The Clinical Journal of Pain

Prevalence, Characteristics, and Clinical Course of... : The Clinical Journal of Pain ith their family doctor in the United Kingdom. Materials and Methods: This was a prospective cohort study. Data were collected using a standardized baseline clinical examination and self-report questionnaires at baseline, 4, 12, and 36 months. We identified cases of neuropathic pain using 3 definiti...

Conditioned Pain Modulation Efficiency Is Associated With... : The Clinical Journal of Pain ontrols, and the association between pain catastrophizing and CPM response. Methods: In all, 22 individuals with CLBP and 22 sex-matched and age-matched controls underwent a CPM protocol. Pressure pain thresholds (PPTs) were measured on the lower leg and lower back. The CPM response was registered a...

Is It Worth It? A Comparison of an Intensive... : The Clinical Journal of Pain est with control group design was used. A battery of patient-oriented measures assessing pain interference, quality of life, and depressive symptoms were completed at treatment commencement and at 3, 6, and 12 months after treatment by 44 youths enrolled in the IIPT and 138 youths engaged in the MMT...

Risk Factors for Increased Postoperative Pain and... : The Clinical Journal of Pain The interdisciplinary pain team identified 7 potential risk factors that may lead to inadequate pain control postoperatively including (1) history of physical, emotional, or sexual abuse; (2) history of anxiety; (3) history of drug or alcohol abuse; (4) preoperative nonsteroidal anti-inflammatory dr...

High-frequency 10 kHz Spinal Cord Stimulation for Chronic... : The Clinical Journal of Pain ake cost-consequence and cost-effectiveness analysis of 10 kHz-SCS compared with LF-SCS. Methods: A probabilistic decision tree and Markov decision analytic model was used to synthesize data on CBLP outcomes and costs over a 15-year time horizon from a UK National Health Service perspective using ...

Anxiety, Depression, and Opioid Misuse Among Adults With... : The Clinical Journal of Pain adults with chronic pain may be important for better understanding pain. Yet, little work has examined mechanisms that may link anxiety and depressive symptoms to opioid misuse among adults with chronic pain. Anxiety sensitivity (AS), or the fear of anxiety-related physical sensations, may be one ca...

Pain Acceptance Partially Mediates the Relationship Between ... : The Clinical Journal of Pain of pain-related acceptance. The current study aimed to extend cross-sectional research by testing whether pain acceptance mediates the effects of perceived injustice on pain-related outcomes longitudinally. Materials and Methods: Data was analyzed from a prospective study to examine the potential me...

Multidisciplinary-based Rehabilitation (MBR) Compared With... : The Clinical Journal of Pain ovided in the Cochrane Handbook for Systematic Reviews and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 8 electronic databases were searched from inception to November 2018. Only randomized controlled trials wer...

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Comorbid Pain and Cognitive Impairment in a Nationally... : The Clinical Journal of Pain ment, health care utilization, and dissatisfaction with health care. Materials and Methods: Prevalence estimates and multivariable logistic regression analyses of the 2017 National Health Interview Survey were performed. Results: As the level of reported pain increased from “no pain” to high-imp...

Mechanisms of Mindfulness Meditation, Cognitive Therapy,... : The Clinical Journal of Pain Methods: A secondary analysis of a pilot randomized controlled trial was used to explore the primary mechanisms of pretreatment to posttreatment changes in pain control beliefs, mindful observing, and pain catastrophizing, and the secondary common factor mechanisms of therapeutic alliance, group coh...

Why do Patients Engage in Pain Behaviors? A Qualitative... : The Clinical Journal of Pain current study explores the motives to engage in pain behaviors and the possible discrepancies between individuals experiencing pain and partners’ perceptions of those motives. Methods: A qualitative study was performed, comprising semistructured interviews with 27 patients with chronic low back pa...

Pain Catastrophizing, Self-reported Disability, and... : The Clinical Journal of Pain d with pain in recurrent LBP patients 12 weeks after consulting their general practitioner (GP). Materials and Methods: In 45 LBP patients, pressure pain thresholds, temporal summation of pain (TSP), conditioned pain modulation (CPM), the Roland Morris Disability Questionnaire (RMDQ), and the PCS we...

Evidence for Continuing Buprenorphine in the Perioperative... : The Clinical Journal of Pain We reviewed charts of patients on buprenorphine who had received elective surgery at Stanford Healthcare from January 1, 2013 to June 30, 2016. Our primary outcome of interest was the change in pain score, defined as mean postoperative pain score—preoperative pain score. We also collected data on ...

Plasma Concentrations of Select Inflammatory Cytokines... : The Clinical Journal of Pain rapeutic approaches. Methods: Data were collected from 54 participants who were vulnerable to a robust pain response and delayed recovery following musculoskeletal injury. Participants completed baseline active and resting pain measurements and a blood draw before an exercised induced shoulder muscl...

Baseline Characteristics of a Dyadic Cohort of Mothers With ... : The Clinical Journal of Pain unt for the association and how this develops over time. This longitudinal cohort study was designed to understand the potential mechanisms that confer risk or resilience for chronic pain among child offspring of mothers with chronic pain. Methods: The current paper presents baseline data on the coh...

Systematic Review and Synthesis of Mechanism-based... : The Clinical Journal of Pain ical characteristics. This study aimed to (1) systematically review mechanism-based classifications of pain experienced in the musculoskeletal system; (2) synthesize and thematically analyze classifications, using the International Association for the Study of Pain categories of nociceptive, neuropa...

Associations Among Sleep Disturbance, Pain Catastrophizing, ... : The Clinical Journal of Pain rticipants were 89 individuals with OUD and chronic pain drawn from a larger cross-sectional study of 164 MMT patients who completed a battery of self-report measures. The authors conducted 6 mediation models to test all possible pathways (ie, each variable tested as an independent variable, mediato...

