Mental Health Disorders." Mayo Clinic Proceedings 91, no. 7 (July 2016): 955–70. http://dx.doi.org/10.1016/j.mayocp.2016.04.029.

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BENBAJI, HAGIT. "MENTAL PAINKILLERS AND REASONS FOR PAIN." Manuscrito 41, no. 4 (October 8, 2018): 1–32. http://dx.doi.org/10.1590/0100-6045.2018.v41n4.hb.

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Popov, Alexander S. "Objectivization of Pain Sensitivity." International Journal of Psychosocial Rehabilitation 24, no. 5 (April 20, 2020): 4571–81. http://dx.doi.org/10.37200/ijpr/v24i5/pr2020171.

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Swindells, Tara, Joanne Iddon, and Joanne M. Dickson. "The Role of Adaptive Goal Processes in Mental Wellbeing in Chronic Pain." International Journal of Environmental Research and Public Health 20, no. 2 (January 10, 2023): 1278. http://dx.doi.org/10.3390/ijerph20021278.

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Chronic pain, experienced as pain persisting for three months or longer, is associated with risk of poor mental health and disability. Research has implicated adaptive goal processes as important to mental wellbeing in a range of populations. However, research has rarely assessed these mechanisms in relation to pain characteristics and mental wellbeing in chronic pain populations. This study aimed to examine the potentially mediating roles of goal flexibility and goal tenacity in the relationships between pain intensity and pain interference and mental wellbeing among individuals with chronic pain. Community members who self-identified as experiencing non-cancer chronic pain (N = 315) completed an online self-report survey on goal tenacity, goal flexibility, mental wellbeing, pain intensity, and pain interference. Unexpectedly, pain intensity was not significantly related to mental wellbeing, when controlling for pain interference. However, pain interference was directly and significantly associated with mental wellbeing. Both goal flexibility and goal tenacity mediated the relationship between pain interference and mental wellbeing, whilst controlling for pain intensity. The results provide support for the protective role of adaptive goal processes in mental wellbeing in those with chronic pain and highlight the importance of pain interference in relation to mental wellbeing.
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Elahi, Foad. "Mental Nerve Neuropathy Following Dental Extraction." Pain Physician 3;17, no. 3;5 (May 14, 2014): E375—E380. http://dx.doi.org/10.36076/ppj.2014/17/e375.

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Mental nerve neuropathy (MNN), colloquially referred to as numb chin syndrome, is an uncommon neurologic condition that may arise secondary to multiple local and systemic etiologies, and may mimic other pain conditions affecting the mandible. Early recognition of mental nerve neuropathy in conjunction with accurate etiologic identification is crucial, as early pain management may prevent the transition from an acute to a chronic pain condition. In this article, we will describe the clinical courses of 2 patients who presented to the pain clinic with chronic painful numbness in the mental nerve sensory distribution following dental extraction. After a period of failed conservative medical management and repetitive successful nerve blocks at the mental foramen, we decided to proceed with radiofrequency nerve ablation. In both cases, performance of radiofrequency nerve ablation demonstrated a significant decrease in pain. Within interventional pain medicine, nerve blocks are often utilized to assist with pain generator identification, and resultantly also play an integral role in treatment planning. For instance, nerve blocks are often utilized to establish accurate identification of nerve tissue viability, a preliminary role essential for the determination of whether to proceed with an ablative peripheral nerve procedure. In this article, we will additionally review these important usages of nerve blocks within interventional pain medicine. The objective of our article is to help clinicians identify and properly manage early stage mental nerve neuropathy. Moreover, we aim to advance general medical knowledge of this important pain medicine topic. During the process of preparing this article we reviewed all existing pertinent medical literature related to MNN. Key words: Mental nerve, neuropathy, radiofrequency, nerve ablation, chronic pain
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Orbach, Israel, Mario Mikulincer, Pinhas Sirota, and Eva Gilboa-Schechtman. "Mental Pain: A Multidimensional Operationalization and Definition." Suicide and Life-Threatening Behavior 33, no. 3 (September 2003): 219–30. http://dx.doi.org/10.1521/suli.33.3.219.23219.

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Marek, Tadeusz, Czeslaw Noworol, and Waldemar Karwowski. "Mental fatigue at work and pain perception." Work & Stress 2, no. 2 (April 1988): 133–37. http://dx.doi.org/10.1080/02678378808259157.

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Fleming, Manuela. "On mental pain: From Freud to Bion." International Forum of Psychoanalysis 17, no. 1 (March 2008): 27–36. http://dx.doi.org/10.1080/08037060701743100.

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Edmond, Sara N., Alicia A. Heapy, and Robert D. Kerns. "Engaging Mental Health Professionals in Addressing Pain." JAMA Psychiatry 76, no. 6 (June 1, 2019): 565. http://dx.doi.org/10.1001/jamapsychiatry.2019.0254.

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Butterworth, Paul A., Donna M. Urquhart, Flavia M. Cicuttini, Hylton B. Menz, Boyd J. Strauss, Joseph Proietto, John B. Dixon, Graeme Jones, and Anita E. Wluka. "Relationship Between Mental Health and Foot Pain." Arthritis Care & Research 66, no. 8 (July 28, 2014): 1241–45. http://dx.doi.org/10.1002/acr.22292.

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Lebovits, A. H., D. M. Richlin, S. Rule, and M. Lefkowitzl. "Chronic pain patients and mental health services." Pain 30 (1987): S415. http://dx.doi.org/10.1016/0304-3959(87)91885-9.

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Wodzinski, Steven, Christina Dillahunt-Aspillaga, Amber Randolph, and Laura Schmuldt. "Chronic Pain and Mental Health Counselor Education." Archives of Physical Medicine and Rehabilitation 104, no. 3 (March 2023): e16-e17. http://dx.doi.org/10.1016/j.apmr.2022.12.045.

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Raz, Haya, and Shulamith Kreitler. "Theoretical and Therapeutic Applications of Mental Pain in Childhood cancer Survivors of the Findings of the paper." Psychology and Mental Health Care 2, no. 4 (December 5, 2018): 01–03. http://dx.doi.org/10.31579/2637-8892/007.

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The paper deals with a review of “Mental Pain in Israeli Adult Childhood Cancer Survivors and Its Effects on their Quality of Life” by H. Raz, N. Tabak, Y. Alkalay, & S. Kreitler (1). The review focuses on theoretical and therapeutic implications of the findings. The major theoretical elaboration of the findings focuses on the construct of mental pain. This seems advisable both because there are several apparently similar concepts which presumably render mental pain superfluous and because mental pain was found to characterize pediatric cancer survivors who otherwise were found to be well adjusted as adults. The new redefinition of mental pain focuses on the components of low self-image and low meaningfulness of life. The constructs of mental pain in the past and of tolerance of mental pain were found to be less useful in this context. The new redefinition points to two new venues of interventions for reducing mental pain: enhancing self-image and increasing meaningfulness of life. The two kinds of interventions, which are based on elaborating meanings, are briefly described.
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Marzec, Izabela, Kinga Grabska, Marta M. Fudalej, and Anna M. Badowska-Kozakiewicz. "Cancer pain as a meaningful aspect of the oncological treatment." OncoReview 10, no. 4(40) (January 10, 2021): 145–52. http://dx.doi.org/10.24292/01.or.420080121.

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Introduction and objective: Pain is the most common and universal symptom among all patients with the oncological disease. Pain significantly reduces the quality of life, hinders decent functioning, and plays a significant role in the deterioration of the mental health of the patient and his close relatives. The study aimed to discuss the mainstreaming of effective pain treatment and to review various assessments and scales (including Brief Pain Inventory, Illness Perception Questionnaire and Numeric Rating Scale) concerning the psychological aspect of pain in selected neoplastic diseases.State of knowledge: We can distinguish various treatments for pain that can be divided into pharmacological and non-pharmacological methods. Latest studies revealed that pain treatment appears to be more and more meaningful. Various factors might influence pain perception and response to the applied treatment. Among all malignancies, special attention is paid to the pain issue in following cancers: colon cancer, gastric cancer, pancreatic cancer, ovarian cancer, breast cancer and lung cancer, that were described in this paper.Conclusions: Effective pain relief presents a positive effect, both on the physical and mental state of the patient. It also helps to maintain calm mental health among relatives. Nowadays, integration of the best methods for pain relief that are characterized as humanitarian, easily accessible and effective, seems to be one of the biggest challenges for both oncological and palliative health workers.
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Shelef, L., E. Fruchter, A. Hassidim, and G. Zalsman. "Emotional Regulation of Mental Pain as Moderator of Suicidal Ideation in Military Settings." European Psychiatry 30, no. 6 (June 29, 2015): 765–69. http://dx.doi.org/10.1016/j.eurpsy.2014.12.004.

