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Artigos de revistas sobre o tema "Chronic pain Patients"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 20 de fevereiro de 2023

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1

Alanazi, Mohammed Jumah, Rayan Abdullah Abdulaziz Al Angari, Nadia Ahmed Abo shreea, Amal Saleem Aldlhan, Sara Dkheel Alenazi, Abdullah Mohammed Albaiz, Amal Hadi Hakmi et al. "Sleep Quality in Chronic Neck Pain Patients". International Journal Of Pharmaceutical And Bio-Medical Science 02, n.º 12 (16 de dezembro de 2022): 619–26. http://dx.doi.org/10.47191/ijpbms/v2-i12-08.

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Introduction: Neck Pain (NP) is a significant public health issue. Many people's social and economic participation is harmed as a result of NP. Patients with this condition frequently complain of fatigue and pain. Both can disrupt patients' daily lives by affecting their sleep quality, which can lead to psychological issues. However, the prevalence of fatigue and its relationship with pain, sleep quality, and psychological factors in NP patients has not been thoroughly investigated. Aim: To investigate the prevalence of fatigue and its relationship to pain intensity, depression, anxiety, and sleep disturbance in NP patients. Materials and Methods: Between March and November 2019, a cross-sectional study of 296 NP patients with a mean age of 37.2 years (181 males and 115 females) was conducted. It was held at the Physiotherapy Department. To assess fatigue, depression and anxiety, sleep quality, and pain intensity, the Multidimensional Fatigue Inventory (MFI), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), and Numeric Pain Rating Scale (NPRS) were used. For analysis, Spearman's rank correlation coefficient and the Mann-Whitney U test were used. Results: The participants' point prevalence of severe fatigue was 39.86%. Pain intensity, psychological factors, and sleep quality were all associated with fatigue (p0.05). In this sample, we also found a significant relationship between sleep quality and psychological factors (p0.05). Conclusion: Fatigue was a significant factor in NP patients, and it was linked to pain intensity, depression, anxiety, and sleep disturbance. Fatigue was more prevalent in the chronic stage of NP than in the acute stage. Identifying these risk factors may aid in the prevention and management of NP and its associated co-morbidities

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Vats, Ashok, e Chandnani Anup S. "Psychosomatic Evaluation of Chronic Pain in Patients with Malignancy and Non Malignant Pain". Indian Journal of Anesthesia and Analgesia 4, n.º 2 (Part-2) (2017): 405–8. http://dx.doi.org/10.21088/ijaa.2349.8471.42(pt-ii)17.7.

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&NA;. "Chronic Pain Patients". Back Letter 4, n.º 3 (1990): 4. http://dx.doi.org/10.1097/00130561-199004030-00003.

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Dorfman, David, e Marco Pappagallo. "Patients With Chronic Pain". Topics in Pain Management 26, n.º 2 (setembro de 2010): 1–6. http://dx.doi.org/10.1097/01.tpm.0000388147.41393.0b.

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Salama-Hanna, Joseph, e Grace Chen. "Patients with Chronic Pain". Medical Clinics of North America 97, n.º 6 (novembro de 2013): 1201–15. http://dx.doi.org/10.1016/j.mcna.2013.07.005.

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Barker, Judith C. "Camp Pain: Talking with Chronic Pain Patients:Camp Pain: Talking with Chronic Pain Patients." American Anthropologist 104, n.º 3 (setembro de 2002): 984–85. http://dx.doi.org/10.1525/aa.2002.104.3.984.

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Vadher, Dr Ekta Vinubhai. "Role of Magnetic Resonace Imaging in Patients with Chronic Wrist Pain". Journal of Medical Science And clinical Research 05, n.º 06 (19 de junho de 2017): 23570–75. http://dx.doi.org/10.18535/jmscr/v5i6.126.

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Fornasari, Diego. "Pain Mechanisms in Patients with Chronic Pain". Clinical Drug Investigation 32 (fevereiro de 2012): 45–52. http://dx.doi.org/10.2165/11630070-000000000-00000.

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Barnard, David. "“Camp Pain”: Talking with Chronic Pain Patients". Journal of Health Politics, Policy and Law 26, n.º 4 (agosto de 2001): 794–98. http://dx.doi.org/10.1215/03616878-26-4-794.

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Finkler, Kaja. ""Camp Pain": Talking with Chronic Pain Patients." American Ethnologist 30, n.º 2 (maio de 2003): 321–22. http://dx.doi.org/10.1525/ae.2003.30.2.321.

