scholarly journals Psychological Methods of Chronic Non-Specific Pain Treatment

2020 ◽  
Vol 25 (2) ◽  
pp. 12-21
Author(s):  
T. I. Kuzminova ◽  
A. Kh. Mukhametzyanova ◽  
L. V. Magomedkerimova
Keyword(s):  
Chronic Back Pain ◽  
Pain Treatment ◽  
Psychological Treatment ◽  
Behavioral Therapy ◽  
Pain Syndrome ◽  
Relaxation Method ◽  
Psychological State ◽  
Randomized Controlled Studies ◽  
Methods Of Treatment

Psychological treatment methods can be used to reduce the intensity of the pain syndrome, the influence of psychological, social factors, comorbide disorders, and to improve the quality of life in patients with chronic back pain (CPS, i.e. chronical pain syndrome). The methods of assessing the psychological state, the effectiveness of various psychological methods are discussed. It is noted that the effectiveness of cognitive-behavioral therapy, mindfulness (mindfulness therapy), relaxation method and biofeedback is confirmed by the results of randomized controlled studies for CPS. Psychological methods of treatment for pain should be widely used in the management of patients with CPS.

scholarly journals Poststroke Pain

2021 ◽  
Vol 41 (01) ◽  
pp. 067-074
Author(s):  
Seoyon Yang ◽  
Min Cheol Chang
Keyword(s):  
Quality Of Life ◽  
Complex Regional Pain Syndrome ◽  
Shoulder Pain ◽  
Conventional Treatment ◽  
Pain Syndrome ◽  
Psychological State

AbstractPain is common but often underrecognized after stroke. Poststroke pain (PSP) hinders recovery, impairs quality of life, and is associated with the psychological state of patients with stroke. The most common subtypes of PSP include central PSP, complex regional pain syndrome, shoulder pain, spasticity-related pain, and headache. The pathophysiologies of these PSP subtypes are not yet clearly understood, and PSP is refractory to conventional treatment in many patients. However, recent studies have proposed potential pathophysiologies of PSP subtypes, which may help prioritize therapies that target specific mechanisms.

scholarly journals MODERN METHODS OF COMPLEX CORRECTION OF PSYCHOSOMATIC DISORDERS IN PATIENTS WITH EXTERNAL GENITAL ENDOMETRIOSIS

2020 ◽  
Vol 73 (12) ◽  
pp. 2623-2626
Author(s):  
Nikolay A. Shcherbina ◽  
Liliya V Potapova ◽  
Irina N. Shcherbina ◽  
Oksana P. Lipko ◽  
Olga V. Mertsalova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Pain ◽  
Pain Syndrome ◽  
Reproductive Age ◽  
Quality Analysis ◽  
Psychological State ◽  
Pelvic Pain Syndrome ◽  
Psychosomatic Disorders ◽  
Pain Mechanisms

The aim: About 10% of socially active women of reproductive age suffer from endometriosis, is determined by the frequent occurrence of menstrual and reproductive functions disorders, and pelvic pain syndrome in patients. The difficulties of therapeutic treatment of chronic pain syndrome in external genital endometriosis (EGE) are associated with polymorphism of pain mechanisms, and delayed diagnosis and treatment. The aim of the study is to improve the effectiveness of the treatment of external genital endometriosis. Material and methods: We examined 60 female patients of reproductive age, 40 – with histologically verified diagnosis of external genital endometriosis and 20 healthy women. We used the following methods of examination: general clinical, instrumental, endoscopic, morphological, the Visual Analogue Scale (VAS) to quantify pain, the Beck Depression Scale and the SF-36 questionnaire. Results: Before the treatment of patients with EGE, VAS scale scores indicated pain in 100% of patients, the indicators of depression and level of anxiety go beyond the normative. The results of the pre-treatment questionnaire indicated lower quality of life scores on the scales of physical and mental health components. As a result of treatment there was significant decrease in the manifestations of pain, depression and anxiety, with women receiving complex therapy (hormone therapy got antidepressants and non-drug correction methods). Сonclusions: Chronic pelvic pain syndrome associated with EGE and accompanied by an unfavorable psychological state, depressive states, anxiety symptoms, and psychosomatic disorders. New approaches to the treatment of clinical manifestations of EGE are needed, taking into account patients’ psycho-emotional status and the life quality analysis. We pathogenetically justified the use of drugs that affect the psychosomatic status of patients with EGE and showed that they could significantly improve the quality of life.