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AbstractBackgroundIn the Israel Defense Forces (IDF) as well as in most armies throughout the world, the leading cause of death during peace-time is suicide. This study examines emotional regulation of mental pain as a contributor to suicidal ideation in soldiers.MethodsOne hundred sixty-eight IDF soldiers (aged 18–21 years, 59% males) completed the following self-report questionnaires: Scale for Suicide Ideation (SSI); Orbach & Mikulincer Mental Pain Scale (OMMP); and Emotional Regulation of Mental Pain questionnaire. Participants were divided into 3 groups: soldiers who attempted suicide (AS group, n = 58), soldiers under treatment by a mental health professional and reporting no suicidal behavior (PT group, n = 58), and controls (C group, n = 50).ResultsSuicide ideation, mental pain, and low emotional regulation were significantly higher in the suicidal group as compared to the two other groups (P < 0.001). Mental pain was significantly related to more suicide ideation in soldiers with low ability to regulate mental pain (P < .001 for the interaction).ConclusionEmotional regulation of mental pain moderates the link between mental pain and suicide ideation. Soldiers with high mental pain and low regulation of mental pain exhibited higher suicidal ideation. These findings may assist in planning prevention programs in the army and similar settings.
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Gillanders, David, Louise Potter, and Paul Graham Morris. "Pain Related-Visual Imagery is Associated with Distress in Chronic Pain Sufferers." Behavioural and Cognitive Psychotherapy 40, no. 5 (March 23, 2012): 577–89. http://dx.doi.org/10.1017/s1352465812000045.

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Background: Chronic pain patients often describe their pain in ways that suggest vivid mental images, with some reporting images relating to their pain. Despite these clinical observations, there are few studies describing the nature and consequences of these images. This study examined whether mental imagery of pain is associated with levels of reported distress, cognitions, disability or pain severity. Method: In a postal survey, 83 adult chronic pain patients indicated whether or not they experienced mental images of their pain. They also completed standardized measures of depression, anxiety, cognitions, disability and pain severity. Those reporting images were compared to those not reporting images on their responses to the other variables. Results: People with pain imagery reported significantly higher levels of anxiety, depression and catastrophizing than patients who did not report such images. No differences were found on measures of physical disability. Discussion: Mental images of pain appear to be associated with higher levels of anxiety, depression and catastrophizing. It is possible that these images play a role in maintaining such difficulties. For these patients, imagery may provide a route via which clinicians can work with patients to help them reinterpret or respond more flexibly to their pain.
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Cosci, F., and G. Mansueto. "The PAINMIG cohort-study: Mental pain and pain proneness in migraine subjects." Journal of Psychosomatic Research 157 (June 2022): 110838. http://dx.doi.org/10.1016/j.jpsychores.2022.110838.

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39

Fussner, Lauren M., Cathleen Schild, Amy Lewandowski Holley, and Anna C. Wilson. "Parent chronic pain and mental health symptoms impact responses to children’s pain." Canadian Journal of Pain 2, no. 1 (January 1, 2018): 258–65. http://dx.doi.org/10.1080/24740527.2018.1518119.

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40

Mohajerani, Sepehr. "Relationship between psychological distress and physical symptoms of functional dyspepsia with the mediating role of pain related mental imagery, visceral sensitivity, pain catastrophizing and pain self-efficacy." Shenakht Journal of Psychology and Psychiatry 8, no. 6 (January 29, 2022): 98–113. http://dx.doi.org/10.32598/shenakht.8.6.98.

