Distraction analgesia in chronic pain patients: the impact of catastrophizing.
Identifieur interne : 000F10 ( PubMed/Corpus ); précédent : 000F09; suivant : 000F11Distraction analgesia in chronic pain patients: the impact of catastrophizing.
Auteurs : Kristin L. Schreiber ; Claudia Campbell ; Marc O. Martel ; Seth Greenbaum ; Ajay D. Wasan ; David Borsook ; Robert N. Jamison ; Robert R. EdwardsSource :
- Anesthesiology [ 1528-1175 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Analgesics, Opioid.
- methods : Analgesia.
- psychology : Catastrophization, Chronic Pain.
- Adult, Aged, Attention, Cohort Studies, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Pain Measurement, Physical Stimulation, Treatment Outcome.
Abstract
Diverting attention away from noxious stimulation (i.e., distraction) is a common pain-coping strategy. Its effects are variable across individuals, however, and the authors hypothesized that chronic pain patients who reported higher levels of pain catastrophizing would derive less pain-reducing benefit from distraction.
DOI: 10.1097/ALN.0000000000000465
PubMed: 25264596
Links to Exploration step
pubmed:25264596Le document en format XML
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<author><name sortKey="Schreiber, Kristin L" sort="Schreiber, Kristin L" uniqKey="Schreiber K" first="Kristin L" last="Schreiber">Kristin L. Schreiber</name>
<affiliation><nlm:affiliation>From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts (K.L.S., S.G., R.N.J., R.R.E.); Department of Psychiatry and Behavioral Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (C.C., A.D.W.); Department of Anesthesiology and Psychiatry, University of Pittsburgh Medical Center (C.C., A.D.W.); Department of Psychiatry, Brigham and Women's Hospital (M.O.M., R.N.J., R.R.E.); and Center for Pain and the Brain, P.A.I.N. Group, Boston Children's Hospital, Boston, Massachusetts (D.B.).</nlm:affiliation>
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<author><name sortKey="Campbell, Claudia" sort="Campbell, Claudia" uniqKey="Campbell C" first="Claudia" last="Campbell">Claudia Campbell</name>
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<author><name sortKey="Martel, Marc O" sort="Martel, Marc O" uniqKey="Martel M" first="Marc O" last="Martel">Marc O. Martel</name>
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<author><name sortKey="Greenbaum, Seth" sort="Greenbaum, Seth" uniqKey="Greenbaum S" first="Seth" last="Greenbaum">Seth Greenbaum</name>
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<author><name sortKey="Wasan, Ajay D" sort="Wasan, Ajay D" uniqKey="Wasan A" first="Ajay D" last="Wasan">Ajay D. Wasan</name>
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<author><name sortKey="Borsook, David" sort="Borsook, David" uniqKey="Borsook D" first="David" last="Borsook">David Borsook</name>
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<author><name sortKey="Jamison, Robert N" sort="Jamison, Robert N" uniqKey="Jamison R" first="Robert N" last="Jamison">Robert N. Jamison</name>
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<author><name sortKey="Edwards, Robert R" sort="Edwards, Robert R" uniqKey="Edwards R" first="Robert R" last="Edwards">Robert R. Edwards</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Distraction analgesia in chronic pain patients: the impact of catastrophizing.</title>
<author><name sortKey="Schreiber, Kristin L" sort="Schreiber, Kristin L" uniqKey="Schreiber K" first="Kristin L" last="Schreiber">Kristin L. Schreiber</name>
<affiliation><nlm:affiliation>From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts (K.L.S., S.G., R.N.J., R.R.E.); Department of Psychiatry and Behavioral Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (C.C., A.D.W.); Department of Anesthesiology and Psychiatry, University of Pittsburgh Medical Center (C.C., A.D.W.); Department of Psychiatry, Brigham and Women's Hospital (M.O.M., R.N.J., R.R.E.); and Center for Pain and the Brain, P.A.I.N. Group, Boston Children's Hospital, Boston, Massachusetts (D.B.).</nlm:affiliation>
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<author><name sortKey="Campbell, Claudia" sort="Campbell, Claudia" uniqKey="Campbell C" first="Claudia" last="Campbell">Claudia Campbell</name>
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<author><name sortKey="Martel, Marc O" sort="Martel, Marc O" uniqKey="Martel M" first="Marc O" last="Martel">Marc O. Martel</name>
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<author><name sortKey="Greenbaum, Seth" sort="Greenbaum, Seth" uniqKey="Greenbaum S" first="Seth" last="Greenbaum">Seth Greenbaum</name>
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<author><name sortKey="Wasan, Ajay D" sort="Wasan, Ajay D" uniqKey="Wasan A" first="Ajay D" last="Wasan">Ajay D. Wasan</name>
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<series><title level="j">Anesthesiology</title>
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<term>Analgesics, Opioid (therapeutic use)</term>
<term>Attention</term>
<term>Catastrophization (psychology)</term>
<term>Chronic Pain (psychology)</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pain Measurement</term>
<term>Physical Stimulation</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Analgesics, Opioid</term>
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<term>Chronic Pain</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Attention</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Diverting attention away from noxious stimulation (i.e., distraction) is a common pain-coping strategy. Its effects are variable across individuals, however, and the authors hypothesized that chronic pain patients who reported higher levels of pain catastrophizing would derive less pain-reducing benefit from distraction.</div>
</front>
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<Issue>6</Issue>
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<Month>Dec</Month>
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<ArticleTitle>Distraction analgesia in chronic pain patients: the impact of catastrophizing.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Diverting attention away from noxious stimulation (i.e., distraction) is a common pain-coping strategy. Its effects are variable across individuals, however, and the authors hypothesized that chronic pain patients who reported higher levels of pain catastrophizing would derive less pain-reducing benefit from distraction.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Chronic pain patients (n=149) underwent psychometric and quantitative sensory testing, including assessment of the temporal summation of pain in the presence and absence of a distracting motor task.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A simple distraction task decreased temporal summation of pain overall, but, surprisingly, a greater distraction analgesia was observed in high catastrophizers. This enhanced distraction analgesia in high catastrophizers was not altered when controlling for current pain scores, depression, anxiety, or opioid use (analysis of covariance [ANCOVA]: F=8.7, P<0.005). Interestingly, the magnitude of distraction analgesia was inversely correlated with conditioned pain modulation (Pearson R=-0.23, P=0.005).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Distraction produced greater analgesia among chronic pain patients with higher catastrophizing, suggesting that catastrophizing's pain-amplifying effects may be due in part to greater attention to pain, and these patients may benefit from distraction-based pain management approaches. Furthermore, these data suggest that distraction analgesia and conditioned pain modulation may involve separate underlying mechanisms.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schreiber</LastName>
<ForeName>Kristin L</ForeName>
<Initials>KL</Initials>
<AffiliationInfo><Affiliation>From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts (K.L.S., S.G., R.N.J., R.R.E.); Department of Psychiatry and Behavioral Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (C.C., A.D.W.); Department of Anesthesiology and Psychiatry, University of Pittsburgh Medical Center (C.C., A.D.W.); Department of Psychiatry, Brigham and Women's Hospital (M.O.M., R.N.J., R.R.E.); and Center for Pain and the Brain, P.A.I.N. Group, Boston Children's Hospital, Boston, Massachusetts (D.B.).</Affiliation>
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<Author ValidYN="Y"><LastName>Campbell</LastName>
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