Journal of pain management & medicine最新文献

More is not Always Better: An Epidemiological Assessment of Migraine Frequency and the Impact on Relationships 越多并不总是越好:偏头痛频率的流行病学评估及其对人际关系的影响

Journal of pain management & medicine Pub Date : 2017-07-14 DOI: 10.35248/2684-1320.17.3.126

A. Wachholtz, A. Bhowmick, LB Herbert, D. Marcus

{"title":"More is not Always Better: An Epidemiological Assessment of Migraine Frequency and the Impact on Relationships","authors":"A. Wachholtz, A. Bhowmick, LB Herbert, D. Marcus","doi":"10.35248/2684-1320.17.3.126","DOIUrl":"https://doi.org/10.35248/2684-1320.17.3.126","url":null,"abstract":"Objective Chronic pain negatively impacts spouse/partner relationships, with greater impact associated with higher pain severity and co-morbid mood disturbance. This study investigated the role of pain episode frequency in migraineurs on relationship effects. Methods An online survey was conducted, collecting information about migraine, psychological distress, and relationship impact using standardized measures. Adults previously diagnosed with migraine were invited to participate through postings on migraine community websites and social media. Impact was evaluated based on four migraine frequency categories (migraines/month): less than weekly (0-3), one to two episodes weekly (4-9 and 10-15), and more than twice weekly (>15). Results A total of 1,399 adult migraineurs were included. Spouse/partner relationships had been mildly-moderately damaged for 30% with 0-3 migraine monthly, increasing to 40% with >15 migraine monthly. Migraine had contributed to a break-up for 4% with 0-3 migraines monthly, increasing to 8% for those with >15 migraines monthly. About 57% of participants reported satisfaction with their current spouse/partner, with satisfaction unaffected by migraine frequency among those who were satisfied with their partners. Negative impact on relationships with children and close friends also increased with migraine frequency. Depression and anxiety were significantly correlated with migraine frequency (P<0.001) and modulated relationship impact. Conclusion As migraine frequency increased, negative impact on relationships also increased. Interestingly, satisfaction with current spouse/partner was high for all migraine frequency categories. Clinically, this suggests that frequent migraineurs may benefit from a referral to couples counseling with a therapist that specializes in medically ill.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81001893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders. 慢性口面部疼痛:灼口综合征和其他神经性疾病。

Journal of pain management & medicine Pub Date : 2017-03-01 Epub Date: 2017-01-30

Raymond C Tait, McKenzie Ferguson, Christopher M Herndon

{"title":"Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders.","authors":"Raymond C Tait, McKenzie Ferguson, Christopher M Herndon","doi":"","DOIUrl":"","url":null,"abstract":"Chronic orofacial pain is a symptom associated with a wide range of neuropathic, neurovascular, idiopathic, and myofascial conditions that affect a significant proportion of the population. While the collective impact of the subset of the orofacial pain disorders involving neurogenic and idiopathic mechanisms is substantial, some of these are relatively uncommon. Hence, patients with these disorders can be vulnerable to misdiagnosis, sometimes for years, increasing the symptom burden and delaying effective treatment. This manuscript first reviews the decision tree to be followed in diagnosing any neuropathic pain condition, as well as the levels of evidence needed to make a diagnosis with each of several levels of confidence: definite, probable, or possible. It then examines the clinical literature related to the idiopathic and neurogenic conditions that can occasion chronic orofacial pain, including burning mouth syndrome, trigeminal neuralgia, glossopharyngeal neuralgia, post-herpetic neuralgia, and atypical odontalgia. Temporomandibular disorders also are examined as are other headache conditions, even though they are not neurologic conditions, because they are common and can mimic symptoms of the latter disorders. For each of these conditions, the paper reviews literature regarding incidence and prevalence, physiologic and other contributing factors, diagnostic signs and symptoms, and empirical evidence regarding treatments. Finally, in order to improve the quality and accuracy of clinical diagnosis, as well as the efficiency with which effective treatment is initiated and delivered, criteria are offered that can be instrumental in making a differential diagnosis.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5475277/pdf/nihms866616.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35111132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders. 慢性口面部疼痛:灼口综合征和其他神经性疾病。