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Introduction: Functional dyspepsia is a group of gastrointestinal disorders in which the psychological symptoms play a significant role in their incidence. Aim: The aim of this study is determination of the relationship between psychological distress and physical symptoms of functional dyspepsia with the mediating role of pain-related mental imagery, visceral sensitivity, pain catastrophizing and pain self-efficacy. Method: The present study is conducted using the descriptive cross-sectional method. The statistical population includes all patients with functional dyspepsia referred to gastrointestinal clinics of Isfahan in 2021-2022. The statistical population consists of 363 people who are selected by the convenience sampling. Instruments include Depression Anxiety Stress Scale, Nepin Dyspepsia Index, Chronic Pain Mental Image Questionnaire, Visceral Sensitivity Index, Pain Catastrophizing Scale and Chronic Pain Self-Efficacy Questionnaire. Software such as smart-PLS, SPSS-23 and descriptive indices and structural equations are used for data analysis. Results: Results showed that the direct path of psychological distress (0.329), pain-related mental imagery (0.396) and pain catastrophizing (0.234) to physical symptoms were significant. Also, the indirect paths from psychological distress to physical symptoms through the mediating pain-related mental imagery, pain catastrophizing, and self-efficacy on pain-related mental imagery and visceral sensitivity on pain-related mental imagery with values of 0.052, 0.231, 0.058 and 0.246 respectively had significant relations. Conclusion: The results show that the pain-related mental imagery, visceral sensitivity, pain catastrophizing and pain self-efficacy play a mediating role between the psychological distress and physical symptoms of functional dyspepsia. It is suggested that these factors are included in patients treatment plans to reduce recurrence, exacerbation of symptoms and burden of the disease.
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Shattell, Mona M. "Why Does “Pain Management” Exclude Psychic Pain?" Issues in Mental Health Nursing 30, no. 5 (January 2009): 344. http://dx.doi.org/10.1080/01612840902844890.

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42

Mu, Christina, Dylan Jester, Peggy Cawthon, Katie Stone, and Soomi Lee. "The Effects of Severe and Frequent Back Pain on Mental Health: Does Perceived Socioeconomic Status Matter?" Innovation in Aging 4, Supplement_1 (December 1, 2020): 399. http://dx.doi.org/10.1093/geroni/igaa057.1285.

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Abstract Back pain and mental health are related. The relationship may differ by socioeconomic status (SES); yet, research has not examined the moderating role of perceived SES. We examined if the association between back pain and poor mental health is more pronounced for older men with lower perceived SES. We used a sample of community-dwelling older men (&gt;65yrs) with back pain from the Osteoporotic Fractures in Men Study (n=4,035). Participants reported their perceived SES in comparison to others in the community and in the nation (1=lowest—10=highest), back pain severity (mild—severe), and frequency (rarely—all of the time). Mental health was assessed with the 12-item Short Form Health Survey. Analyses were adjusted for sociodemographic and health covariates. Greater pain severity and higher pain frequency were associated with poorer mental health (p&lt;.001). Only severe pain was associated with poorer mental health (p&lt;.001). Pain ‘some of the time’ (p=.02), ‘most of the time’ (p=.02), and ‘all of the time’ (p=.001) were associated with poorer mental health. Adverse effects of pain were reduced with greater community SES (p&lt;.001 for severe pain; p=.02 for ‘all of the time’ pain frequency) and greater national SES (p=.01 for severe pain; frequency n.s.). Reports of pain were worse for individuals with lower SES. Adverse associations of severe and high frequency back pain with poor mental health are more apparent in older men with lower perceived SES. Where one ranks oneself within their community or nation can influence the pain and mental health link.
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43

Gillett, G. R. "The Neurophilosophy of Pain." Philosophy 66, no. 256 (April 1991): 191–206. http://dx.doi.org/10.1017/s0031819100053067.

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The ability to feel pain is a property of human beings that seems to be based entirely in our biological natures and to place us squarely within the animal kingdom. Yet the experience of pain is often used as an example of a mental attribute with qualitative properties that defeat attempts to identify mental events with physiological mechanisms. I will argue that neurophysiology and psychology help to explain the interwoven biological and subjective features of pain and recommend a view of pain which differs in important respects from the one most commonly accepted.
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Barth, Robert J., and Christopher R. Brigham. "Chapter 14 or 18 for Pain Complaints? Avoiding the Common but Mistaken Dichotomy of Psychological vs Organic." Guides Newsletter 10, no. 1 (January 1, 2005): 1–3. http://dx.doi.org/10.1001/amaguidesnewsletters.2005.janfeb01.