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VO, Moyseyenko. "Functional Non-Existent Dyspepsy in Patients with Chronic Pyelonephritis". Open Access Journal of Urology & Nephrology 7, n.º 4 (4 de outubro de 2022): 1–4. http://dx.doi.org/10.23880/oajun-16000217.

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Introduction: Infectious and inflammatory kidney disease - chronic pyelonephritis - is a widespread disease and has a long course. Prolonged medical treatment can provoke the appearance of abdominal and (or) dyspeptic syndrome, for the correction of which cytoprotective therapy is appropriate. Itopride hydrochloride (itoprid) is known to be widely used in the clinic of internal medicine, in particular for the relief of gastrointestinal symptoms of functional non-ulcer dyspepsia (FND). Goal: The aim of our study was to study the dynamics of clinical symptoms and functional status of the gastric and duodenal mucosa in patients with manifestations of TNF on the background of CP without signs of chronic renal failure. Materials and Methods: Two groups of patients: 32 patients with PN with manifestations of functional non-ulcer dyspepsia, which formed the main group; The comparison group was a group of 30 patients who were treated exclusively allopathically without the appointment of itopride hydrochloride, which by age, sex and clinical form of CP probably did not differ from the main group. Results and Discussion: Pathology of the digestive system was manifested by the phenomena of moderate exacerbation (31.07%) or unstable remission (68.93%). Provoking factors in the emergence of diseases of the digestive system were emotional stress, eating disorders and bad habits, bad habits. The combination of several causal factors was determined in 75.8% of cases. According to the previous treatment of exacerbations of CP, due attention was not paid to the correction of lesions of the digestive system. The structure of clinical syndromes revealed the following symptoms from the digestive organs: pain (61.25%), dyspeptic (87.35%), astheno-autonomic syndrome (100%), autonomic disorders (61.76%). Dyspeptic syndrome manifested itself in the form of gastric and intestinal dyspepsia. External examination revealed a lining of the tongue in all patients. Feeling of discomfort in the epigastric region was observed in 37.12% of patients. In most cases, the pain was mild. Palpation revealed pain under the xiphoid process (35.56%), pyloroduodenal area (24.36%) and in both areas. In some patients (11.23%) palpation revealed pain in the absence of complaints from the digestive system. In the study of acid-forming function of the stomach by pH-metry, the predominance of hyperacid states was established. Unchanged gastric secretion (pH = 1.6-2.2) was in 32.15% of patients, moderately increased (pH = 1.3-1.5) in 31.45% of cases and moderately reduced (pH = 2, 3-3.5) in 24.65% of patients. Patients of the main group on the background of taking itopride hydrochloride noted a decrease in gastrointestinal manifestations. the dynamics of clinical symptoms of pain depending on the localization, which was detected by palpation. After a course of treatment, only 1 patient (3.12%) of the main group showed palpatory pain in the epigastric region, 2 (6.25%) - in the pyloroduodenal area (p <0.05). Whereas in the comparison groups these indicators are slightly worse. Conclusions: Thus, when studying the clinical symptoms of GDZ in patients with TNF on the background of CP in the dynamics of treatment found greater effectiveness in the group with the inclusion of itopride hydrochloride compared to standard treatment.

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Barnes, Dominique. "Adhesiolysis in Women with Chronic Pelvic Pain and a Temporal Resolution of Pain". Women's Health Science Journal 2, n.º 3 (2018): 1–9. http://dx.doi.org/10.23880/whsj-16000122.

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Study Objectives: To evaluate the duration of pain improvement after laparoscopic and/or robotic assisted adhesiolysis in women with prior abdominal or pelvic surgeries that have been diagnosed with chronic pelvic pain with suspected pelvic and/or abdominal adhesions. Design: Retrospective Cohort (Canadian Task Force Level II) Setting: Hospital based practice of gynecological surgery and pelvic pain, St. Joseph Hospital and Medical Center, Phoenix AZ Patients: Women with prior surgery who underwent laparoscopic or robotic assisted adhesiolysis for chronic pelvic pain secondary to pelvic and/or abdominal adhesions between April 2012-Febuary 2016. Intervention; Adhesiolysis performed via laparoscopic or robotic assisted, defined as 30 minutes or greater of operating time needed to restore normal anatomy. Measurements and Main Results: Eighty-eight women were identified with Current Procedural Terminology (CPT) code 4410 and 58550 for adhesiolysis. Women > 18 years old who had prior surgery, and symptoms of pelvic pain were included in the study. Women were excluded if they were found to have another source of pelvic pain, malignancy, surgical complications, co-surgery with another specialty, and conversion to laparotomy, and organ resection. The average age at the time of adhesiolysis was 39 years old (range of 19-57). The average number of abdominal surgeries was 1.42 (range 1-4). Fifty-six patients were excluded for concomitant procedures. Thirty-patients patients meet eligibility criteria, of those; seventeen patients had previously undergone at least one adhesiolysis procedure for the treatment of chronic pelvic pain. All 17 of these patients had improvement of their pain. Fourteen of the 17 patients had 2 adhesiolysis procedures with the median length of time between the first and second procedure (improvement in pain after procedure) being 24 months (range of 6-162 months). Three of 14 underwent a third adhesiolysis procedure with the median pain free interval of 24 months. Two of the 3 patients had a fourth adhesiolysis procedure with the average pain free interval being 24 months prior to the 4th procedure. Fifteen of the 32 patients, who underwent their first adhesiolysis treatment, 10 had resolution of pain and 5 patients had a significant improvement of pain. Of this cohort the earliest reported return of pain was 6 months, and the longest total pain free interval was 13 years and 6 months. Conclusion: In patients who present with pelvic pain and prior abdominal or pelvic surgery adhesiolysis may be associated with a temporal improvement of pain.