Journal of pain management & medicine Pub Date : 2017-01-30 DOI: 10.35248/2684-1320.17.3.120

R. Tait, McKenzie C. Ferguson, C. Herndon

{"title":"Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders.","authors":"R. Tait, McKenzie C. Ferguson, C. Herndon","doi":"10.35248/2684-1320.17.3.120","DOIUrl":"https://doi.org/10.35248/2684-1320.17.3.120","url":null,"abstract":"Chronic orofacial pain is a symptom associated with a wide range of neuropathic, neurovascular, idiopathic, and myofascial conditions that affect a significant proportion of the population. While the collective impact of the subset of the orofacial pain disorders involving neurogenic and idiopathic mechanisms is substantial, some of these are relatively uncommon. Hence, patients with these disorders can be vulnerable to misdiagnosis, sometimes for years, increasing the symptom burden and delaying effective treatment. This manuscript first reviews the decision tree to be followed in diagnosing any neuropathic pain condition, as well as the levels of evidence needed to make a diagnosis with each of several levels of confidence: definite, probable, or possible. It then examines the clinical literature related to the idiopathic and neurogenic conditions that can occasion chronic orofacial pain, including burning mouth syndrome, trigeminal neuralgia, glossopharyngeal neuralgia, post-herpetic neuralgia, and atypical odontalgia. Temporomandibular disorders also are examined as are other headache conditions, even though they are not neurologic conditions, because they are common and can mimic symptoms of the latter disorders. For each of these conditions, the paper reviews literature regarding incidence and prevalence, physiologic and other contributing factors, diagnostic signs and symptoms, and empirical evidence regarding treatments. Finally, in order to improve the quality and accuracy of clinical diagnosis, as well as the efficiency with which effective treatment is initiated and delivered, criteria are offered that can be instrumental in making a differential diagnosis.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84324576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

More is not Always Better: An Epidemiological Assessment of Migraine Frequency and the Impact on Relationships. 越多并不总是越好:偏头痛频率的流行病学评估及其对人际关系的影响。

Journal of pain management & medicine Pub Date : 2017-01-01 Epub Date: 2017-07-14

Amy Wachholtz, Amrita Bhowmick, L B Herbert, Dawn Marcus

{"title":"More is not Always Better: An Epidemiological Assessment of Migraine Frequency and the Impact on Relationships.","authors":"Amy Wachholtz, Amrita Bhowmick, L B Herbert, Dawn Marcus","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Chronic pain negatively impacts spouse/partner relationships, with greater impact associated with higher pain severity and co-morbid mood disturbance. This study investigated the role of pain episode frequency in migraineurs on relationship effects.Methods: An online survey was conducted, collecting information about migraine, psychological distress, and relationship impact using standardized measures. Adults previously diagnosed with migraine were invited to participate through postings on migraine community websites and social media. Impact was evaluated based on four migraine frequency categories (migraines/month): less than weekly (0-3), one to two episodes weekly (4-9 and 10-15), and more than twice weekly (>15).Results: A total of 1,399 adult migraineurs were included. Spouse/partner relationships had been mildly-moderately damaged for 30% with 0-3 migraine monthly, increasing to 40% with >15 migraine monthly. Migraine had contributed to a break-up for 4% with 0-3 migraines monthly, increasing to 8% for those with >15 migraines monthly. About 57% of participants reported satisfaction with their current spouse/partner, with satisfaction unaffected by migraine frequency among those who were satisfied with their partners. Negative impact on relationships with children and close friends also increased with migraine frequency. Depression and anxiety were significantly correlated with migraine frequency (P<0.001) and modulated relationship impact.Conclusion: As migraine frequency increased, negative impact on relationships also increased. Interestingly, satisfaction with current spouse/partner was high for all migraine frequency categories. Clinically, this suggests that frequent migraineurs may benefit from a referral to couples counseling with a therapist that specializes in medically ill.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/51/nihms941857.PMC6135247.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36497395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Integration of Technology into Treatment Programs to Aid in the Reduction of Chronic Pain 技术与治疗方案的整合，以帮助减少慢性疼痛

Journal of pain management & medicine Pub Date : 2016-12-31 DOI: 10.35248/2684-1320.16.2.118

C. Eckard, C. Asbury, Brandon Bolduc, Chelsea Camerlengo, J. Gotthardt, Lauren Healy, Laura Waialae, C. Zeigler, Jennifer Childers, Joseph Horzempa

{"title":"The Integration of Technology into Treatment Programs to Aid in the Reduction of Chronic Pain","authors":"C. Eckard, C. Asbury, Brandon Bolduc, Chelsea Camerlengo, J. Gotthardt, Lauren Healy, Laura Waialae, C. Zeigler, Jennifer Childers, Joseph Horzempa","doi":"10.35248/2684-1320.16.2.118","DOIUrl":"https://doi.org/10.35248/2684-1320.16.2.118","url":null,"abstract":"In the United States, roughly $600 billion is spent on pain management – usually in the form of addictive opioid drugs. Due to the dangers associated with long-term opiate-based pain medication, the development of additional strategies for chronic pain management is warranted. The advent of smartphones and associated technology has provided healthcare providers with a unique opportunity to provide pain management support. This review summarizes of the use of technology to supplement chronic pain management regimens. Smartphone and internet-based applications that employ online journals facilitate improved communication between patient and clinician and allow for more personalized care and improved pain management. For instance, the e-Ouch application provides a platform for pain logs as well as feedback and coaching to patients via Twitter postings and blogs. Other applications provide online resources and blogs to improve patient education, which has shown to relieve patient symptoms through lifestyle modification. Internet-delivered cognitive behavioral therapy (CBT) focuses on the psychological coping mechanisms. The application of technology and smartphone apps toward pain management shows promise toward reducing the use of opioids in pain management, but has yet to be incorporated as a standard practice. More robust studies critically evaluating the efficacy of these technology-based therapies need to be conducted before standardization and insurance coverage can become reality.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79126244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

The Use of Mind-body Medicine in Chronic Pain Management: Differential Trends and Session-by-Session Changes in Anxiety 身心医学在慢性疼痛管理中的应用:焦虑的不同趋势和逐期变化

Journal of pain management & medicine Pub Date : 2016-03-01 DOI: 10.35248/2684-1320.16.2.114

D. Cosio, S. Swaroop

{"title":"The Use of Mind-body Medicine in Chronic Pain Management: Differential Trends and Session-by-Session Changes in Anxiety","authors":"D. Cosio, S. Swaroop","doi":"10.35248/2684-1320.16.2.114","DOIUrl":"https://doi.org/10.35248/2684-1320.16.2.114","url":null,"abstract":"The evidence to date suggests that the use of mind-body medicine in chronic pain management can improve physical and psychological symptoms. However, past research evidence has largely relied on global measures of distress at pre- and post-intervention. Even though it is plausible that reported anxiety occurs in the context of pain, there is also evidence to suggest a reciprocal relationship. Thus, the purpose of the current study was to determine the differential impact that mind-body medical interventions have on anxiety among Veterans with chronic, non-cancer pain. The current study utilized multiple, repeated assessments of anxiety to better understand changes made over time between two mind-body interventions (Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT)) used for chronic pain management. Ninety-six Veterans elected to participate in either intervention following the completion of a pain health education program at a Midwestern VA Medical Center between November 3, 2009–November 4, 2010. A 2 × 7 repeated measures multivariate analyses of variance indicated significantly lower levels of global distress by the end of both the ACT and CBT interventions. Trend analysis revealed differential patterns of change in levels of anxiety over time. Helmert contrast analyses found several modules of ACT were statistically different than the overall mean of previous sessions. Implications related to timing and patterns of change for the interventions are discussed.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"141 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73434418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

The Use of Mind-body Medicine in Chronic Pain Management: Differential Trends and Session-by-Session Changes in Anxiety. 身心医学在慢性疼痛管理中的应用:焦虑的不同趋势和逐期变化。

Journal of pain management & medicine Pub Date : 2016-03-01 Epub Date: 2016-03-30

David Cosio, Sujata Swaroop

{"title":"The Use of Mind-body Medicine in Chronic Pain Management: Differential Trends and Session-by-Session Changes in Anxiety.","authors":"David Cosio, Sujata Swaroop","doi":"","DOIUrl":"","url":null,"abstract":"The evidence to date suggests that the use of mind-body medicine in chronic pain management can improve physical and psychological symptoms. However, past research evidence has largely relied on global measures of distress at pre- and post-intervention. Even though it is plausible that reported anxiety occurs in the context of pain, there is also evidence to suggest a reciprocal relationship. Thus, the purpose of the current study was to determine the differential impact that mind-body medical interventions have on anxiety among Veterans with chronic, non-cancer pain. The current study utilized multiple, repeated assessments of anxiety to better understand changes made over time between two mind-body interventions (Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT)) used for chronic pain management. Ninety-six Veterans elected to participate in either intervention following the completion of a pain health education program at a Midwestern VA Medical Center between November 3, 2009-November 4, 2010. A 2 × 7 repeated measures multivariate analyses of variance indicated significantly lower levels of global distress by the end of both the ACT and CBT interventions. Trend analysis revealed differential patterns of change in levels of anxiety over time. Helmert contrast analyses found several modules of ACT were statistically different than the overall mean of previous sessions. Implications related to timing and patterns of change for the interventions are discussed.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34530120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Chronic Migraineur and Health Services: National Survey Results 慢性偏头痛和保健服务:全国调查结果

Journal of pain management & medicine Pub Date : 2015-11-01 DOI: 10.35248/2684-1320.15.1.103

A. Wachholtz, Christopher Malone, A. Bhowmick

{"title":"The Chronic Migraineur and Health Services: National Survey Results","authors":"A. Wachholtz, Christopher Malone, A. Bhowmick","doi":"10.35248/2684-1320.15.1.103","DOIUrl":"https://doi.org/10.35248/2684-1320.15.1.103","url":null,"abstract":"Chronic migraine is a costly and highly disabling condition that impacts millions of people in the United States. While chronic migraine is hypothesized to result from more infrequent forms of migraine, the precise mechanism by which this develops is still being researched. This study sought to better characterize the treatment patterns, disorder characteristics, and medical and disability profile of the chronic migraine population using the largest dataset of chronic migraineurs ever collected. The survey was started by 8,359 individuals and 4,787 met the inclusion criteria for diagnosed chronic migraine The number of stressful life events participants experienced due to their migraines related to number of therapies tried (p<0.00, eta2=0.215), depression (p<0.00, eta2=0.178), number of comorbidities (p<0.00, eta2=0.172), anxiety (p<0.00, eta2=0.162), number of physician visits in the past year (p<0.00, eta2=0.103), and chronic pain levels (p<0.00, eta2=0.077).. The results of this survey suggest that chronic migraineurs may misattribute aspects of psychiatric or medical comorbidities to their chronic migraines. Further, the sample underutilized mental health services and were unsatisfied with their migraine treatments. Providers to chronic migraineurs should ensure that patients are receiving appropriate mental health care in order to alleviate psychological distress as well as to potentially lessen negative life events previously associated with migraine symptoms.","PeriodicalId":91333,"journal":{"name":"Journal of pain management & medicine","volume":"127 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84355497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8