M P Jensen

..g., catastrophizing cognitions, social support, solicitous responses from family members, and resting as a coping response) that may play an important role in adjustment to phantom limb pain...

..The paper concludes with a discussion of the implications of the findings for future hypnosis research and for the clinical applications of hypnotic analgesia...

..These findings suggest that measures of these specific pain domains could play an important role in understanding the impact of pain on patient functioning...

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..To describe the frequency, intensity, and impact of pain in persons with postpoliomyelitis syndrome (PPS)...

..To determine (1) the frequency, severity, and reported course of 7 symptoms in persons with spinal cord injury (SCI) and (2) the association between these symptoms and patient functioning...

..However, the biasing impact of both peak and end pain together was very small, suggesting that 24-h recall ratings are adequately valid indicants of average pain for patients participating in post-surgery clinical pain trials...

..Support for this hypothesis would have important implications for understanding the mechanisms that underlie a number of pain treatments, and for developing new innovative treatments for chronic pain management...

..To determine the nature and scope of pain in working-aged adults with myotonic muscular dystrophy (MMD) and facioscapulohumeral muscular dystrophy (FSHD)...

..The findings supported all three hypotheses. We discuss the implications of the findings for understanding motivational issues in the self-management of pain...

..g. decreased pain, opioid-related symptoms) mediated, in part, the effects of treatment on treatment satisfaction...

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..In particular, there is a need to determine whether (and which) motivation enhancement interventions increase active participation in self-management treatment programs for chronic pain...

..To evaluate the reliability and validity of a self-report version of the FIM instrument (FIM-SR)...

..Research is needed to determine whether booster interventions after the end of intensive multidisciplinary treatment that target these beliefs and coping responses improve long-term outcomes...

..A number of such measures are currently available, each with its strengths and weaknesses. These measures are reviewed, and potential future uses of these tools are discussed...

..This study sought to evaluate the utility of assessing the multiple components of neuropathic pain in an analgesic clinical trial...

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..However, moderate pain during the early recovery period averaging about 50 or more on a 0 to 100 VAS appears to be associated with dissatisfaction with pain relief...

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..Measures such as the PQAS can potentially be used to help clinicians target analgesics more efficiently...

..This research might be used to help clinicians target analgesics to match the specific qualities associated with a patient's pain and to better understand the mechanisms of analgesic effects in drug development programs...

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..However, an examination of the pattern of associations between each of the pain ratings with measures of pain interference and depression suggest that the 7-point Faces Scale may be somewhat less valid than the other measures...

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..To better understand the severity and impact of pain in women who are breast cancer survivors...

..The CR-HYP treatment appeared to have beneficial effects greater than the effects of CR and HYP alone. Future research examining the efficacy of an intervention that combines CR and HYP is warranted...

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..The results are consistent with the hypothesis, derived from cognitive-behavioral models of chronic pain, that the outcomes of multidisciplinary pain treatment are associated with changes in patient cognitions and coping responses...

..These findings have implications for understanding the meaning of pain intensity levels, as well as for the assessment of pain intensity in persons with amputation-related pain...

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..More research is needed to confirm this finding, and whether treatments can be identified that address these pain qualities specifically...

..The discussion includes specific recommendations for selecting from among the available pain measures, as well as recommendations for future research into the assessment of cancer pain...

..To evaluate the psychometric properties of a subset of International Spinal Cord Injury Basic Pain Data Set (ISCIBPDS) items that could be used as self-report measures in surveys, longitudinal studies and clinical trials...

..The findings also suggested that a 33% decrease in pain represents a reasonable standard for determining that a change in pain is meaningful from the patient's perspective...

..The purpose of this commentary is to provide a summary of these psychometric issues, using the study and findings of Krause and Backonja as an illustrative example of the concepts...

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..The implications of the findings for understanding the readiness to self-manage pain construct and the validity of the PSOCQ for assessing this construct are discussed...

..The findings support the validity of these brief subscales. The appropriate use and limitations of these measures are discussed...

..The results support the efficacy of self-hypnosis training for the management of chronic pain in persons with MS...

..To replicate and extend previous research concerning the validity and utility of using pain quality measures in clinical trials...

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..In this trial, gabapentin did not substantially affect pain. More research on the efficacy of gabapentin to treat chronic PLP and RLP is needed...

..The results provide empirical support for a biopsychosocial understanding of chronic pain in MS and suggest that specific psychosocial factors (e.g., catastrophizing) may be important regarding adjustment to pain in persons with MS...

..These results provide preliminary empiric guidance for the coping strategies that may be most fruitfully targeted in the treatment of CP-related pain...