scholarly journals Non-pharmacological Approaches to Treatment of Patients over 60 Years as a Way to Improve Pharmacotherapy Safety and Prevent Polypharmacy

2018 ◽  
Vol 6 (4) ◽  
pp. 174-179
Author(s):  
A. P. Pereverzev ◽  
O. N. Tkacheva ◽  
Yu. V. Kotovskaya ◽  
Yu. S. Onuchina ◽  
E. N. Dudinskaya ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Pain Syndrome ◽  
Care Providers ◽  
Pharmacological Prophylaxis ◽  
Treatment And Prevention ◽  
Demographic Aging ◽  
Effective Drugs ◽  
Methods Of Treatment ◽  
Analyze Data

Abstract. The demographic aging of the population of the earth observed in recent years is associated, inter alia, with the advent of new effective and safe medicines. However, the availability of highly effective drugs on the market also has a reverse side — the appearance of adverse drug reactions (ADRs), in particular as a result of drug-drug interactions. The use of non-pharmacological methods of treatment and prevention of diseases seems particularly relevant for patients of the older age group, as it allows not only to reduce the drug burden, to reduce the risk of ADRs but also to improve the patient’s state in case of diseases that have no effective pharmacotherapy and pharmacological prophylaxis. The aim of the study was to systematize and analyze data on non-pharmacological treatment methods in order to increase the safety of pharmacotherapy and prevent polypragmasia in elderly patients by informing health care providers about non-drug methods of correcting significant geriatric problems. The approaches to the correction of some major geriatric problems (delirium, sarcopenia, pain syndrome), including cognitive training, physical activity, diet, frequent reorientation of patients, placement of patients in specially equipped rooms («delirium room») were presented. The use of non-pharmacological approaches can significantly improve the safety of drug therapy, reduce the risks of ADRs, improve the patient’s prognosis and quality of life, and also effectively prevent polypharmacy.

scholarly journals Pain Assessment and Treatment Challenges in Patients with Dementia 1This article is a modified version of the article „Pain in patients with dementia: An overview of pain assessment and treatment challenges” that will be printed in the Journal of Norsk Epidemiologi.

2012 ◽  
Vol 23 (4) ◽  
pp. 237-246 ◽  
Author(s):  
Bettina S. Husebo ◽  
Miriam Kunz ◽  
Wilco P. Achterberg ◽  
Frank Lobbezoo ◽  
Judith Kappesser ◽  
...  
Keyword(s):  
Pain Assessment ◽  
Treatment Efficacy ◽  
Pain Treatment ◽  
Psychological Symptoms ◽  
Level Of Evidence ◽  
Randomized Controlled ◽  
Randomized Controlled Studies ◽  
People With Dementia ◽  
Assessment And Treatment

Pain is likely to be equally prevalent in people with dementia, however, only a small minority are prescribed regular analgesics. This is a key issue since untreated pain leads to reduced quality of life and increases the likelihood of emergence of behavioural and psychological symptoms such as agitation. Better assessment and treatment of pain in this fragile patient group are therefore mandatory. In this context, we reviewed the literature on pain and dementia and summarised the best available evidence regarding the frequency of pain and pain diagnosis. Unfortunately, hardly any randomized, controlled studies of pain treatment efficacy in patients with dementia are available, with the consequence that most pain treatment recommendations are not based on the highest level of evidence.

scholarly journals The German Guidelines for the treatment of anxiety disorders: first revision

2021 ◽  
Author(s):  
Borwin Bandelow ◽  
Antonia M. Werner ◽  
Ina Kopp ◽  
Sebastian Rudolf ◽  
Jörg Wiltink ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Psychological Treatment ◽  
Behavioral Therapy ◽  
Treatment Plan ◽  
Individual Treatment ◽  
Level Of Evidence ◽  
Randomized Controlled Studies ◽  
Noradrenaline Reuptake ◽  
Virtual Reality Exposure

