scholarly journals CHRONIC PAIN AND DEPRESSION – ARBITRARINESS OR CONSECUTION OF THE PATIENT'S DIAGNOSTIC AND TREATMENT ROUTE

2021 ◽  
Vol 27 (3) ◽  
pp. 3851-3857
Author(s):  
Tatyana Telbizova ◽  
◽  
Ivan Aleksandrov ◽  
Mariana Arnaoudova ◽  
◽  
...  
Keyword(s):  
Chronic Pain ◽  
General Practitioners ◽  
Medical Problem ◽  
Routine Practice ◽  
Symptoms Of Depression ◽  
Treatment Processes ◽  
Logical Sequence ◽  
Chronic Pain Patients ◽  
History Of ◽  
Pain Patients

Unrecognized depression among patients with chronic pain is a common medical problem, highlighting the need for targeted search and identification of depression-related symptoms. Purpose: The aim of the present study is to investigate the trends in the diagnostic and treatment pathway of comorbid patients with depression and chronic pain. Materials and Methods: 110 psychiatrists and 119 neurologists were interviewed through an anonymous, randomized survey in Bulgaria. Results: Referrals of the patients with chronic pain to neurologists and psychiatrists are not routine practice. The general practitioners are the main group, referring the patients with chronic pain to a consultation with a neurologist (89.10%) and a psychiatrist (68.20%). The patients themselves seek help more often from a neurologist (77.20%) than from a psychiatrist (44.50%). The most common reason for neurologists to consult their patients with a psychiatrist issuicidal ideation and intentions (50.42%) and the least common –insomnia (15.96%). According to psychiatrists, chronic pain patients seek help from them for other symptoms like somatic – vegetative ones (97.8%), anxiety (78.20%), insomnia (55.50%) and depressed mood (54.50%). More than 1/4 (29%) of them have had suicidal thoughts and intentions, which suggests a long history of depressive symptoms. Conclusions: The diagnostic and treatment processes of patients with chronic pain and depression are performed randomly rather than following a certain logical sequence. The creation of an algorithm for general practitioners and pain specialists aimed at early detection of symptoms of depression and related predictors of suicidal behavior is needed.

scholarly journals Pain, power and patience - A narrative study of general practitioners' relations with chronic pain patients

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Mia Hemborg Kristiansson ◽  
Annika Brorsson ◽  
Caroline Wachtler ◽  
Margareta Troein
Keyword(s):  
Chronic Pain ◽  
General Practitioners ◽  
Narrative Study ◽  
Chronic Pain Patients ◽  
Pain Patients

scholarly journals Disability and Borderline Personality Disorder in Chronic Pain Patients

2010 ◽  
Vol 15 (6) ◽  
pp. 369-370 ◽  
Author(s):  
Randy A Sansone ◽  
J David Sinclair ◽  
Michael W Wiederman
Keyword(s):  
Chronic Pain ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Pain Specialist ◽  
Significant Difference ◽  
Chronic Pain Patients ◽  
History Of ◽  
The Relationship ◽  
Pain Patients

BACKGROUND AND OBJECTIVE: Few studies have examined the relationship between disability and borderline personality symptomatology, and, among those that have, findings have been inconsistent. In the present study, the relationship between medical disability and borderline personality symptomatology was examined in a sample of chronic pain patients.METHODS: In a consecutive insured sample of male and female chronic pain patients (n=117), who were being initially evaluated by an outpatient pain specialist, the criterion of having “ever been on medical disability” and features of borderline personality disorder were examined using the borderline personality scale of the Personality Diagnostic Questionnaire-4.RESULTS: While 35% of participants acknowledged having ever been on medical disability, there was no statistically significant difference between those with a history versus those without a history of medical disability with regard to the prevalence of borderline personality symptomatology.CONCLUSIONS: Findings suggest that among chronic pain patients, there may be no meaningful relationship between having ever been on medical disability and borderline personality symptomatology.

Cognitive Deficits in Chronic Pain Patients With and Without History of Head/Neck Injury: Development of a Brief Screening Battery

1987 ◽  
Vol 3 (2) ◽  
pp. 94-101 ◽  
Author(s):  
David P. Schwartz ◽  
Jeffrey T. Barth ◽  
Joseph R. Dane ◽  
Sarah E. Drenan ◽  
Douglas E. DeGood ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cognitive Deficits ◽  
Neck Injury ◽  
Screening Battery ◽  
Chronic Pain Patients ◽  
History Of ◽  
Brief Screening ◽  
Pain Patients ◽  
Head Neck

Pain Influences Several Levels of Attention

2005 ◽  
Vol 16 (4) ◽  
pp. 235-242 ◽  
Author(s):  
Astrid von Bueren Jarchow ◽  
Bogdan P. Radanov ◽  
Lutz Jäncke
Keyword(s):  
Chronic Pain ◽  
Divided Attention ◽  
Covert Attention ◽  
Attention Task ◽  
Attentional Deficits ◽  
Control Subjects ◽  
Chronic Pain Patients ◽  
Divided Attention Task ◽  
Pain Stimuli ◽  
Pain Patients

Abstract: The aim of the present study was to examine to what extent chronic pain has an impact on various attentional processes. To measure these attention processes a set of experimental standard tests of the “Testbatterie zur Aufmerksamkeitsprüfung” (TAP), a neuropsychological battery testing different levels of attention, were used: alertness, divided attention, covert attention, vigilance, visual search, and Go-NoGo tasks. 24 chronic outpatients and 24 well-matched healthy control subjects were tested. The control subjects were matched for age, gender, and education. The group of chronic pain patients exhibited marked deficiencies in all attentional functions except for the divided attention task. Thus, the data supports the notion that chronic pain negatively influences attention because pain patients` attention is strongly captivated by the internal pain stimuli. Only the more demanding divided attention task has the capability to distract the focus of attention to the pain stimuli. Therefore, the pain patients are capable of performing within normal limits. Based on these findings chronic pain patients' attentional deficits should be appropriately evaluated and considered for insurance and work related matters. The effect of a successful distraction away from the pain in the divided attention task can also open new therapeutic aspects.

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