What Works? Processes of Change in a Transdiagnostic... : The Clinical Journal of Pain ing, fear-avoidance, and nonacceptance of pain) and general emotion dysregulation (difficulties to regulate a broad spectrum of emotional responses) mediate effects on outcomes; and (2) if mediation is more pronounced for patients who score higher on these processes pretreatment. Materials and Metho...

Race, Social Status, and Depressive Symptoms: A Moderated... : The Clinical Journal of Pain persist. Objective: The objective of this study was to assess whether self-identified race moderated the relationship between perceived social status and cLBP outcomes (pain interference and pain severity) and investigate whether race moderated the indirect relationship between perceived social stat...

Increased Experimental Pain Sensitivity in Chronic Pain... : The Clinical Journal of Pain ronic pain have been described; however, relatively unexplored is how sensitivity to pain is associated with OUD outcomes. Materials and Methods: We examined for differences in response to static and dynamic experimental pain stimuli between individuals with chronic nonmalignant pain who developed O...

Development and Initial Evaluation of the Patterns of... : The Clinical Journal of Pain the POAM-P possesses excellent psychometric properties, its length may limit its utility where multiple measures of functioning are required or the time available for assessment is limited. The present studies describe the development and evaluation of a short-form version of this measure. Materials...

The Effects of a Pain Psychology and Neuroscience... : The Clinical Journal of Pain clinical benefits if the educational intervention is personalized, and they evaluate various psychosocial risk factors with respect to their pain. We developed and tested a brief, internet-based Pain Psychology and Neuroscience (PPN) self-evaluation intervention. Materials and Methods: From a patien...

Impaired School Functioning in Children With Chronic Pain:... : The Clinical Journal of Pain Survey of Children’s Health. Parents (n=48,254) reported on whether their child had chronic pain over the past 12 months. Parents also reported on school functioning including (1) engagement with school, (2) number of school days missed, (3) problems at school, (4) repeating a grade, and (5) diagn...

Reliability, Discriminative, and Prognostic Validity of the ... : The Clinical Journal of Pain sorder (MDD), and prognostic validity when predicting recovery trajectories after acute musculoskeletal (MSK) trauma. Methods: Data were drawn from a longitudinal cohort study of adults with acute MSK trauma, supplemented by a secondary sample of adults with chronic pain. Results: In a sample of n=2...

Sleep Characteristics in Adults With and Without Chronic... : The Clinical Journal of Pain e the impact of psychological symptoms on subjective and objective sleep measures in patients with chronic musculoskeletal pain (CMP), as compared with pain-free controls. Materials and Methods: Sleep was assessed by self-report questionnaires, actigraphy, and polysomnography recordings in 56 patien...

Opioid-induced Constipation: A Review of Health-related... : The Clinical Journal of Pain C, have the potential to significantly impair patients’ QOL. Patients with OIC often experience substantial overall burden (ie, increases in anxiety and depression, impairments in activities of daily living, low self-esteem, feelings of embarrassment) and economic burden (ie, higher health care co...

Psychological Predictors of Perceived Age and Chronic Pain... : The Clinical Journal of Pain ings about the relationship between perceived age, chronic pain impact, and psychological function in adults with and without knee osteoarthritis. Methods: This secondary analysis was part of an ongoing multisite observational cohort study to understand the progression of knee pain and disability. C...

Exploring the Psychometric Properties of the Current Opioid ... : The Clinical Journal of Pain n a definition of opioid misuse in the context of chronic pain, making measurement a challenge. One commonly used measure to assess opioid misuse in the context of chronic pain is the Current Opioid Misuse Measure (COMM). The COMM was designed to assess opioid misuse generally, as captured by psychi...

Evaluation of the Efficacy of Prolonged Pregabalin... : The Clinical Journal of Pain nt repair. Materials and Methods: Group 1 (N=25) patients received pregabalin 75 mg/d, and group 2 (N=25) received placebo, 7 days before and 7 days after surgery. Spinal anesthesia was performed using 0.5% hyperbaric bupivacaine (15 mg). The following were evaluated: pain intensity immediately ...

No Evidence of Altered Reactivity to Experimentally Induced ... : The Clinical Journal of Pain ch a determination is clinically relevant in light of hypersensitivity to pain associated with prolonged use of other analgesics such as opioids, and reports of increased pain sensitivity to experimentally induced pain during acute cannabis intoxication. This study explored differences in measures o...

Can Headache Profile Predict Future Disability: A Cohort... : The Clinical Journal of Pain tional Headache Society classification’s criteria for episodic or chronic TTH form and to be at least 18 years old. Baseline clinical outcomes (headache and neck-related disability, kinesiophobia, self-efficacy, and anxiety) and physical outcomes (neck extensors muscles maximum voluntary contracti...

Exercise-induced Hypoalgesia Is Impaired in Chronic... : The Clinical Journal of Pain trols, (2) determine if EIH differs between aerobic and isometric exercise, (3) determine predictors of EIH. Materials and Methods: A pre-post study investigated the effect of single sessions of submaximal aerobic treadmill walking and isometric knee extension on EIH in 40 participants with chronic....

A Randomized Controlled Comparison of Epidural Analgesia... : The Clinical Journal of Pain Objectives: The purpose was to compare the effects of 3 different dose combinations of bupivacain

Dexmedetomidine 2 ppm Is Appropriate for the Enhancement... : The Clinical Journal of Pain pm DEX was also longer than the addition of adrenaline. We hypothesized that it is possible to safely achieve an equal local anesthesia effect as with 1:80,000 adrenaline, without using adrenaline or felypressin, by the addition of