AbstractStarting in 2019, the 2014 German Guidelines for Anxiety Disorders (Bandelow et al. Eur Arch Psychiatry Clin Neurosci 265:363–373, 2015) have been revised by a consensus group consisting of 35 experts representing the 29 leading German specialist societies and patient self-help organizations. While the first version of the guideline was based on 403 randomized controlled studies (RCTs), 92 additional RCTs have been included in this revision. According to the consensus committee, anxiety disorders should be treated with psychotherapy, pharmacological drugs, or their combination. Cognitive behavioral therapy (CBT) was regarded as the psychological treatment with the highest level of evidence. Psychodynamic therapy (PDT) was recommended when CBT was not effective or unavailable or when PDT was preferred by the patient informed about more effective alternatives. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) are recommended as first-line drugs for anxiety disorders. Medications should be continued for 6–12 months after remission. When either medications or psychotherapy were not effective, treatment should be switched to the other approach or to their combination. For patients non-responsive to standard treatments, a number of alternative strategies have been suggested. An individual treatment plan should consider efficacy, side effects, costs and the preference of the patient. Changes in the revision include recommendations regarding virtual reality exposure therapy, Internet interventions and systemic therapy. The recommendations are not only applicable for Germany but may also be helpful for developing treatment plans in all other countries.

scholarly journals Stress Management as a Clinical Approach to the Complementary Treatment of Fibromyalgia

2021 ◽  
Vol 11 (23) ◽  
pp. 11186
Author(s):  
María del Carmen Zabala-Baños ◽  
Jorge Luis Merchán-Pinto ◽  
Álvaro Astasio-Picado
Keyword(s):  
Quality Of Life ◽  
Stress Management ◽  
Pain Perception ◽  
Behavioral Therapy ◽  
Multidisciplinary Treatment ◽  
Self Control ◽  
Clinical Approach ◽  
Eligibility Criteria ◽  
Randomized Controlled Studies

Fibromyalgia is a chronic syndrome that can have a devastating effect on the lives of those who suffer from it. These types of patients experience high levels of pain, as well as deficits in terms of positive affect and social relationships, which are not explicitly addressed in pharmacological treatments. Objectives: To know how pharmacological interventions combined with various stress management techniques reduce pain perception in adult patients clinically diagnosed with fibromyalgia. Data sources, study eligibility criteria: The search for the articles was carried out from January 2010 to July 2021, in six databases (Web Of Science (WOS), Scopus, Cochrane, Psycinfo, Psicodoc, Psychology and Behavioral Sciences Collection and Pubpsych) based on the clinical question, using the keywords derived from the DeCS and MeSH thesauri, combined with the Boolean operators “AND”, “NOT” and “OR”. The search was limited to publications from the last 11 years, in English or Spanish, based on randomized controlled studies (RCTs), and covering patients with a clinical and medical diagnosis of fibromyalgia, between 18 and 65 years of age, and of both genders. Results: Thirteen RCTs were included with a total sample of 2218 participants, where the mean methodological quality obtained from the studies reviewed using the PEDro scale was 7.07. The combined data showed a marked improvement in the quality of life of the patient (p < 0.001). Regarding other units measured during the review, a significant reduction could be observed in perceived pain (p < 0.001), stress (p < 0.001), anxiety (p < 0.001) and depression (p < 0.001). Conclusions and implications of key findings: Multidisciplinary treatment leads to notable improvements compared to conservative or pharmacological treatment, improving quality of life, social support, mental self-control and satisfaction. Cognitive-behavioral therapy favored therapeutic adherence, achieving in turn a decrease in anxiety, depression and vital exhaustion.

scholarly journals Clinico-pharmacological characteristics of opioid drug-drug interactions in cancer patients with chronic pain syndrome

2019 ◽  
Vol 17 (6) ◽  
pp. 114-122
Author(s):  
O. P. Bobrova ◽  
N. A. Shnayder ◽  
S. K. Zyryanov ◽  
Yu. A. Dyhno ◽  
M. M. Petrova ◽  
...  
Keyword(s):  
Drug Interactions ◽  
Cancer Patients ◽  
Pain Treatment ◽  
Pain Syndrome ◽  
Opioid Analgesics ◽  
Individual Choice ◽  
Analgesic Therapy ◽  
Co Morbidity ◽  
The Impact