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Alagappan, Thangamani Ramalingam. "Bio Psychosocial Factors and Central Sensitization in Patients with Chronic Musculoskeletal Pain". Chettinad Health City Medical Journal 11, n.º 03 (30 de setembro de 2022): 3–9. http://dx.doi.org/10.24321/2278.2044.202222.

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Introduction: Central sensitization (CS) is a neurological sensitivity phenomenon that causes patients to perceive more pain and broader discomfort. However, the bio psychosocial factors associated with the phenomenon of perception continue to explore and further the current knowledge on CS in patients with chronic musculoskeletal pain. The main purpose of this study was to determine the extent of associative relationship between central nervous system sensitization and bio psychosocial measures in patients with chronic musculoskeletal pain. Settings and Design: An observational cross-sectional study was carried out in a tertiary care hospital’s outpatient unit. Methods and Materials: Two hundred patients with chronic musculoskeletal pain were included in the present cross-sectional study. They completed questionnaires such as Central sensitisation inventory (CSI), Tampa Scale of Kinesiophobia (TSK), Pain Catastrophizing index (PCI), Insomnia Severity Index (ISI), Widespread Pain Index (WPI), Symptom Severity Score (SS), Kessler Psychological Distress Scale (K10 SCORE) and Fatigue Severity Scale (FSS). Results: The bio psychosocial factors showed mild to moderate correlation with CSI score ,FSS (r=0.432); TSK (r=0.432); K10 score (r=0.450);PCI score (r=0.465); Total (WPI+SS) score (r=0.467) and ISI score(r=0.249).These bio psychosocial factors in a statistically significant hierarchical regression model showed 37.9 % variance on CSI score (F- 31.39;P< 0.001) where kinesiophobia and Insomnia did not satisfy the model fit. Conclusion: Even the CS showed a significant association with bio psychosocial factors, it kept kinesiophobia and Insomnia out in its variance contribution.

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Moisieienko, Anastasiia, Oleksandr Marchuk, Ivan Lisnyy e Dmytro Dmytriiev. "Chronic pain in cancer patients". Pain medicine 7, n.º 2 (5 de setembro de 2022): 4–17. http://dx.doi.org/10.31636/pmjua.v7i2.1.

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Background. Pain is a complex clinical sign that is highly variable in both intensity and perception by patients. Often, a combination of symptoms and signs can indicate a pain syndrome specific to oncology. Virtually all patients with malignant diseases experience recurrent episodes of acute pain, which may accompany previous surgery, invasive procedures, or complications such as pathologic fractures or disease progression. Chronic pain is a huge economic burden on society, both in terms of health care and lost productivity.Effective treatment of chronic pain results in significant improvements in general and psychological wellbeing and functioning of cancer patients and reduces the burden of chronic pain on health services.The purpose is to clarify the problems of the prevalence of chronic pain in cancer patients, the complexity and variability of the pathophysiological mechanisms of the development of pain syndrome, to consider modern approaches to the management of patients with chronic pain.Materials and methods. Modern foreign guidelines for the management of cancer patients with pain syndrome, written in English, data from metaanalyses, reviews and clinical studies were used.Conclusions. Data from a 2016 crosssectional study to determine the prevalence and impact of depression on health care costs in patients with complex chronic pain indicated that patients with chronic pain are at increased risk of developing depressive disorder of varying severity. About onethird of the study sample had major depression, and the overall prevalence of depression among individuals with chronic pain was higher than 50% [3].Up to 75% of all cancer patients with chronic pain have nociceptive (somatic or visceral) or neuropathic syndromes, which are a direct consequence of the development and progression of the neoplasm. Other causes include anticancer drugs and disorders unrelated to the disease or its treatment.Several systems are used to classify the pain syndrome, in particular — ECS-CP, IASP, ACTTION-APS.Today, in the management of cancer patients with chronic pain, the WHO threestep analgesic ladder is used: the first two steps are paracetamol and NSAIDs, mild opioids (control of mild and moderate pain), the third is opioids. The selection of opioids, their dosage and titration features should take into account the individual characteristics of the patient in order to avoid overdose and addiction.In addition to the abovementioned drugs, studies are being conducted to determine the effectiveness and feasibility of using medical cannabis as an alternative means, the use of which will improve the general condition of patients by relieving pain, and preventing the development of opioid addiction.Interventional techniques (neurolytic blockades, neuraxial infusions, trigger point injections, spinal cord stimulation, intrathecal drug administration, and vertebral augmentation) are also used to control chronic pain. The application of physical and psychosocial methods in the comprehensive management of such patients is studied.

