Does Chronic Pain Affect Heart Function?

2020 ◽  
pp. 1-9
Author(s):  
Giovanna Goldaniga ◽  
Massimo Allegri
Keyword(s):  
Chronic Pain ◽  
Heart Function ◽  
Pain Affect

Does Chronic Pain Affect Heart Function?

2020 ◽  
pp. 671-679
Author(s):  
Giovanna Goldaniga ◽  
Massimo Allegri
Keyword(s):  
Chronic Pain ◽  
Heart Function ◽  
Pain Affect

The Nature and Adaptive Implications of Pain-Affect Dynamics

2018 ◽  
Author(s):  
Mary C. Davis ◽  
Chung Jung Mun ◽  
Dhwani Kothari ◽  
Shannon Moore ◽  
Crys Rivers ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Functional Health ◽  
Affective Experience ◽  
Motivational Systems ◽  
Chronic Pain Patients ◽  
Pain Affect ◽  
Dynamic Relations ◽  
Pain Patients ◽  
Dynamic Interplay

Because pain is in part an affective experience, investigators over the past several decades have sought to elaborate the nature of pain-affect connections. Our evolving understanding of the intersection of pain and affect is especially relevant to intervention efforts designed to enhance the quality of life and functional health of individuals managing chronic pain. This chapter describes how pain influences arousal of the vigilance/defensive and appetitive/approach motivational systems and thus the affective health of chronic pain patients. The focus then moves to the dynamic relations between changes in pain and other stressors and changes in positive and negative affect as observed in daily life and laboratory-based experiments. A consensus emerges that sustaining positive affect during pain and stress flares may limit their detrimental effects and promote better functional health. The authors consider the implications of increased understanding of the dynamic interplay between pain and affective experience for enhancing existing interventions.

scholarly journals Identification of traits and functional connectivity-based neuropsychotypes of chronic pain

2018 ◽  
Author(s):  
Etienne Vachon-Presseau ◽  
Sara E. Berger ◽  
Taha B. Abdullah ◽  
James W. Griffith ◽  
Thomas J. Schnitzer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Socioeconomic Status ◽  
Back Pain ◽  
Cross Validation ◽  
Chronic Back Pain ◽  
Personality Factors ◽  
Network Analyses ◽  
Pain Affect ◽  
Validation Procedure ◽  
Clinical Conditions

AbstractPsychological and personality factors, socioeconomic status, and brain properties all contribute to chronic pain but have essentially been studied independently. Here, we administered a broad battery of questionnaires to patients with chronic back pain (CBP). Clustering and network analyses revealed four orthogonal dimensions accounting for 60% of the variance, and defining chronic pain traits. Two of these traits – Pain-trait and Emote-trait - were related to back pain characteristics and could be predicted from distinct distributed functional networks in a cross-validation procedure, identifying neurotraits. These neurotraits were relatively stable in time and segregated CBP patients into subtypes showing distinct traits, pain affect, pain qualities, and socioeconomic status (neuropsychotypes). The results unravel the trait space of chronic pain leading to reliable categorization of patients into distinct types. The approach provides metrics aiming at unifying the psychology and the neurophysiology of chronic pain across diverse clinical conditions, and promotes prognostics and individualized therapeutics.

scholarly journals Examining Emotional Pain Among Individuals With Chronic Physical Pain: Nomothetic and Idiographic Approaches

2019 ◽  
Author(s):  
Madelyn Frumkin ◽  
Simon Haroutounian ◽  
Thomas Rodebaugh
Keyword(s):  
Chronic Pain ◽  
Structural Equation ◽  
Physical Symptoms ◽  
Group Level ◽  
Physical Pain ◽  
Emotional Pain ◽  
Pain Syndromes ◽  
Pain Affect ◽  
The Relationship ◽  
Chronic Pain Syndromes

Objective: Emotional pain (i.e., pain affect in response to psychological experiences such as rejection or loss) may be a component of chronic pain syndromes given high co-occurrence with depression and neurobiological overlaps in pain affect resulting from physical and emotional experiences. In the current set of studies, we examined the relationship between emotional and physical pain using both nomothetic (i.e., group-level) and idiographic (i.e., individual-level) approaches.Methods: Individuals with chronic pain were recruited from the Washington University Pain Center. First, we assessed the relationship between emotional and physical pain at the group level. Then, three individuals from the group-level study completed ecological momentary assessment four times per day for at least four weeks. We assessed relationships between emotional and physical pain using correlations and Dynamic Structural Equation Modeling.Results: Emotional pain severity was significantly positively correlated with physical pain at the group level. However, results from idiographic analyses suggested that one individual did not display a significant correlation between physical and emotional pain, and two individuals displayed correlations larger than expected based on the group-level data. Competing models suggested that emotional and physical pain represented distinct constructs for the individuals studied.Conclusions: These results suggest that emotional pain may be an important component of chronic pain syndromes. However, idiographic models revealed heterogeneity that may have important implications for treatment. Further research is needed to understand whether idiographic relationships between emotional and physical pain can help identify effective treatment targets for individuals with co-occurring emotional and physical symptoms.

Amitriptyline treatment of chronic pain in patients with temporomandibular disorders

2000 ◽  
Vol 27 (10) ◽  
pp. 834-841 ◽  
Author(s):  
O. Plesh ◽  
D. Curtis ◽  
J. Levine ◽  
W. D. Mccall Jr
Keyword(s):  
Chronic Pain ◽  
Temporomandibular Disorders
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