Analgesics in Chronic Back Pain

2014 ◽  
Vol 222 (3) ◽  
pp. 179-185 ◽  
Author(s):  
Sandra Kamping ◽  
Maike Müller ◽  
Regine Klinger ◽  
Julia Schmitz ◽  
Herta Flor
Keyword(s):  
Back Pain ◽  
Chronic Back Pain ◽  
Negative Attitude ◽  
Placebo Response ◽  
Pain Medication ◽  
Attitude Score ◽  
Short Term ◽  
Negative Attitudes ◽  
Positive Attitudes ◽  
Pain Patients

Patients’ attitude toward and their personal experience of analgesics may not only influence their expectations about new medications they are prescribed but might also influence placebo effects. We assessed attitudes toward pain medication with an 8-item instrument and experiences with pain medication with an 11-item instrument and evaluated the relationship of attitudes and experiences and placebo responses in chronic back pain patients. On average, patients reported a slightly negative attitude toward analgesics and a slightly positive experience with them compared to healthy pain-free controls that had a more positive attitude toward and experience of analgesics. Pain patients seemed to report their short-term experience with analgesics when completing our instrument, as can be seen by the regression of experience with pain medication and the subscale short-term efficacy of non-/minimally invasive pain medication of the pain interview. Using a pharmacological placebo in a subsample of 38 patients, we were able to show that patients with positive attitudes had a larger placebo response than patients with negative attitudes. The size of the placebo response could be predicted using the mean attitude score. Future placebo research assessing patients’ attitudes toward analgesics seems important and could help to understand the results obtained.

scholarly journals Short-term Prospective Memory Deficits in Chronic Back Pain Patients

2007 ◽  
Vol 69 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Jonathan Ling ◽  
Carol Campbell ◽  
Thomas M. Heffernan ◽  
Charles G. Greenough
Keyword(s):  
Back Pain ◽  
Prospective Memory ◽  
Chronic Back Pain ◽  
Memory Deficits ◽  
Short Term ◽  
Pain Patients

51. Results of Random Drug Testing in Chronic Back Pain Patients Managed with Pain Medication

2008 ◽  
Vol 8 (5) ◽  
pp. 25S-26S
Author(s):  
Andrew Block ◽  
Lori Mock ◽  
Ralph Rashbaum ◽  
Amy Waldrip ◽  
Donna Ohnmeiss
Keyword(s):  
Back Pain ◽  
Drug Testing ◽  
Chronic Back Pain ◽  
Pain Medication ◽  
Random Drug Testing ◽  
Pain Patients

scholarly journals Awareness and Attitudes Toward HIV Self-Testing in Northern Thailand

2021 ◽  
Vol 18 (3) ◽  
pp. 852
Author(s):  
Nardeen Shafik ◽  
Savana Deeb ◽  
Kriengkrai Srithanaviboonchai ◽  
Pisittawoot Ayood ◽  
Rungnapa Malasao ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Negative Attitude ◽  
Hiv Stigma ◽  
Attitude Score ◽  
Local Health ◽  
Negative Attitudes ◽  
Convenience Sample ◽  
Northern Thailand ◽  
Self Testing ◽  
Immunodeficiency Virus

Human Immunodeficiency Virus self-testing (HIVST) was recently introduced in Thailand, but little is known about receptivity among its residents. Because Human Immunodeficiency Virus (HIV) testing is a critical component of HIV prevention, it is important to understand how HIVST is perceived among potential users. The purpose of this study was to examine awareness and attitudes toward HIVST among adults in Northern Thailand. A convenience sample of 403 adult residents of the Sanpatong district, Chiang Mai Province, was interviewed using a structured questionnaire in 2019. Awareness of HIVST was low (14%), as was the overall HIVST negative attitude score (6.44; possible range of 0–14). The odds of being aware of HIVST were more than twice as high for those with more education compared to those with less (AOR = 2.29, 95% CI: 1.22–4.30), and roughly half as high for those who expressed HIV stigma compared to those who did not (AOR = 0.49, 95% CI: 0.26–0.91). Holding negative attitudes towards HIVST also was associated with lower education and expressing HIV stigma, but these relationships disappeared in multivariate analysis. Findings may be used by local health organizations to tailor HIVST education efforts.

Spinal Cord Stimulation for the Treatment of Chronic Back Pain Patients: 500-Hz vs. 1000-Hz Burst Stimulation

2014 ◽  
Vol 18 (1) ◽  
pp. 9-12 ◽  
Author(s):  
Tony Van Havenbergh ◽  
Tim Vancamp ◽  
Pieter Van Looy ◽  
Sven Vanneste ◽  
Dirk De Ridder
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Back Pain ◽  
Burst Stimulation ◽  
Pain Patients

scholarly journals Situating east Indonesia's EFL Learners attitudes toward the extensive listening practices

2021 ◽  
Vol 6 (2) ◽  
pp. 314
Author(s):  
Yosefina Rosdiana Su ◽  
Fatmawati Fatmawati ◽  
Stanislaus Guna ◽  
Fransiskus Jemadi ◽  
Yovita Narsi Mat ◽  
...  
Keyword(s):  
English Language ◽  
Negative Attitude ◽  
Mixed Method Research ◽  
Listening Skills ◽  
Negative Attitudes ◽  
Efl Learners ◽  
Positive Attitudes ◽  
L2 Learning ◽  
Authentic Environment ◽  
Language And Education

Learning English as a foreign language is very challenging for both teachers and students in Flores, East Nusa Tenggara of Indonesia. The challenges are primarily caused by their lack of exposure to the authentic environment of English. In dealing with this phenomenon, the appropriate listening practices expect to help the learners to obtain and construct their knowledge of English as well as to acquire more comprehensible input. This article reports an investigation on the EFL learners� attitudes toward the extensive listening practices. It applied mixed-method research procedures involving 55 students of the English language and education program of Universitas Katolik Indonesia Santu Paulus Ruteng. The data were collected through a survey coupled with Focus Group Discussions with 15 participants. This research revealed that the learners' attitudes are identified into two main categories called positive and negative attitudes. In this case, 38 % of the participants have positive attitudes toward extensive listening practices and 62% of the participant reflected the negative attitude toward the extensive listening practices. Learners with a positive attitude had a very strong awareness of the significance of listening skills in L2 learning. To improve their listening skills, they develop their listening practices outside the classroom consistently. Meanwhile, learners with negative attitudes were categorized as dependent learners who practiced their listening skills during the listening course only. This group of learners was less aware of the significance of listening skills in L2 learning and their listening practices were highly dependent on the teachers' instruction. It showcased that both of the learners� internal and external factors were strongly contributed to this poor extensive listening practices.� The EFL teachers are then strongly suggested to strengthen the learners� awareness on the significance of Listening Skills in L2 learning as well as design more instructed extensive listening practices outside the classroom.�

The periaqueductal gray and descending pain modulation: why should we study them and what role do they play in chronic pain?

2015 ◽  
Vol 114 (4) ◽  
pp. 2080-2083 ◽  
Author(s):  
Kasey S. Hemington ◽  
Marie-Andrée Coulombe
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Functional Connectivity ◽  
Recent Literature ◽  
Chronic Back Pain ◽  
Periaqueductal Gray ◽  
Pain Modulation ◽  
Pain Research ◽  
Descending Pain Modulation ◽  
Pain Patients

In this Neuro Forum we discuss the significance of a recent study by Yu et al. ( Neuroimage Clin 6: 100–108, 2014). The authors examined functional connectivity of a key node of the descending pain modulation pathway, the periaqueductal gray (PAG), in chronic back pain patients. Altered PAG connectivity to pain-related regions was found; we place results within the context of recent literature and emphasize the importance of understanding the descending component of pain in pain research.

Sign in / Sign up

Export Citation Format

Share Document