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Abstract In accordance with the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Chapter 18, Pain, pain that is attributable to mental illness does not also qualify for an additional pain-related evaluation. Evaluators must discriminate between presentations of pain that represent mental illness vs those that do not and must decide whether to rate using Chapter 18 or 14. Dichotomous thinking often opposes the notion of psychological vs physiological-organic presentations, but all presentations of pain include psychological aspects, and all mental illnesses include physiological aspects. One type of illustrative mental illness involves conditions that are overtly mental but have been found via extensive scientific study to have a physiological basis (eg, schizophrenia and Alzheimer's disease). Another presentation that is claimed to be of a medical nature actually overlaps with psychological issues (eg, complex regional pain syndrome, type 1 [CRPS-1] and fibromyalgia). Further, the AMA Guides summarizes the lack of a strong correlation between tissue damage or physiology and pain: Pain can exist without tissue damage, and tissue damage can exist without pain. Pain, chronic pain, and impairment from pain are largely, even primarily, psychological phenomena. Accordingly, the determination whether to rely on the pain chapter or the mental/behavioral chapter in the evaluation of a pain presentation cannot be reduced to a misleading dichotomy of psychological vs organic pain.
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Koeshardiandi, Mirza. "Regenerative Pain Medicine, the New Era of Interventional Pain Management, Restart Now!" Journal of Anaesthesia and Pain 2, no. 2 (May 30, 2021): 63–64. http://dx.doi.org/10.21776/ub.jap.2021.002.02.01.

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Musculoskeletal conditions become the leading contributor of the total years lived disability (YLD) by causing 21.3% of the YLDs, after mental and behavioral problems. Several musculoskeletal conditions give a disproportional impact on low back pain, one of the leading causes of disability. Lateral epicondylitis with a prevalence of 1-2%, commonly suffered by adults in their 30-65 years old. Epicondylitis was also suffered by a small population of athletes, such as professional tennis players (10% of epicondylitis population). The severe repetitive injuries that affect the individual daily activity also increase the daily health care cost. Osteoarthritis and tendinopathy often become the cause of pain and musculoskeletal disability. However, the etiology of pain in osteoarthritis is multifactorial. The incidence of osteoarthritis reaches 6% in 30 years old population and increases due to aging. Degenerative disease, the reduction of function or structure of the tissue or organ due to aging, encourages the pain specialist to perform a reliable pain management/therapy. Prolotherapy, especially dextrose prolotherapy, has become a promising technique by providing a safe degenerative therapy, easy to performed, and highly available in health facilities. Nowadays, it is necessary to pay more attention to causative-based treatment strategies than symptom-based treatment. A multidisciplinary team is also needed to provide appropriate treatment.
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Suso-Ribera, Carlos, Azucena García-Palacios, Cristina Botella, and Maria Victoria Ribera-Canudas. "Pain Catastrophizing and Its Relationship with Health Outcomes: Does Pain Intensity Matter?" Pain Research and Management 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/9762864.

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Pain catastrophizing is known to contribute to physical and mental functioning, even when controlling for the effect of pain intensity. However, research has yet to explore whether the strength of the relationship between pain catastrophizing and pain-related outcomes varies across pain intensity levels (i.e., moderation). If this was the case, it would have important implications for existing models of pain and current interventions. The present investigation explored whether pain intensity moderates the relationship between pain catastrophizing and pain-related outcomes. Participants were 254 patients (62% women) with heterogeneous chronic pain. Patients completed a measure of pain intensity, pain interference, pain catastrophizing, and physical and mental health. Pain intensity moderated the relationship between pain catastrophizing and pain interference and between pain catastrophizing and physical health status. Specifically, the strength of the correlation between pain catastrophizing and these outcomes decreased considerably as pain intensity increased. In contrast, pain intensity did not moderate the relationship between pain catastrophizing and mental health. Study findings provide a new insight into the role of pain intensity (i.e., moderator) in the relationship between pain catastrophizing and various pain-related outcomes, which might help develop existent models of pain. Clinical implications are discussed in the context of personalized therapy.
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Iddon, Joanne E., Peter J. Taylor, Jen Unwin, and Joanne M. Dickson. "The role of positive goal engagement in increased mental well-being among individuals with chronic non-cancer pain." British Journal of Pain 13, no. 4 (January 18, 2019): 230–38. http://dx.doi.org/10.1177/2049463718824857.

