Comorbid Psychiatric Disorders and Predictors of Pain Management Program Success in Patients With Chronic Pain

Workman, Edward A.; Hubbard, John R.; Felker, Bradford

doi:10.4088/pcc.v04n0404

Cited by 34 publications

(18 citation statements)

References 11 publications

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“… 68 These associations are especially important given the common co-occurrence of chronic pain and psychiatric conditions. 89 The implementation of medical and recreational cannabis policies offer an opportunity to collect longitudinal data on the effects of cannabis use. As we continue to collect such data, cannabis pharmacotherapy for pain management must be based upon thorough risk-benefit discussions.…”

Section: Substances Used For Painmentioning

confidence: 99%

Cannabis and Pain: A Clinical Review

Hill

Palastro

Johnson

et al. 2017

Cannabis and Cannabinoid Research

203

131

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Introduction: Cannabis has been used for medical purposes across the world for centuries. As states and countries implement medical and recreational cannabis policies, increasing numbers of people are using cannabis pharmacotherapy for pain. There is a theoretical rationale for cannabis' efficacy for pain management, although the subjective pain relief from cannabis may not match objective measurements of analgesia. As more patients turn to cannabis for pain relief, there is a need for additional scientific evidence to evaluate this increase.Materials and Methods: Research for this review was performed in the PubMed/National Library of Medicine database.Discussion: Preclinical studies demonstrate a narrow therapeutic window for cannabis as pharmacotherapy for pain; the body of clinical evidence for this indication is not as extensive. A recent meta-analysis of clinical trials of cannabis and cannabinoids for pain found modest evidence supporting the use of cannabinoid pharmacotherapy for pain. Recent epidemiological studies have provided initial evidence for a possible reduction in opioid pharmacotherapy for pain as a result of increased implementation of medical cannabis regimens.Conclusion: With increased use of medical cannabis as pharmacotherapy for pain comes a need for comprehensive risk-benefit discussions that take into account cannabis' significant possible side effects. As cannabis use increases in the context of medical and recreational cannabis policies, additional research to support or refute the current evidence base is essential to attempt to answer the questions that so many healthcare professionals and patients are asking.

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Section: Substances Used For Painmentioning

confidence: 99%

Cannabis and Pain: A Clinical Review

Hill

Palastro

Johnson

et al. 2017

Cannabis and Cannabinoid Research

203

131

View full text Add to dashboard Cite

show abstract

“…The most common psychiatric disorders comorbid with chronic pain include depression, anxiety, personality disorders, and PTSD [76]. Evidence also suggests that patients with comorbid conditions are less likely to improve with standard chronic pain treatment [77].…”

Section: Cancer Survivors Pain Treatmentmentioning

confidence: 99%

Cancer Pain

Ščiupokas¹,

Brogienė²,

Skorupskienė³

2019

From Conventional to Innovative Approaches for Pain Treatment

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In 1986, the World Health Organization (WHO) has published a document entitled "A Declaration of the Rights of Patients with Chronic Cancer," which says that according to the WHO, three-step analgesic ladder pain relief should be adequate for 70-90% of patients. However, despite increased attention on assessment and management, pain continues to be a prevalent symptom for patients with cancer. That is why refreshment of knowledge in cancer pain is necessary for every active practitioner. Broad overview of current understanding in cancer pain is presented in the chapter. Cancer pain syndromes are analyzed in between acute or chronic, and in among various causes occurred. Cancer pain assessment was presented with challenges meeting clinical practitioners. For cancer pain treatment, principles of multimodal approach are used. The pharmaceutical treatment presented in detail included rational use of opioids. Big attention is paid on palliative care of cancer pain patients and hospice-based palliative care model is presented too. New technologies of breakthrough cancer pain management are disclosed in detail including special questionnaire for patients. Cancer survivors' pain treatment and general practitioner's role among cancer pain problems are new topics presented in the chapter.

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“…Cancer and chronic pain research consistently show a positive relationship between physical symptoms and depressive symptoms 5–7 . While the direction of effect is not always clear (i.e., depression may exacerbate physical symptoms or physical symptoms may cause depression), some studies suggest that unpleasant physical symptoms may increase depressive symptomatology, 7 possibly because they interfere with life functioning. For this reason it is important to examine whether pregnancy‐related physical symptoms are also associated with lesser psychological well being.…”

Section: Introductionmentioning

confidence: 99%

Frequency, Severity, and Effect on Life of Physical Symptoms Experienced During Pregnancy

Kamysheva

Wertheim²,

Skouteris

et al. 2009

J Midwife Womens Health

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This study aimed to: 1) describe the number, frequency, severity of discomfort and effect of symptoms on life of 29 physical symptoms women experienced at 15 to 25 weeks of gestation; 2) explore whether experiencing this group of physical symptoms more frequently and intensely was associated with a higher score of depressive symptoms and lower self-esteem; (3) examine whether discomfort and effect ratings aided prediction of well being over and above symptom frequency; and (4) investigate which individual physical symptoms contributed most to predicting depressive symptoms and self-esteem. Pregnant women (n = 215) completed the Beck Depression Inventory, Rosenberg Self-Esteem Scale, and a physical symptoms questionnaire. Frequency, discomfort, and the effect of physical symptoms all consistently correlated with higher scores for depressive symptoms, but less consistently with lower self-esteem. Discomfort and the effect of symptoms predicted variance in depressive symptoms after accounting for symptom frequency. Higher frequency, more discomfort, and the effect of fatigue and effect of flatulence were related to depressive symptoms. Relationships between pregnancy-related physical symptoms, depressive symptoms, and low self-esteem suggest that when women report any of these constellation of factors, further screening is indicated. A comprehensive assessment of physical symptoms includes frequency, discomfort, and effect on life.

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Comorbid Psychiatric Disorders and Predictors of Pain Management Program Success in Patients With Chronic Pain

Cited by 34 publications

References 11 publications

Cannabis and Pain: A Clinical Review

Cannabis and Pain: A Clinical Review

Cancer Pain

Frequency, Severity, and Effect on Life of Physical Symptoms Experienced During Pregnancy

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