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Berrahal, I., B. Ayadi e M. Haddad. "Depression Among Chronic Pain Patients". European Psychiatry 41, S1 (abril de 2017): S708. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1262.

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IntroductionPatients with chronic pain are more likely to develop depression, which is associated with decreased function, poorer treatment response and poor quality of life.ObjectiveThis study aimed to determine the prevalence of depression in patients with chronic pain.MethodsThis descriptive cross-sectional study was conducted among clinically diagnosed chronic pain patients from the pain management ward of La Rabta hospital in Tunisia over a period of six months.Sociodemographic and clinical data were obtained from patients’ interviews and medical records.The Beck depression inventory (BDI) was used for screening depression diagnoses and the Visual analogue scale (VAS) to assess the severity of pain.ResultsThe sample included 102 patients with a mean age of 46.4 ± 10.4 years. The majority of the patients were females (72.5%, n = 74), married (83.3%, n = 85) and being employed (58.8%, n = 60). The prevalence of depression was (40.1%, n = 41). The mean duration of pain was 3.6 ± 1.5 years. The severity of pain was mild in 28 cases (19.3%), moderate in 36 cases (31.3%) and severe in 38 cases (49.4%). Depression was significantly associated with the duration of pain (P < 0.01). A positive correlation was observed between pain severity assessed by VAS and BDI (r = 0.521, P = 001). Depression was significantly associated with the duration of pain (P < 0.01).ConclusionsDepression is frequent in patients who suffer from chronic pain and it was significantly associated with the duration and the severity of pain. Antidepressants and psychological therapies can be effective and should be delivered as part of a multidisciplinary pain management plan.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Ekusheva, E. V., e A. A. Komazov. "Chronic pain in elderly patients". Medical alphabet, n.º 3 (28 de março de 2021): 43–47. http://dx.doi.org/10.33667/2078-5631-2021-3-43-47.

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The purpose. The article is devoted to chronic pain (CP) in elderly patients and the possibilities of various therapeutic strategies for this category of patients.Basic provisions. Chronic pain and the biological aging process have similar pathophysiological (cellular and molecular) mechanisms of development. However, chronic pain is not an inevitable component of the aging process, however, it is much more common in older people, the diagnosis and therapy of which is associated with atypical clinical manifestations of pain in elderly patients and the need for a more attentive, balanced approach when assessing pharmacokinetic and pharmacodynamic changes associated with the aging process. To ensure adequate pain relief, a multidisciplinary approach and appropriate therapies are used.Conclusion. The final result of CP treatment (reduction in pain intensity, restoration of functional activity, autonomy, etc.) depends on polymorbidity, geriatric status and cognitive capabilities of the patient; therefore, it is necessary to take into account all available factors for adequate and complete pain therapy.

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Walco, Gary A., e Carlton D. Dampier. "Chronic Pain in Adolescent Patients". Journal of Pediatric Psychology 12, n.º 2 (1987): 215–25. http://dx.doi.org/10.1093/jpepsy/12.2.215.

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Turk, Dennis, e Dawn Marcus. "Assessment of Chronic Pain Patients". Seminars in Neurology 14, n.º 03 (setembro de 1994): 206–12. http://dx.doi.org/10.1055/s-2008-1041079.

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Lumley, Mark A., Linda A. Asselin e Sally Norman. "Alexithymia in chronic pain patients". Comprehensive Psychiatry 38, n.º 3 (maio de 1997): 160–65. http://dx.doi.org/10.1016/s0010-440x(97)90069-9.

