Nonpathological factors in chronic pain: Implications for assessment and treatment.

2004 ◽  
pp. 89-107 ◽  
Author(s):  
James B. Wade ◽  
Donald D. Price
Keyword(s):  
Chronic Pain ◽  
Assessment And Treatment

A Broken Life

2021 ◽  
pp. 9-16
Author(s):  
Daniel M. Doleys ◽  
Nicholas D. Doleys
Keyword(s):  
Chronic Pain ◽  
The Family ◽  
Assessment And Treatment ◽  
Surgical Treatments

This case represents an all too frequent, and tragic, example of the devastating effects of chronic pain following an injury. The problem impacts all aspects of the individual’s life, including the family. Repeated failure of various medical/surgical treatments, intending to be corrective, can result in despair, hopelessness, and anger. Even the most stoic are prone to depression. It is important to recognize and address these issues early. There are some simple strategies that can guide assessment and treatment. It can take years for such a person to “reinvent” themselves. The aware clinician can be a great source of solace and hope.

scholarly journals Chronic Pain and Sleep Disorders in Primary Care

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Robert Jank ◽  
Alexander Gallee ◽  
Markus Boeckle ◽  
Sabine Fiegl ◽  
Christoph Pieh
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Sleep Disorders ◽  
Medical Information ◽  
Severity Index ◽  
Total Sample ◽  
Self Report ◽  
Pain Experience ◽  
Assessment And Treatment ◽  
Insomnia Severity

Background. Chronic pain (CP) and sleep disorders (SD) are highly prevalent in the general population. However, comprehensive data regarding the prevalence and characteristics of pain and SD in primary care are rare. Methods. From N=578 patients N=570 were included within 8 weeks (mean age: 50.8±18.7 years, females: 289). Sociodemographic data, Insomnia Severity Index (ISI), and parts of a self-report questionnaire for pain (Multidimensional German Pain Questionnaire) were recorded and additional medical information (pain medication, sleep medication) was gathered from the patient charts. Results. Of the total sample, 33.2% (n=189) suffer from CP (pain ≥ 6 months) and 29.1% (n=166) from SD. 45.5% of the CP patients suffer from SD and 26.5% from clinical insomnia (ISI ≥ 15). SD (β = 0.872, SE = 0.191,  t = 4,572, p<0.001, CI [0.497; 1.246]) and older age (β = 0.025, SE = 0.005, t = 5.135, p<0.001, CI [0.015; 0.035]) were significantly associated with pain experience. Conclusion. About a quarter of CP patients suffer from clinical insomnia. The suggested bidirectional relation should be considered during comprehensive assessment and treatment of patients.

Phases of Chronic Pain: A Model for Assessment and Treatment

1990 ◽  
Vol 6 (3) ◽  
pp. 191-198 ◽  
Author(s):  
Linda B. Fisher ◽  
Leonard S. Goldstein ◽  
Paul A. Buongiorno
Keyword(s):  
Chronic Pain ◽  
Assessment And Treatment
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