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Individuals with chronic pain commonly report significant functional impairment and reduced quality of life. Despite this, little is known about psychological processes and mechanisms underpinning enhancements in well-being within this population. The study aimed to investigate whether (1) increased levels of pain intensity and interference were associated with lower levels of mental well-being, (2) increased positive goal engagement was associated with higher levels of mental well-being and (3) whether the relationships between pain characteristics and mental well-being were mediated by increased positive goal engagement. A total of 586 individuals with chronic pain participated in the cross-sectional, online study. Participants completed self-report measures to assess pain intensity and interference, mental well-being and goal motivation variables. Results showed that pain interference and positive goal engagement were associated with mental well-being. Moreover, the relationship between pain interference and mental well-being was partially mediated by positive goal engagement. The results provide tentative evidence for the protective role of positive goal engagement in enabling individuals with chronic pain to maintain a sense of mental well-being. The study develops the biopsychosocial model of chronic pain by examining the roles and relationships of relevant yet previously unexplored psychological constructs. The promotion of mental well-being through the enhancement of positive goal engagement is discussed, offering a platform for further research and clinical interventions.
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de Heer, Eric W., Margreet ten Haye, Harm W. J. van Marwijk, Jack Dekker, Aartjan T. F. Beekman, Ron de Graaf, and Christina M. van der Feltz-Cornelis. "Pain as a risk factor for common mental disorders. Results from the Netherlands Mental Health Survey and Incidence Study-2: a longitudinal, populationbased study - PAIN 159 (2018) 712–718." BÓL 19, no. 2 (November 30, 2018): 11–20. http://dx.doi.org/10.5604/01.3001.0012.8298.

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Pain might be an important risk factor for common mental disorders. Insight into the longitudinal association between pain and common mental disorders in the general adult population could help improve prevention and treatment strategies. Data were used from the first 2 waves of the Netherlands Mental Health Survey and Incidence Study-2, a psychiatric epidemiological cohort study among the Dutch general population aged 18 to 64 years at baseline (N 5 5303). Persons without a mental disorder 12 months before baseline were selected as the at-risk group (n54974 for any mood disorder; n54979 for any anxiety disorder; and n55073 for any substance use disorder). Pain severity and interference due to pain in the past month were measured at baseline using the Short Form Health Survey. DSM-IV mental disorders were assessed at both waves using the Composite International Diagnostic Interview version 3.0. Moderate to very severe pain was associated with a higher risk of mood (odds ratio [OR] 5 2.10, 95% confidence interval [CI] 5 1.33-3.29) or anxiety disorders (OR 5 2.12, 95% CI 5 1.27-3.55). Moderate to very severe interference due to pain was also associated with a higher risk of mood (OR52.14, 95% CI51.30-3.54) or anxiety disorders (OR51.92, 95% CI 5 1.05-3.52). Pain was not significantly associated with substance use disorders. No interaction effects were found between pain severity or interference due to pain and a previous history of mental disorders. Moderate to severe pain and interference due to pain are strong risk factors for first-incident or recurrent mood and anxiety disorders, independent of other mental disorders. Pain management programs could therefore possibly also serve as a preventative program for mental disorders.
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Karp, Jordan F., Charles F. Reynolds, Meryl A. Butters, Mary Amanda Dew, Sati Mazumdar, Amy E. Begley, Eric Lenze, and Debra K. Weiner. "The Relationship Between Pain and Mental Flexibility in Older Adult Pain Clinic Patients." Pain Medicine 7, no. 5 (September 2006): 444–52. http://dx.doi.org/10.1111/j.1526-4637.2006.00212.x.

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Khaustova, O., and O. Avramenko. "Pain behavior in patients with non-psychotic mental disorders and chronic pain syndromes." European Neuropsychopharmacology 26 (October 2016): S388—S389. http://dx.doi.org/10.1016/s0924-977x(16)31342-6.

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