Search results for "Pain disorder"
showing 8 items of 8 documents
Rendimiento de las pruebas complementarias en el estudio de pacientes con dolor abdominal crónico
2021
Resumen: Introducción: El dolor abdominal crónico (DAC) en la infancia es un motivo de consulta frecuente que afecta a la vida familiar, y en ocasiones precisa realización de pruebas complementarias. El objetivo fue realizar el análisis cualitativo, cuantitativo y económico de las pruebas que se solicitan. Pacientes y métodos: Estudio observacional, prospectivo y multicéntrico, incluyendo pacientes entre 4-15 años con DAC. Se diferenciaron 2 grupos: orgánico y funcional. Se recogieron las siguientes variables: clínicas, pruebas complementarias y su coste. Resultados: Se incluyeron 235 niños con DAC (edad media 9,7 ± 2,7 años). Un 79% resultaron trastornos funcionales y un 21% orgánicos. Cas…
Determinants of health-related quality of life in patients with persistent somatoform pain disorder
2003
Background. Health-related quality of life (HRQOL) has been investigated widely in patients with chronic pain, but no study has focused particularly on the situation of patients with persistent somatoform pain disorder. Aims. To survey the impairments of patients with somatoform pain disorder (ICD-10: F45.4) and to predict pain-related impairments and HRQOL on the basis of coping styles. Method. A consecutively recruited sample of 100 patients (65% female) was examined in a cross-sectional study. Questionnaires were administered to assess pain intensity (visual analogue scale), pain-related disabilities (Pain Disability Index), quality of life (Short-Form Health Survey-36), and ways of copi…
Hypersensitivity and hyperalgesia in somatoform pain disorders.
2014
Abstract Objective In psychiatry, pain disorders not explained by structural lesions have been classified for decades as somatoform pain disorders , the underlying concept being somatization. In a parallel move, somatic medicine has defined an expanding group of similar pain disorders, known as functional pain syndromes . Functional pain syndromes are characterized by enhanced pain sensitivity. The aim of our study was to investigate the proportion of patients with somatoform pain disorders who also meet the criteria of functional pain syndromes and the extent to which patients with somatoform pain disorders also show enhanced pain sensitivity. Methods Data on pain sensitivity in 120 hospit…
The DSM-IV nosology of chronic pain: a comparison of pain disorder and multiple somatization syndrome.
2000
This study evaluates the classification of pain from the perspective of the DSM-IV system. Of 60 in-patients with long-standing and disabling pain syndromes, 29 with pain disorder (PD) and 31 with pain as part of a multiple somatization syndrome (MSS) were compared before and after a structured cognitive-behavioral treatment. It was hypothesized that MSS patients show more psychological distress, are more severely disabled, and respond less to the treatment. Both groups were similar with respect to sociodemographic status, history of pain symptomatology and comorbidity with DSM-IV mental disorders. The results show that MSS patients had higher levels of affective and sensoric pain sensation…
Pharmacological interventions for somatoform disorders in adults
2014
BACKGROUND: Somatoform disorders are characterised by chronic, medically unexplained physical symptoms (MUPS). Although different medications are part of treatment routines for people with somatoform disorders in clinics and private practices, there exists no systematic review or meta-analysis on the efficacy and tolerability of these medications. We aimed to synthesise to improve optimal treatment decisions.OBJECTIVES: To assess the effects of pharmacological interventions for somatoform disorders (specifically somatisation disorder, undifferentiated somatoform disorder, somatoform autonomic dysfunction, and pain disorder) in adults.SEARCH METHODS: We searched the Cochrane Depression, Anxi…
Neural Correlates of Deficits in Pain-Related Affective Meaning Construction in Patients With Chronic Pain Disorder
2013
OBJECTIVE Psychological and neural mechanisms of the affective dimension of pain are known to be disturbed in patients with chronic pain disorder. The aim of this functional magnetic resonance imaging study was to assess the neurofunctional and behavioral measures underlying the ability to construct pain-related affective meaning in a painful situation by comparing 21 clinically and psychometrically well-characterized patients with persistent non-nociceptive somatoform pain with 19 healthy controls. METHODS The functional magnetic resonance imaging task involved viewing pictures depicting human hands and feet in different painful and nonpainful situations. Participants were asked to estimat…
Somatic Symptom Disorder
2016
Somatic Symptom Disorder (SSD) represents a novel diagnosis that was first introduced in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders . SSD is characterized by at least one persistent somatic symptom accompanied by dysfunctional cognitive, affective, or behavioral reactions. With the exact causes and maintaining factors still being unknown, multidisciplinary theoretical approaches (i.e., biological, psychological, social explanatory) are necessary for understanding the development and maintenance of SSD. Regarding the psychotherapeutic treatment of SSD, modular cognitive behavioral treatment approaches which focus on cognitive restructuring, stress reductio…
Standards for the diagnosis and management of complex regional pain syndrome: Results of a European Pain Federation task force.
2019
Background: Complex regional pain syndrome is a painful and disabling post-traumatic primary pain disorder. Acute and chronic complex regional pain syndrome (CRPS) are major clinical challenges. In Europe, progress is hampered by significant heterogeneity in clinical practice. We sought to establish standards for the diagnosis and management of CRPS. Methods: The European Pain Federation established a pan-European task force of experts in CRPS who followed a four-stage consensus challenge process to produce mandatory quality standards worded as grammatically imperative (must-do) statements. Results: We developed 17 standards in 8 areas of care. There are 2 standards in diagnosis, 1 in multi…