Validation of the German fear of pain questionnaire in a sample of children with mixed chronic pain conditions

Aim: Spinal cord stimulation (SCS) is used to clinically manage and/or treat several chronic pain etiologies. A limited amount is known about the influence on patients' use of opioid pain medication. This retrospective analysis evaluated SCS effect on opioid consumption in patients presenting with chronic pain conditions. Materials & methods: Sixty-seven patients underwent a temporary trial device, permanent implant or both. Patients were divided for assessment based on the nature of their procedure(s). Primary outcome was change in morphine equivalent dose (MED), ascertained from preoperative and postoperative medication reports. Results: Postoperative MED was significantly lower in patients who received some form of neuromodulation therapy. Pretrial patients reported an average MED of 41.01 ± 10.23 mg per day while post-trial patients reported an average of 13.30 ± 5.34 mg per day (p < 0.001). Pre-implant patients reported an average MED of 39.14 ± 13.52 mg per day while post-implant patients reported an average MED of 20.23 ± 9.01 mg per day (p < 0.001). There were no significant differences between pre-trial and pre-implant MED, nor between post-trial and post-implant MED. Of the 42 study subjects who reported some amount of pre-intervention opioid use, 78.57% indicated a lower MED (n = 33; p < 0.001), 16.67% indicated no change (n = 7) and 4.76% (n = 2) indicated a higher MED, following intervention. Moreover, SCS therapy resulted in a 26.83% reduction (p < 0.001) in the number of patients with MED >50 mg per day. Conclusion: Spinal cord stimulation may reduce opioid use when implemented appropriately. Neuromodulation may represent alternative therapy for alleviating chronic pain which may avoid a number of deleterious side effects commonly associated with opioid consumption.

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Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine

The Lancet Rheumatology ◽

10.1016/s2665-9913(21)00032-1 ◽

2021 ◽

Vol 3 (5) ◽

pp. e383-e392

Author(s):

Jo Nijs ◽

Steven Z George ◽

Daniel J Clauw ◽

César Fernández-de-las-Peñas ◽

Eva Kosek ◽

...

Keyword(s):

Chronic Pain ◽

Precision Medicine ◽

Central Sensitisation ◽

Chronic Pain Conditions

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Association of Gender, Painkiller Use, and Experienced Pain with Pain-Related Fear and Anxiety among University Students According to the Fear of Pain Questionnaire-9

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084098 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4098

Author(s):

Paweł Piwowarczyk ◽

Agnieszka Kaczmarska ◽

Paweł Kutnik ◽

Aleksandra Hap ◽

Joanna Chajec ◽

...

Keyword(s):

Medical Training ◽

Fear Of Pain ◽

Pain Questionnaire ◽

Factors Associated ◽

Experienced Pain ◽

Pain Frequency ◽

Fear And Anxiety ◽

The City ◽

Anxiety And Fear

Anxiety and fear are determinants of acute and chronic pain. Effectively measuring fear associated with pain is critical for identifying individuals’ vulnerable to pain. This study aimed to assess fear of pain among students and evaluate factors associated with pain-related fear. We used the Fear of Pain Questionnaire-9 to measure this fear. We searched for factors associated with fear of pain: gender, size of the city where the subjects lived, subject of academic study, year of study, the greatest extent of experienced pain, frequency of painkiller use, presence of chronic or mental illness, and past hospitalization. We enrolled 717 participants. Median fear of minor pain was 5 (4–7) fear of medical pain 7 (5–9), fear of severe pain 10 (8–12), and overall fear of pain 22 (19–26). Fear of pain was associated with gender, frequency of painkiller use, and previously experienced pain intensity. We found a correlation between the greatest pain the participant can remember and fear of minor pain (r = 0.112), fear of medical pain (r = 0.116), and overall fear of pain (r = 0.133). Participants studying medicine had the lowest fear of minor pain while stomatology students had the lowest fear of medical pain. As students advanced in their studies, their fear of medical pain lowered. Addressing fear of pain according to sex of the patient, frequency of painkiller use, and greatest extent of experienced pain could ameliorate medical training and improve the quality of pain management in patients.

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Toward a taxonomy of adolescents with chronic pain: Exploratory cluster and discriminant analyses of the bath adolescent pain questionnaire

European Journal of Pain ◽

10.1016/j.ejpain.2009.05.004 ◽

2010 ◽

Vol 14 (2) ◽

pp. 214-221 ◽

Cited By ~ 8

Author(s):

Kevin E. Vowles ◽

Abbie Jordan ◽

Christopher Eccleston

Keyword(s):

Chronic Pain ◽

Pain Questionnaire ◽

Discriminant Analyses

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Interdisciplinary Teams in Endometriosis Care

Seminars in Reproductive Medicine ◽

10.1055/s-0040-1718943 ◽

2020 ◽

Vol 38 (02/03) ◽

pp. 227-234

Author(s):

Catherine Allaire ◽

Alicia Jean Long ◽

Mohamed A. Bedaiwy ◽

Paul J. Yong

Keyword(s):

Chronic Pain ◽

Interdisciplinary Team ◽

Multidisciplinary Care ◽

Complex Problem ◽

Interdisciplinary Teams ◽

Team Approach ◽

Team Care ◽

Psychological Therapies ◽

Published Evidence ◽

Chronic Pain Conditions

AbstractEndometriosis-associated chronic pelvic pain can at times be a complex problem that is resistant to standard medical and surgical therapies. Multiple comorbidities and central sensitization may be at play and must be recognized with the help of a thorough history and physical examination. If a complex pain problem is identified, most endometriosis expert reviews and guidelines recommend multidisciplinary care. However, there are no specific recommendations about what should be the components of this approach and how that type of team care should be delivered. There is evidence showing the effectiveness of specific interventions such as pain education, physical therapy, psychological therapies, and pharmacotherapies for the treatment of chronic pain. Interdisciplinary team models have been well studied and validated in other chronic pain conditions such as low back pain. The published evidence in support of interdisciplinary teams for endometriosis-associated chronic pain is more limited but appears promising. Based on the available evidence, a model for an interdisciplinary team approach for endometriosis care is outlined.

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