..These findings suggest the importance of targeting specific pain-related beliefs and coping strategies, as well as catastrophizing, for modification in the treatment of patients with chronic pain...

..A comprehensive medical and rehabilitative approach to management of aging MD patients can often fulfill expectations and help them enjoy an enhanced quality of life...

..Postal survey...

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..The article discusses particular problem areas for older adults, including social support, and also discusses the parallel paradoxes of aging and disability...

..There is a need for more research to determine which pain treatments are most helpful for cerebral palsy-related pain and to increase patient accessibility to effective pain treatments...

..The results provide partial support for the communal coping model of catastrophizing...

..CONCLUSIONS: The study findings are consistent with earlier findings concerning pain problems in adults with CP and provide further evidence that pain problems may be overlooked and undertreated in this population...

..CONCLUSION: The current findings underscore the serious nature of pain in persons with SCI and provide additional support for the need to identify effective treatments for SCI-related pain...

..These results have implications for interventions designed to treat pain interference in persons with SCI...

..Participants in the HYP condition, but not the BIO condition, also reported significant pre- to posttreatment increases in perceived control over pain, but this change was not maintained at the 3-month follow-up...

..The purpose of the current study was to examine the associations among measures of psychosocial factors, pain, and adjustment in persons with postpoliomyelitis syndrome...

..Measurement of the intensity of pain at each site appears to be required for a thorough assessment of amputation pain-related impairment...

..Discussion. These data suggest differences in the quantity and quality of pain coping among age groups...

..59), whereas that of the 10 BPI items was excellent (.89). CONCLUSIONS: The pain interference items of the BPI serve as a reliable and valid measure of pain's impact on persons with CP-related pain...

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..To examine the nature and scope of pain in persons with neuromuscular disorder (NMD)...

..Literature review...

..These findings have important implications for the assessment of pain in clinical trials...

..However, the pain reductions with VRH did not persist over long periods of time. The findings support the potential of VRH treatment for helping individuals with refractory chronic pain conditions...

..They also suggest that further research on the relationship between dysfunction and significant other responses in patients with CFS or CF appears warranted and may have implications for treatment development...

..This study sought to develop an empirically based classification system for mild, moderate, and severe pain that could be useful for applying clinical treatment guidelines and for interpreting the results of much-needed clinical trials...

..To examine the clinical significance of changes in chronic pain in 2 disability groups: spinal cord injury and lower limb amputation...

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..Experimental research is needed to determine if changes in coping lead to changes in psychological and physical functioning...

..We used subjective pain ratings and functional magnetic resonance imaging to measure pain and pain-related brain activity in subjects receiving opioid and/or VR distraction...

..The ability of N2O to potentiate analgesic effects of other drugs also must be evaluated...

..Potentially, the assessment and treatment of catastrophizing may reduce psychological distress and pain-related disability among individuals with chronic pain and SCI...

..Several controlled clinical trials have demonstrated the efficacy and safety of the lidocaine patch 5% (LP) for the treatment of postherpetic neuralgia (PHN)...

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..Methodological issues of this body of research are discussed, as are methods to better integrate hypnosis into comprehensive pain treatment...

..The FIM-SR should be retested in amputation samples with more variable levels of functioning...

..We also examined the association between these factors (i.e., appraisals, beliefs, coping) and patient perception or subjective experience of their functioning in each ethnic group...

..To determine the impact of the lidocaine patch 5% on pain qualities associated with chronic pain from postherpetic neuralgia (PHN), painful diabetic neuropathy (DN), and low-back pain (LBP), using the Neuropathic Pain Scale (NPS)...

..Implications of the findings for future clinical research and applications are discussed...

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..Further emphasis and research on appropriate assessment and management strategies sensitive to the unique characteristics and limitations of children with CP are warranted...

..To compare three dimensions related to participation in everyday situations in community-dwelling adults with multiple sclerosis (MS)...

..These findings are consistent with a cognitive-behavioural model of fibromyalgia, and suggest targets for therapeutic change...

..Fully double-blind conditions are very difficult to achieve, and it is informative to assess patient and research clinician expectations and guesses regarding medication assignment...

..These measures could be used clinically for initial screening purposes, as well as for treatment monitoring...

..A Scientific Core will provide scientific direction, project coordination, data collection and management, statistical support, and shared scientific expertise. ..

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..The proposed training project will provide the multidisciplinary environment that is fundamental to the Rehabilitation Sciences and will significantly increase the pool of competitive researchers in Rehabilitation Science. ..