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Iezzi, Anthony, Garnett S. Stokes, Henry E. Adams, Robert N. Pilon e Lawrence Ault. "Somatothymia in Chronic Pain Patients". Psychosomatics 35, n.º 5 (setembro de 1994): 460–68. http://dx.doi.org/10.1016/s0033-3182(94)71740-0.

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&NA;. "Strengthening Chronic Back Pain Patients". Back Letter 7, n.º 5 (maio de 1992): 8. http://dx.doi.org/10.1097/00130561-199205000-00008.

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Postone, Norman. "Alexithymia in chronic pain patients". General Hospital Psychiatry 8, n.º 3 (janeiro de 1986): 163–67. http://dx.doi.org/10.1016/0163-8343(86)90075-7.

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Jovičić, Jelena, Bojan Čegar, Nataša Petrović, Nikola Lađević, Branka Gvozdić e Anđela Magdelinić. "Post-episiotomy chronic neuropatic pain: Postpartal chronic neuropathic pain". Serbian Journal of Anesthesia and Intensive Therapy 42, n.º 5-6 (2020): 109–14. http://dx.doi.org/10.5937/sjait2004061m.

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Introduction: Chronic postsurgical pain has an estimated mean incidence of 30% and varies according to the type of surgery and patient characteristics. The pain can be severe and result in clinically relevant functional impairment reported by 5-10% of patients. Epidemiological surveys have shown that many patients with neuropathic pain do not receive appropriate treatment. Bio-psycho-social model of chronic pain is highly expressive in neuropathic pain management and requires the adjustment of the therapeutic approach. Case Report: A 37-year-old female complained of numbness, burning, and discomfort of the perineum. In 2016, after the vaginal baby delivery followed by episiotomy, she experienced discomfort and variety of painful sensations in the episiotomy incision region. A year later, after a hemorrhoid surgery followed by episiotomy scar reconstruction symptoms intensified with a strong influence on the patient's psychosocial condition. Consultation of obstetrician, psychiatrist and neurologist took part. Nevertheless, after two years had passed without significant clinical improvement, the patient was referred to a pain specialist. The pain specialist noticed inconsistency in the current treatment and the pain assessment was done only by one specialist. Testing revealed severe symptoms of hyperalgesia and allodynia, impaired psychosocial functioning related to chronic postsurgical pain. Pregabalin and duloxetine were introduced into the therapy and significantly improved pain relief and psychosocial functioning. Conclusion: Chronic postsurgical neuropathic pain is a complex syndrome which is not necessarily related to extensive surgical stimulus. The multidisciplinary therapy approach is crucial. Health providers who understand bio-psycho-social origin of chronic pain should be members of a multidisciplinary team.

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Gerhardt, Andreas, Wolfgang Eich, Rolf-Detlef Treede e Jonas Tesarz. "Conditioned pain modulation in patients with nonspecific chronic back pain with chronic local pain, chronic widespread pain, and fibromyalgia". PAIN 158, n.º 3 (março de 2017): 430–39. http://dx.doi.org/10.1097/j.pain.0000000000000777.

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Chen, Chee Kean, e Abd Jalil Nizar. "Myofascial Pain Syndrome in Chronic Back Pain Patients". Korean Journal of Pain 24, n.º 2 (2011): 100. http://dx.doi.org/10.3344/kjp.2011.24.2.100.

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Çinar, Hava Gökdere, Dilek Yilmaz e Esra Akin. "Pain acceptance levels of patients with chronic pain". Medicine 99, n.º 17 (abril de 2020): e19851. http://dx.doi.org/10.1097/md.0000000000019851.

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Pincus, Tamar, Lindsay Fraser e Shirley Pearce. "Do chronic pain patients ‘Stroop‘ on pain stimuli?" British Journal of Clinical Psychology 37, n.º 1 (fevereiro de 1998): 49–58. http://dx.doi.org/10.1111/j.2044-8260.1998.tb01278.x.

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Fukui, Mikio, Narihito Iwashita, Atsmi Iida, Etsuko Tsukahara, Junko Takeuchi, Miyuki Matsuno e Shuichi Nosaka. "Proton MR spectroscopy study in chronic pain patients". PAIN RESEARCH 22, n.º 1 (2007): 27–33. http://dx.doi.org/10.11154/pain.22.27.

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Honda, Tetsumi, Keiichi Murakami e Keizo Murotsu. "A Multidisciplinary Team Approach to Chronic Pain Patients". PAIN RESEARCH 5, n.º 1 (1990): 99–106. http://dx.doi.org/10.11154/pain.5.99.

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Fricová, Jitka. "Chronic pain in patients with osteoarthritis". Medicína pro praxi 19, n.º 5 (29 de novembro de 2022): 349–53. http://dx.doi.org/10.36290/med.2022.053.

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Ormond, Martyn, Shalini Nayee e Tim Poate. "Chronic Facial Pain". Primary Dental Journal 5, n.º 1 (fevereiro de 2016): 26–29. http://dx.doi.org/10.1177/205016841600500101.

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Orofacial pain is a common complaint with the vast majority of cases the result of an acute dental cause. There are, however, a number of patients who experience chronic orofacial pain in whom no dental cause can be found, and it is therefore important to identify these patients in order to avoid unnecessary dental procedures. Successful management of chronic orofacial pain depends on the correct diagnosis and appropriate interventions with a biopsychosocial approach.

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Schreiber, Kristin L., Claudia Campbell, Marc O. Martel, Seth Greenbaum, Ajay D. Wasan, David Borsook, Robert N. Jamison e Robert R. Edwards. "Distraction Analgesia in Chronic Pain Patients". Anesthesiology 121, n.º 6 (1 de dezembro de 2014): 1292–301. http://dx.doi.org/10.1097/aln.0000000000000465.

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Abstract Background: Diverting attention away from noxious stimulation (i.e., distraction) is a common pain-coping strategy. Its effects are variable across individuals, however, and the authors hypothesized that chronic pain patients who reported higher levels of pain catastrophizing would derive less pain-reducing benefit from distraction. Methods: Chronic pain patients (n = 149) underwent psychometric and quantitative sensory testing, including assessment of the temporal summation of pain in the presence and absence of a distracting motor task. Results: A simple distraction task decreased temporal summation of pain overall, but, surprisingly, a greater distraction analgesia was observed in high catastrophizers. This enhanced distraction analgesia in high catastrophizers was not altered when controlling for current pain scores, depression, anxiety, or opioid use (analysis of covariance [ANCOVA]: F = 8.7, P < 0.005). Interestingly, the magnitude of distraction analgesia was inversely correlated with conditioned pain modulation (Pearson R = −0.23, P = 0.005). Conclusion: Distraction produced greater analgesia among chronic pain patients with higher catastrophizing, suggesting that catastrophizing’s pain-amplifying effects may be due in part to greater attention to pain, and these patients may benefit from distraction-based pain management approaches. Furthermore, these data suggest that distraction analgesia and conditioned pain modulation may involve separate underlying mechanisms.

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McGarrity, Thomas J., David J. Peters, Christopher Thompson e Susan J. McGarrity. "Outcome of patients with chronic abdominal pain referred to chronic pain clinic". American Journal of Gastroenterology 95, n.º 7 (julho de 2000): 1812–16. http://dx.doi.org/10.1111/j.1572-0241.2000.02170.x.

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Schneider, Henning, Kersten Wilbrandt, Martin Ludwig, Manfred Beutel e Wolfgang Weidner. "Prostate-related pain in patients with chronic prostatitis/chronic pelvic pain syndrome". BJU International 95, n.º 2 (fevereiro de 2005): 238–43. http://dx.doi.org/10.1111/j.1464-410x.2005.05373.x.

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Fishbain, David A., R. B. Cutler, Brandly Cole, J. Lewis, E. Smets, H. L. Rosomoff e R. Steele Rosomoff. "Are Patients with Chronic Low Back Pain or Chronic Neck Pain Fatigued?" Pain Medicine 5, n.º 2 (junho de 2004): 187–95. http://dx.doi.org/10.1111/j.1526-4637.2004.04026.x.

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Ninashvili, N., e M. Shavdia. "Chronic Pain Management in Palliative Patients". Journal of Global Oncology 4, Supplement 2 (1 de outubro de 2018): 86s. http://dx.doi.org/10.1200/jgo.18.72000.

