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Chronic Pain - DOAJ

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Last Updated: 26 April 2022

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Chronic Pain: Among Tertiary Care Psychiatric Out-Patients in Singapore—Prevalence and Associations with Psychiatric Disorders

In a tertiary care hospital in Singapore, the research sought to determine the incidence and severity of persistent pain and its relationships amongst psychiatric out-patients. Mild pain symptoms were shown to be significantly associated with older age, as well as moderate pain and acute pain, which were both notably associated with improved BAI ratings. Patients with a psychiatric disorder with a high incidence of pain among patients with a psychiatric illness that was determined by optimal C. P. s for mild, moderate, and severe pain reported by optimal C. P. s for mild, moderate, and severe pain during the current research. Patients with anxiety disorders and those with elevated BMI were found to be accompanied by severe to severe pain. Improving the understanding of correlations and comorbidities of physical pain can help in the prompt identification, use of prophylactic tools, and the intervention procedures to develop basic guidelines for pain management among the psychiatric population.

Source link: https://doi.org/10.1155/2022/1825132


Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin: systematic review and economic evaluation

Review methods: A systematic review of the literature found medical and cost-effectiveness data for SCS in adults with persistent neuropathic or ischaemic pain in adults with chronic neuropathic or ischaemic pain with no response to medical or surgical care other than SCS. In a short-term follow-up, the trial findings failed to show that pain relief in critical limb ischaemia was better for SCS than for CMM; however, it did not prove that SCS was more effective in delaying refractory angina pain onset during exercise; however, it did not extend to coronary artery bypass grafting for those patients eligible for the procedure. The results for the neuropathic pain model indicated that the cost-effectiveness estimates for SCS in patients with FBSS with poor responses to medical or surgical care were below £20,000 per quality-adjusted life years gained. When device life was 3 years and below or very close to £20,000 per QALY when device life was 4 years, device life was varied simultaneously, so ICERs were below or very close to £30,000 per QALY when device life was variable, and device life was unevenly. Patients with percutaneous coronary surgery were identified as having the most favourable economic profiles for SCS therapy, according to the threshold study, which also included patients eligible for CABG and PCI. Conclusions: SCS was found to be safe in reducing neuropathic pains of FBSS and CRPS type I.

Source link: https://doi.org/10.3310/hta13170


Multi-Site Observational Study to Assess Biomarkers for Susceptibility or Resilience to Chronic Pain: The Acute to Chronic Pain Signatures (A2CPS) Study Protocol

Chronic pain has become a global health issue, contributing to years of chronic pain and reduced quality of life. Because of a lack of knowledge of multiple risk factors and molecular mechanisms that contribute to chronic pain development, advances in chronic pain management have been limited. The Acute to Chronic Pain Signatures Initiative aims to determine individuals who will experience persistent pain following surgical intervention to determine people with persistent pain following surgical intervention. This paper gives an overview of data collection methods and procedures that are intended to standardize data collection among multiple clinical sites and institutions.

Source link: https://doi.org/10.3389/fmed.2022.849214


The impact of COVID-19 on patients with chronic pain seeking care at a tertiary pain clinic

Pre- and post-COVID-19 pandemic onset, we performed a cross-sectional analysis matched by season to investigate patient-reported health signs among patients with chronic pain onset and post-COVID-19 pandemic onset. After the pandemic onset, pain ratings remained unchanged among patients. In the face of the COVID-19 pandemic, our results show that patients seeking medical attention for pain management are exhibiting resilience. However, our findings that pain catastrophizing soared when COVID-19 cases hit their high in July 2020 illustrate that future monitoring and investigation of patient suffering are warranted.

Source link: https://doi.org/10.1038/s41598-022-10431-5


Talking about chronic pain in family settings: a glimpse of older persons’ everyday realities

If many studies reveal the dangers of putting pain into words, there are those that examine how social media platforms can facilitate or prevent its expression. This article explores the ways older people with chronic illnesses and social networks in this key area of late life, based on a qualitative study that looked at chronic pain in older people's social media, and gives clinicians with reports on how older people with chronic illnesses assess their everyday lives and social networks. This article is based on a qualitative research that looked at the communication of chronic pain in older people's social media and finds that clinicians have more information about the way older people with chronic illnesses focus on this Findings Communication regarding persistent pain varies greatly depending on the interlocutors' position within the family unit, with a preference for direct relatives or individuals with common challenges. The ability to discuss chronic pain on social media platforms is both a resource and a challenge. Conclusions The present report shows that the nuclear family predominance in discussions relating specifically to chronic pain management is largely responsible.

