Clinical features of chronic pain with neuropathic characteristics: A symptom‐based assessment using the <scp>P</scp>ain <scp>DETECT Q</scp>uestionnaire

Shaygan, Maryam; Böger, Andreas; Kröner‐Herwig, Birgit

doi:10.1002/j.1532-2149.2013.00322.x

Cited by 18 publications

(13 citation statements)

References 37 publications

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“…Moreover depression is associated with anxiety in patients with headache (Kröner-Herwig et al, 2008 ; Wieser et al, 2012 ). The presence of neuropathic components in the pain experienced by the patient correlates with higher values for depressive and anxious symptomatology (Radat et al, 2013 ; Shaygan et al, 2013 ; Uher and Bob, 2013 ); in case of complex conditions the comorbidity with major depressive disorder is high (Proctor et al, 2013 ). Together with anxiety, alexithymia is also frequently associated with depression (although it can occur without the latter) in influencing the quality of perceived pain, mainly on the affective component and, to a lesser degree, on its sensory component in a relationship mediated by perceived psychological stress (Lumley et al, 2002 ; Huber et al, 2009 ; Hosoi et al, 2010 ).…”

Section: Resultsmentioning

confidence: 99%

Psychological Considerations in the Assessment and Treatment of Pain in Neurorehabilitation and Psychological Factors Predictive of Therapeutic Response: Evidence and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

et al. 2016

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Background: In order to provide effective care to patients suffering from chronic pain secondary to neurological diseases, health professionals must appraise the role of the psychosocial factors in the genesis and maintenance of this condition whilst considering how emotions and cognitions influence the course of treatment. Furthermore, it is important not only to recognize the psychological reactions to pain that are common to the various conditions, but also to evaluate how these syndromes differ with regards to the psychological factors that may be involved. As an extensive evaluation of these factors is still lacking, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) aimed to collate the evidence available across these topics.Objectives: To determine the psychological factors which are associated with or predictive of pain secondary to neurological conditions and to assess the influence of these aspects on the outcome of neurorehabilitation.Methods: Two reviews were performed. In the first, a PUBMED search of the studies assessing the association between psychological factors and pain or the predictive value of these aspects with respect to chronic pain was conducted. The included papers were then rated with regards to their methodological quality and recommendations were made accordingly. In the second study, the same methodology was used to collect the available evidence on the predictive role of psychological factors on the therapeutic response to pain treatments in the setting of neurorehabilitation.Results: The first literature search identified 1170 results and the final database included 189 articles. Factors such as depression, anxiety, pain catastrophizing, coping strategies, and cognitive functions were found to be associated with pain across the various conditions. However, there are differences between chronic musculoskeletal pain, migraine, neuropathy, and conditions associated with complex disability with regards to the psychological aspects that are involved. The second PUBMED search yielded 252 studies, which were all evaluated. Anxiety, depression, pain catastrophizing, coping strategies, and pain beliefs were found to be associated to different degrees with the outcomes of multidisciplinary programs, surgery, physical therapies, and psychological interventions. Finally, sense of presence was found to be related to the effectiveness of virtual reality as a distraction tool.Conclusions: Several psychological factors are associated with pain secondary to neurological conditions and should be acknowledged and addressed in order to effectively treat this condition. These factors also predict the therapeutic response to the neurorehabilitative interventions.

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Section: Resultsmentioning

confidence: 99%

Psychological Considerations in the Assessment and Treatment of Pain in Neurorehabilitation and Psychological Factors Predictive of Therapeutic Response: Evidence and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

et al. 2016

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“…An increasing number of studies of chronic pain have found that the neuropathic pain is denoted by a high level of intensity, negative affectivity, as well as disability. 1 – 6 Neuropathic pain is a challenge to pain management as it is frequently refractory to treatment. 7 – 9 Several studies have shown that multidisciplinary treatment can be beneficial for chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Predicting factors of outcome in multidisciplinary treatment of chronic neuropathic pain

Shaygan

Böger

Kröner‐Herwig

2018

JPR

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PurposeEvidence of the effectiveness of multidisciplinary treatment with a focus on neuropathic pain is still rare. The present study investigated whether multidisciplinary treatment leads to improvement of neuropathic pain in outcome (pain intensity and disability) and psychological (depression, pain acceptance, and catastrophizing) variables at posttreatment and 3-month follow-up. We examined whether and to what extent psychological changes can predict long-term outcome at 3-month follow-up, when other variables are controlled for (baseline characteristics and changes in pain parameters).Patients and methodsPatients suffering from a chronic neuropathic pain condition (n=141) attended an inpatient multidisciplinary program lasting about 15 continuous days with self-report data collected at pretreatment, posttreatment, and 3-month follow-up.ResultsRepeated-measures ANOVAs showed a significant improvement of pain intensity, disability, pain acceptance, catastrophizing, and depression at posttreatment. These improvements remained stable over the 3-month follow-up for all variables except for depression. The inclusion of psychological changes in multiple regression analyses greatly increased the variance in outcome, explained by baseline characteristics and changes in pain parameters.ConclusionThe results could help clinicians to determine which variables should be emphasized during inpatient treatment and during the follow-up period, in order to maintain the gains after an inpatient multidisciplinary treatment for neuropathic pain.PerspectiveThe present study demonstrates the beneficial effects of an inpatient multidisciplinary program for neuropathic pain and further question the resistant nature of neuropathic pain to treatment. The results add evidence to the relevance of cognitive-behavioral models of pain positing an important role for pain-related thoughts and emotions in long-term outcome following multidisciplinary pain treatment.

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“…First, immediate postoperative pain out of proportion to the physical examination and having neuropathic (e.g., hyperesthetic) qualities should raise the suspicion of a possible peripheral nerve problem. [4][5][6][7] Second, a positive Tinel sign further bolsters this conclusion and aids the surgeon in precisely identifying the site of the problem (which can be several centimeters from the incision). This physical examination finding should ideally be performed at least 2 to 4 weeks following this type of procedure as there is some expected degree of incisional discomfort that can confound such an examination before that time.…”

Section: Discussionmentioning

confidence: 88%

Supraorbital Neuroma: A Rare and Unreported Complication Following Blepharoplasty

Pietramaggiori

Scherer

Peled³

et al. 2015

J reconstr Microsurg

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Clinical features of chronic pain with neuropathic characteristics: A symptom‐based assessment using the Pain DETECT Questionnaire

Abstract: Any type of chronic pain may have more or less neuropathic characteristics. The pain-related parameters of high intensity and chronicity as well as negative affectivity and functional disability strongly correlate with neuropathic characteristics of pain.

Cited by 18 publications

References 37 publications

Psychological Considerations in the Assessment and Treatment of Pain in Neurorehabilitation and Psychological Factors Predictive of Therapeutic Response: Evidence and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Psychological Considerations in the Assessment and Treatment of Pain in Neurorehabilitation and Psychological Factors Predictive of Therapeutic Response: Evidence and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Predicting factors of outcome in multidisciplinary treatment of chronic neuropathic pain

Supraorbital Neuroma: A Rare and Unreported Complication Following Blepharoplasty

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