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Introduction: Chronic pain presents a public health priority, however its assessment and management remains problematic in the country posing serious obstacles in effective pain relief and improving quality of life in pain patients, in general, and in palliative patients, in particular. We aimed to study chronic pain relief quality and pain assessment and management knowledge level in primary health care institutions, being a gateway to palliative care. Methods: Cross-sectional survey was conducted in 2013-2014 on 232 randomly selected patients in palliative care clinic and 304 physicians in primary health care institutions in different regions of the country. Pain assessment tools such as Visual Analog Scale (VAS) and numeric pain rating scale along with questionnaires, composed of 20 (for patients) and 40 (for physicians) with both: open and closed questions were used. Study results were processed in SPSS software. Results: Response rates were 83% for patients and 87% for physicians. The vast majority of patients suffered of unrelieved pain at the admission to the clinic. Almost all patients (98%) were coming from primary health care institutions. Perception and expression of pain by majority of patients (85%) didn't correspond to the pain intensity, measured by the VAS and consequently, by the numerical scale (t=3.4). Pain intensity was in linear correlation with the disease stage (r=0.6). It was increasing along with the disease progression. Fifty percent of physicians in the selected primary health care facilities were unaware of WHO pain leader, 90% of them didn't use tools for evaluating of pain intensity. 89.8% prescribed opioids without a prior determination of causes and risk factors. None of the physicians knew about the role of patients in chronic pain management, resulted in the unawareness of patients toward self-management and preventive potential of chronic pain. Conclusion: 1: Majority of palliative patients are admitted to specific tertiary clinic with unrelieved pain; 2: Chronic pain assessment and management level is mainly inadequate in primary health care institutions; 3: Chronic pain education along with the enhancement of knowledge level of family physicians is of critical importance for effective pain relief.

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Sayar, Kemal, Meltem Arikan e Tulin Yontem. "Sleep Quality in Chronic Pain Patients". Canadian Journal of Psychiatry 47, n.º 9 (novembro de 2002): 844–48. http://dx.doi.org/10.1177/070674370204700905.

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Objective: Chronic pain patients have been reported to complain about poor sleep quality. Research aimed at delineating the predictors of poor sleep has produced conflicting results. Depressive mood and pain severity are the most frequently encountered predictors. This study aimed to find out whether chronic pain patients differed from healthy control subjects who had no pain on subjective sleep quality measures and, if so, which factors contributed most to poorer sleep quality. Method: We compared 40 patients with chronic pain who met inclusion criteria with 40 healthy control subjects on the measures of sleep quality, anxiety, and depression. The predictors of sleep quality were investigated with multiple regression in the pain group. Results: Chronic pain patients had higher scores than did healthy control subjects on the Beck Anxiety Scale, the Beck Depression Inventory (BDI), and the Pittsburgh Sleep Quality Index (PSQI). At the bivariate level, pain intensity, anxiety, and depression correlated significantly with poorer sleep quality. At the multivariate level, depression was found to be the only significant factor correlating with the quality of sleep, and the model explained 34% of the variance. Conclusions: Chronic pain patients suffer from poor sleep quality—a function of depressed mood rather than pain intensity, duration, or anxiety. However, it is difficult to draw a causal relation in this relatively small sample size. Besides, our study sample comprised a mostly psychiatric population and may not represent the general group of patients with chronic pain.

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Hysing, E. B., T. Gordh, R. Karlsten e L. Smith. "Characterization of complex chronic pain patients". Scandinavian Journal of Pain 8, n.º 1 (1 de julho de 2015): 49–50. http://dx.doi.org/10.1016/j.sjpain.2015.04.010.

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AbstractAimsTreatment of the most complex chronic pain patients, often not accepted in regular pain management programs, remains a challenge.To beable todesign interventions for these patients we must know what characterize them. The aim of this study was to characterize a subgroup of pain patients, treated in our in-patient rehabilitation programme, organized at the University Hospital in Uppsala, the only tertiary treatment for pain patients in Sweden.MethodsThe study was approved by the Regional Ethical Review Board in Uppsala (Dnr 2010/182). Seventy-two patients, consecutive new referrals seen at the rehabilitation program in 2008–2010 were enrolled and examined with a 41-item questionnaire of symptoms other than pain. The 41 symptoms were listed on an ordinal scale from 0–10, with 0–no problems and 10–severe problem. The mean pain intensity within the preceding 24-h was assessed using an 11-point NRS, numeric rating scale from 0–no problems to 10–severe problems. Information about drug-consumption was obtained from the medical record. The opioid medication was translated to morphine-equivalents dos using EAPC (European Association for Palliative Care) conversion table.ResultsSeventy-two patients were enrolled and screened, 39% men and 61% woman. Median age 45 years (range 20–70). Seventy-four percent of patients were treated with opioids, 15 patients with more than one opioid. They all reported high pain intensity, the four patients with doses over 150 mg MEq reported pain 5–8. There was no correlation between the dose of opioids and pain intensity. The patients reported 22 symptoms (median) other than pain. The number of symptoms reported using this scaleina normal population is three–four. The most common symptoms reported were lethargy, tiredness, concentration difficulties and headache reported by over 80%. Sleeping disorders and tiredness were considered as the two most problematic symptom to deal with. We found no correlation between the degree of pain and presence and severity of symptoms reported. Number of symptoms reported diminished when the dose of opioids increased.ConclusionsThe pain patient considered too complex for regular pain-management programs are characterized by reporting many symptoms other than pain. High pain intensity or high opioid-dose does not correlate to presence or severity of other symptoms, and high dose of opioids does not have a connection to low pain intensity. Many of the symptoms commonly reported – lethargy, tiredness, concentration difficulties and headache are real obstacles for successful rehabilitation, and have to be dealt with to achieve successful results.