Source link: https://doi.org/10.1186/s12877-022-03058-8


Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS)

Background: Chronic musculoskeletal pain is a common condition that is impossible to handle. Does a self-management support service program improve outcomes for people living with persistent musculoskeletal pain?' is the overarching research issue. ' Aim: To develop, investigate, and test the clinical efficiency and cost-effectiveness of a theoretically grounded self-management program for people with persistent musculoskeletal pains. Methods: Two systematic reviews were conducted in phase 1 to synthesize the evidence base for self-management course content and delivery styles that might benefit those with chronic pain. We also considered the psychological factors that might support behaviour change and pain management principles. In phase 2, we ran a randomised controlled trial to determine the safety and cost-effectiveness of adding the COPERS intervention to a best expected care package. Adults with persistent musculoskeletal pain mostly from primary care and musculoskeletal physiotherapy services in two localities, east London and Warwickshire. Participants' health information was extracted from NHS electronic records, revealing data on the usage of NHS services by participants. Depression and anxiety were common, with mean HADS depression and anxiety scores of 7. 4 [standard deviation 4. 1] and 9. 2 respectively. There was no difference between treatment groups in our primary outcome of pain-related disability [difference –1. 0 intervention vs. control, 95% confidence interval – 4. 9 to 4. 0] at 12 months. The project was supported by the National Institute for Health Research Programme Grants for Applied Research and will be published in full in Program Grants for Applied Research; Vol.

Source link: https://doi.org/10.3310/pgfar04140


Acupuncture for chronic pain and depression in primary care: a programme of research

Aim: Our aim was to establish the most reliable and cost-effectiveness of acupuncture for chronic pain by drawing on reputable research, including new high-quality studies, and looking for fresh data on acupuncture for depression. When all trials were combined, all trials were synthesised, with transcutaneous electrical nerve stimulation being cost-effective for osteoarthritis at a rate of £20,000 per quality-adjusted life-year. In a RCT of acupuncture or counselling, in which half of the patients were also experiencing comorbid pain, we found acupuncture and counselling to be highly effective, while acupuncture and counseling to be cost-effective, with acupuncture and counseling being cost-effective, and acupuncture to be cost-effective. Conclusion: We have collected the most complete results from high-quality research into acupuncture for chronic pain. acupuncture was more effective than both traditional care and sham acupuncture, according to the synthesis of high-quality IPD. Acupuncture is one of the most cost-effective physical therapies for osteoarthritis, and it is also cost-effective if only high-quality trials are included. Promising clinical and economic evidence on acupuncture for depression must be extended to other contexts and settings. Our analysis also provides a solid basis for investigating the potential role of acupuncture as a health-care treatment and education leaders to make decisions based on reliable sources of evidence. Funding: The National Institute for Health Research Programme Grants for the Applied Research program.

Source link: https://doi.org/10.3310/pgfar05030


Acceptance and Commitment Therapy to Increase Resilience in Chronic Pain Patients: A Clinical Guideline

Chronic pain management and patients alike have a difficult disease to control for healthcare professionals and patients. The most common form of pain relief is a conservative approach to medication; however, a number of side effects are often triggered. Acceptance and Commitment Therapy, a more recent form of cognitive-behavioural therapy, is available online. Acceptance and Commitment Therapy, a more recent form of cognitive-behavioural therapy in which psychological flexibility is supposed to be the end product. In this paper, new research is used to demonstrate why and how a multimodal therapy for patients with chronic pain can be used in clinical care.

Source link: https://doi.org/10.3390/medicina58040499


Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment

The bidirectional relationship between anxiety and chronic pain in youth is well-known, but how fear contributes to the persistence of pediatric chronic pain remains unclear. Youth with high SPT increased pain intensity three months later, but low SPT youth with high anxiety did not. Youth who experience pain as potentially traumatizing are more likely to experience more pain three months later than high-anxiety youth who do not.

Source link: https://doi.org/10.3390/children9040529


The Scaffold Protein PICK1 as a Target in Chronic Pain

Chronic pain patients are not fully relieved of their pain and suffer from debilitating drug side effects. It is therefore of utmost importance to find new potent targets for pain management with less side effects and no addiction risks. central sensitization, which requires the reorganization and enhancement of synaptic transmission within nociceptive pathways, is a vital component of chronic pain syndromes. In addition, we review other PICK1 interactions that have been successfully tested in pain models. With PICK1's ongoing CNS and elsewhere, we can determine the potential on-target side of interfering with the use of PICK1's CNS and elsewhere. PICK1 is a legal drug target for the treatment of inflammatory and neuropathic pain conditions without the side effects and abuse risk associated with new pain medications, according to our analysis.

Source link: https://doi.org/10.3390/cells11081255

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions