Dr Beth Darnall on Changing Mindset for Pain Relief
A negative pain mindset – catastrophizing – undermines pain treatment effectiveness and facilitates structural brain changes that serve to maintain pain and distress.
Catastrophizing
Greater Trauma Associated With Amplification of Pain, Spinal Nociception
Trauma exposure plays a significant role in both pain response and development of chronic pain.
Psychosocial Factors That May Predict Opioid Analgesia
Multiple psychosocial factors such as depression, anxiety, and pain catastrophizing are associated with opioid analgesic response.
History of Abuse Linked to Greater Pain Severity, Fibromyalgia, Depression and Anxiety
Patients with a history of abuse either in childhood or adulthood have been found to display higher levels of depression, anxiety, pain severity and catastrophizing, as well as reduced physical functioning; in addition, those patients have higher scores on the fibromyalgia survey used to measure “fibromyalgia-ness” than those without a history of abuse.
Public Health and Prevention of Opioid Misuse
“Ultimately, the goal is to turn our clinics into research laboratories where every single patient is characterized,” noted Dr Mackey.
Pre-Surgery Catastrophizing Strongly Associated With Post-Operative Outcomes
Pain has been shown to be the most frequent complaint in the hours following surgery1, however, 10-50% of patients report post-surgical pain for up to two months following surgery2. Numerous evidence indicate associations between a psychosocial factor, pre-surgery emotional stress and key post-surgical pain outcomes, including pain intensity, analgesic use and functional impairment. However, the…
New Factors to Measure Pain Catastrophizing
🎥 The long-established ‘Pain Catastrophizing Scale’ takes magnification, rumination and helplessness into account. Researchers at the University of Alabama considered additional measures of negative cognition associated with pain to reach a ‘global catastrophizing measure’.
Factors Predicting Pain Intensity Level, Interference of Pain, and Perceived Disability
🎥 Psychosocial variables to help predict pain levels in patients with mixed chronic pain conditions and similar demographics and socioeconomic backgrounds.
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