The aimof the review was to analyze published studies on the impact of opioid drug-drug interactions on the choice of analgesic therapy regimens.Material and methods.A systematic literature search was conducted using PubMed, Scopus, Web of Science, and E-library databases.Results.The review showed a clinical significance of pharmacokinetic interactions of opioids with other drugs in cancer pain treatment. The problems of individual choice of analgesics from different groups under conditions of co-morbidity and concomitant medication were discussed to ensure the effectiveness/safety of the treatment strategy affecting the quality of life of cancer patients.Conclusion.A comprehensive assessment of factors in patients receiving opioid analgesics is a predictor of effective and safe analgesic therapy.

Reflexotherapeutic methods for chronic migraine

10.12737/7344 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Сафонов ◽  
M. Safonov ◽  
Наприенко ◽  
M. Naprienko
Keyword(s):  
Drug Therapy ◽  
Chronic Migraine ◽  
Adverse Reactions ◽  
Genetic Factors ◽  
Pain Syndrome ◽  
Primary Headaches ◽  
Electrical Nerve Stimulation ◽  
Working Age ◽  
Methods Of Treatment

Chronic migraine is polyetiological and multi-factor disease. There is no consensus about the transformation from episodic to chronic form triggers. Genetic factors, dysfunction of anti-nociceptive systems, gender, the harmful factors are discussed in this work. A high percentage prevalence among the working-age population, expressed degree of decrease in quality of life are forcing scientists to develop new drug and non-drug approaches to the treatment of this disease. Reflexology has a special place in non-drug therapies, including acupuncture, electro-acupuncture, trans-cutaneous electrical nerve stimulation and Su-Jok therapy. Sufficient experience has been accumulated in use of acupuncture in the treatment of chronic pain syndrome in general and chronic forms of primary headaches in particular. Most methods have confirmed the effectiveness that is comparable to drug therapy. The tolerability of these methods, due to their larger physiology, is superior to pharmacotherapy, and the frequency of adverse reactions is minimized. These features contribute to the growth of the worldwide interest in non-drug methods of treatment and new purposes of the researchers must be focused on comparing the effectiveness of methods among themselves, standardization of techniques of reflexology and develop more differentiated approaches to non-drug therapy.

scholarly journals Engagement during a Mixed In-Person and Remotely Delivered Psychological Intervention for Youth with Functional Abdominal Pain Disorders and Anxiety

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 775
Author(s):  
Alaina K. Miller ◽  
Samantha L. Ely ◽  
Brittany N. Barber Garcia ◽  
Patricia Richardson ◽  
Natoshia R. Cunningham
Keyword(s):  
Abdominal Pain ◽  
Mental Health Problems ◽  
Pain Treatment ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Behavioral Therapy ◽  
Functional Abdominal Pain ◽  
Participant Engagement ◽  
Psychological Therapies ◽  
Patterns Of Use

Functional abdominal pain disorders (FAPD) are common disabling pain conditions frequently associated with co-occurring mental health problems such as anxiety. Psychological therapies such as cognitive behavioral therapy (CBT) have been shown to be effective. Therefore, it is important to understand participant engagement (i.e., use of intervention tools) to such approaches, and if engagement impacts treatment response. The Aim to Decrease Anxiety and Pain Treatment (ADAPT) is an effective psychological treatment approach using a blend of in-person sessions and interventionist phone support with self-paced web modules to manage pain and anxiety. The current study used a mixed-methods approach to investigate micro-level and macro-level participant engagement during the ADAPT program. In-person/phone session attendance was high (>95%) although scheduling adjustments were common (25.5%). Varied levels of engagement with web tools were observed. Thematic analysis also revealed variability in patterns of use. Additionally, while participants indicated they generally understood how to use certain skills (e.g., problem solving, detective thinking), and these skills were effective in managing symptoms during treatment, these activities were generally underutilized. Further, participant engagement did not predict response to the ADAPT intervention. These findings are important as the demand for accessible psychotherapeutic tools to manage pain and anxiety is likely to remain high.

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