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Chronic Pain

Details, symptoms, treatment, bio-psycho-social effect

Megan Ponte

on 15 April 2012

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Transcript of Chronic Pain

What is Chronic Pain? -Chronic pain is defined as pain that last longer than 3 months - With chronic pain, signals of pain remain active in the nervous system for weeks, months, or even years Severity? - Chronic pain can be mild or excruciating, episodic or continuous, merely inconvenient or totally incapacitating. Types of chronic pain Headaches/migraines Joint pain Backaches Pain affecting specific parts of the body, such as shoulders, pelvis, and neck Pain from injury Tendinitis Sinus pain Carpal tunnel syndrome How do you get chronic pain? -May originate with initial trauma injury or infection Some people suffer chronic pain in the absense of any past injury or evidence of body damage Symptoms: Mild to severe pain consistent pain Pain described as shooting, burning, aching, or electrical discomfort, tightness, soreness, or stiffness Other problems associated with the pain are: - Fatigue - Sleeplessness
- Withdrawal from activity
- Increased need to rest
- Weakened immune system
- Disability - Changes in mood including... Bio-psycho-social Connections: - The emotional toll of chronic pain also can make pain worse - Anxiety, stress, depression, anger, and fatigue interact in complex ways with chronic pain - Which may decrease the body's production of natural painkillers Fear, hoplessness, depression, irritability, anxiety and stress - Negative feelings may increase the level of substances that amplify sensations of pain - Unrelenting pain can suppress the immune system - Effective treatment requires addressing psychological as well as physical aspects of the condition Treatment - (Medical)
Medications, mind-body techniques, and acupuncture - (Natural)
Lifestyle changes, physical therapy, counseling - (Last effort) surgery http://psycnet.apa.org/?&fa=main.doiLanding&doi=10.1037/0022-006X.70.3.678 Evidence Based Article: Case Listen closely to the details of this case. Following the video, you are expected to write up an assessment. Journal of Consulting and Clinical Psychology, Vol 70(3), Jun 2002, 678-690.

Research has demonstrated the importance of psychological factors in coping, quality of life, and disability in chronic pain. Furthermore, the contributions of psychology in the effectiveness of treatment of chronic pain patients have received empirical support. The authors describe a biopsychosocial model of chronic pain and provide an update on research implicating the importance of people's appraisals of their symptoms, their ability to self-manage pain and related problems, and their fears about pain and injury that motivate efforts to avoid exacerbation of symptoms and further injury or reinjury. They provide a selected review to illustrate treatment outcome research, methodological issues, practical, and clinical issues to identify promising directions. Although there remain obstacles, there are also opportunities for psychologists to contribute to improved understanding of pain and treatment of people who suffer from chronic pain. The authors conclude by noting that pain has received a tremendous amount of attention culminating in the passage of a law by the U.S. Congress designating the period 2001-2011 as the "The Decade of Pain Control and Research." (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-- Turk, Dennis C.; Okifuji, Akiko Created by Megan Ponte Research based contributions
made by Lillie Prince
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