scholarly journals 2135

2017 ◽  
Vol 1 (S1) ◽  
pp. 69-69
Author(s):  
Kathryn E. Kanzler ◽  
Patricia Robinson ◽  
Mariana Munante ◽  
Donald McGeary ◽  
Jennifer Potter ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Behavioral Health ◽  
Control Group ◽  
Health Provider ◽  
Care Clinic ◽  
Integrated Behavioral Health ◽  
Behavioral Health Provider ◽  
Chronic Pain Patients ◽  
Pain Patients

OBJECTIVES/SPECIFIC AIMS: This study seeks to test the feasibility and effectiveness of a brief acceptance and commitment therapy (ACT) treatment for chronic pain patients in a primary care clinic METHODS/STUDY POPULATION: Primary care patients aged 18 years and older with at least 1 pain condition for 12 weeks or more in duration will be recruited. Patients will be randomized into (a) ACT intervention or (b) control group. Participants in the ACT arm will attend 1 individual visit with an integrated behavioral health provider, followed by 3 weekly ACT classes and a booster class 2 months later. Control group will receive enhanced primary care that includes patient education handouts informed by cognitive behavioral science. Data analysis will include 1-way analysis of covariance (ANCOVA), multiple regression with bootstrapping. RESULTS/ANTICIPATED RESULTS: The overall hypothesis is that brief ACT treatment reduces physical disability, improves functioning, and reduces medication misuse in chronic pain patients when delivered by an integrated behavioral health provider in primary care. In addition, it is anticipated that improvements in patient functioning will be mediated by patient change in pain acceptance and patient engagement in value-consistent behaviors. DISCUSSION/SIGNIFICANCE OF IMPACT: This pilot study will establish preliminary data about the effectiveness of addressing chronic pain in a generalizable integrated primary care setting. Data will help support a larger trial in the future. Findings have potential to transform the way chronic pain is currently managed in primary care settings, with results that could decrease disability and improve functioning among patients suffering from chronic pain.

scholarly journals Emotional and Neurobehavioural Status in Chronic Pain Patients

2011 ◽  
Vol 16 (1) ◽  
pp. 41-43 ◽  
Author(s):  
He Shuchang ◽  
He Mingwei ◽  
Jia Hongxiao ◽  
Wu Si ◽  
Yang Xing ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Mood State ◽  
Control Group ◽  
Chronic Lower Back Pain ◽  
Control Subjects ◽  
Lower Back ◽  
Chronic Pain Patients ◽  
Pain Patients

OBJECTIVE: To investigate the emotional and neurobehavioural status of patients suffering from chronic pain.METHODS: Fifteen male patients with chronic lower back pain and 15 healthy control subjects were studied for approximately six months. Pain was measured using a visual analogue scale. The WHO Neurobehavioral Core Test Battery (NCTB) was used to assess neurobehavioural effects of environmental and occupational exposures.RESULTS: Visual analogue scale results demonstrated a modest range of reported pain (mean [± SD] 62.0±10.8) in chronic pain patients, whereas control subjects reported no measurable pain. With the NCTB, it was found that scores of negative mood state, including anger-hostility, depression-dejection, fatigue-inertia and tension-anxiety in pain patients were significantly higher than scores in the control subjects. By contrast, scores of positive mood state (vigour-activity) in chronic pain patients were lower than those in the control group. The NCTB scores of the Santa Ana Dexterity and Pursuit Aiming II tests in chronic lower back pain patients were lower than those of the control group. Scores for other NCTB sub-tests, including the Digit Span, Benton Visual Retention and Digit Symbol tests, were not significantly different compared with controls.CONCLUSIONS: Chronic lower back pain patients had more negative mood and less positive mood than controls. These patients also demonstrated neuromotor deficits in coordination and reaction time. Further studies are required to examine possible neurological mechanisms and research potential intervention strategies for patients suffering from chronic pain.

Efficacy of the Opioid Compliance Checklist to Monitor Chronic Pain Patients Receiving Opioid Therapy in Primary Care

2016 ◽  
Vol 17 (4) ◽  
pp. 414-423 ◽  
Author(s):  
Robert N. Jamison ◽  
Marc O. Martel ◽  
Chuan-Chin Huang ◽  
Dylan Jurcik ◽  
Robert R. Edwards
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Opioid Therapy ◽  
Chronic Pain Patients ◽  
Pain Patients

Millon behavioral health inventory norms for male and female chronic pain patients

Pain ◽  
1987 ◽  
Vol 30 ◽  
pp. S94 ◽  
Author(s):  
E. Labba ◽  
M. Goldberg ◽  
D. Fishbain ◽  
R. Steele-Rosomoff ◽  
H. Rosomoff
Keyword(s):  
Chronic Pain ◽  
Behavioral Health ◽  
Male And Female ◽  
Chronic Pain Patients ◽  
Pain Patients ◽  
Millon Behavioral Health Inventory

(435) Reducing opioid misuse among chronic pain patients in primary care

2015 ◽  
Vol 16 (4) ◽  
pp. S84
Author(s):  
D. Jurcik ◽  
E. Ross ◽  
E. Scanlan ◽  
R. Jamison ◽  
M. Matthews
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Opioid Misuse ◽  
Chronic Pain Patients ◽  
Pain Patients

Comparison of compensation and non-compensation chronic pain patients on the millon behavioral health inventory (MBHI)

Pain ◽  
1987 ◽  
Vol 30 ◽  
pp. S324
Author(s):  
M. Goldberg ◽  
E. Labbe ◽  
D. Fishbain ◽  
R. Steele-Rosomoff ◽  
H. Rosomoff
Keyword(s):  
Chronic Pain ◽  
Behavioral Health ◽  
Chronic Pain Patients ◽  
Pain Patients ◽  
Millon Behavioral Health Inventory

scholarly journals A Randomized, Controlled Trial of Wholistic Hybrid Derived From Eye Movement Desensitization and Reprocessing and Emotional Freedom Technique (WHEE) for Self-Treatment of Pain, Depression, and Anxiety in Chronic Pain Patients

2016 ◽  
Vol 22 (2) ◽  
pp. 268-277 ◽  
Author(s):  
Daniel Benor ◽  
John Rossiter-Thornton ◽  
Loren Toussaint
Keyword(s):  
Chronic Pain ◽  
Pilot Study ◽  
Incidental Finding ◽  
Controlled Trial ◽  
Psychological Trauma ◽  
Control Group ◽  
Wait List ◽  
Convenience Sample ◽  
Chronic Pain Patients ◽  
Pain Patients

In this pilot study, a convenience sample of 24 chronic pain patients (17 with chronic fatigue syndrome/fibromyalgia) were randomized into WHEE treatment and wait-list control groups for 6 weeks. Assessments of depression, anxiety, and pain were completed before, during, and at 1 and 3 months after treatment. Wait-listed patients then received an identical course of WHEE and assessments. WHEE decreased anxiety ( P < .5) and depression ( P < .05) compared with the control group. The wait-list-turned-WHEE assessments demonstrated decreased pain severity ( P < .05) and depression ( P < .04) but not pain interference or anxiety. WHEE appears a promising method for pain, anxiety, and depression in patients with chronic pain, compared to standard medical care alone. Though a small pilot study, the present results suggest that further research appears warranted. An incidental finding was that a majority of patients with chronic pain had suffered psychological trauma in childhood and/or adulthood.

Sign in / Sign up

Export Citation Format

Share Document