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Flor, H., e D. C. Turk. "Pain-related cognitions, pain severity, and pain behaviors in chronic pain patients". Pain 30 (1987): S416. http://dx.doi.org/10.1016/0304-3959(87)91887-2.

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TASHIRO, Masafumi, Tatsuyuki ARIMURA e Masako HOSOI. "Anger Management for Chronic Pain Patients". JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 37, n.º 3 (2017): 388–96. http://dx.doi.org/10.2199/jjsca.37.388.

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Sofaer, B., e J. Walker. "Mood assessment in chronic pain patients". Disability and Rehabilitation 16, n.º 1 (janeiro de 1994): 35–38. http://dx.doi.org/10.3109/09638289409166434.

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CARVALHO, Lucas de Francisco, Ricardo PRIMI e Cláudio Garcia CAPITÃO. "Personality assessment in chronic pain patients". Estudos de Psicologia (Campinas) 33, n.º 4 (dezembro de 2016): 645–53. http://dx.doi.org/10.1590/1982-02752016000400008.

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Abstract In Brazil, studies investigating the personality characteristics of chronic pain patients are scarce. The present study aimed to evaluate the personality characteristics of patients with chronic pain and to compare them with those of patients without this condition. To this end, the Personality Disorders Dimensional Inventory and the Hypochondriasis scale of the Brazilian version of the Minnesota Multiphasic Personality Inventory were administered. Two different statistical analyses were carried out: the t - test to determine the differences between the scores for the two groups and the logistic regression analysis to examine the predictive power of the scales for the diagnosis of chronic pain. The results revealed significant differences (p < 0.05) among the Histrionic, Hypochondriasis, and Sadistic scales as predictors for the groups studied, with larger effect sizes on the Histrionic and Hypochondriasis scales. The authors suggest that the use of these scales in a clinical context may provide important information for health professionals.

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Twillman, Robert K. "Mental Disorders in Chronic Pain Patients". Journal of Pain & Palliative Care Pharmacotherapy 21, n.º 4 (janeiro de 2007): 13–19. http://dx.doi.org/10.1080/j354v21n04_04.

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Ecklund, Connie R., e Mazin A. Ellias. "Marijuana Use in Chronic Pain Patients". Clinical Journal of Pain 23, n.º 5 (junho de 2007): 466. http://dx.doi.org/10.1097/ajp.0b013e318058abc9.

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Dansie, E. J., e D. C. Turk. "Assessment of patients with chronic pain". British Journal of Anaesthesia 111, n.º 1 (julho de 2013): 19–25. http://dx.doi.org/10.1093/bja/aet124.

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Gilbert, John W., Greg R. Wheeler, Ben B. Storey, Gregory Mick, Gay Richardson, Gloria Westerfield e Patricia Broughton. "Suicidality in Chronic Noncancer Pain Patients". International Journal of Neuroscience 119, n.º 10 (janeiro de 2009): 1968–79. http://dx.doi.org/10.1080/00207450902973336.

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Blågestad, Tone, Ståle Pallesen, Linn-Heidi Lunde, Børge Sivertsen, Inger-Hilde Nordhus e Janne Grønli. "Sleep in Older Chronic Pain Patients". Clinical Journal oF Pain 28, n.º 4 (maio de 2012): 277–83. http://dx.doi.org/10.1097/ajp.0b013e3182313899.

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Grubb, Tamara. "Chronic Neuropathic Pain in Veterinary Patients". Topics in Companion Animal Medicine 25, n.º 1 (fevereiro de 2010): 45–52. http://dx.doi.org/10.1053/j.tcam.2009.10.007.

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Winterowd, Carrie, Aaron T. Beck e Daniel Gruener. "Cognitive Therapy with Chronic Pain Patients". Pain Practice 4, n.º 1 (março de 2004): 67. http://dx.doi.org/10.1111/j.1530-7085.2004.04008.x.

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MARTIN, STEPHANIE. "Helping patients with chronic pelvic pain". Nursing 29, n.º 11 (novembro de 1999): 66–68. http://dx.doi.org/10.1097/00152193-199911000-00026.

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