ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The relationship of personality variables and patient recruitment to pain coping strategies and psychological distress was assessed in a Dutch sample of 111 chronic tension headache patients. Using the Coping Strategy Questionnaire (CSQ), high scores on the factor of helplessness proved to be associated with psychological distress. In particular, patients who manifested neuroticism and hostility as personality traits and who were referred for treatment by physicians achieved higher scores on the factor of helplessness. Patients who reported a lower level of pain intensity manifested a higher perceived control of pain. Patients who reported shorter daily pain periods indicated a lower level of active coping with pain. It is concluded that future research must be more attentive to the complex interactions between personality variables, environmental factors, and the coping demands posed by the nature of the pain problem.

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Sixty-nine patients undergoing spinal cord stimulation (SCS) were studied for a period of up to 8 years. Indications, implantation techniques, and stimulation systems are presented in this article. Pain-suppressor effects of SCS are reviewed, assessing the clinical efficacy over time as well as complications with the stimulation device. Immediately following implantation, inadequate pain relief was noted in 20% of the patients. Decrease of the efficacy of pain alleveation occurs during the first 3 years after implantation. Most failures are noted in patients presenting with failed back surgery. This study also demonstrates that SCS systems should offer the capability of both monopolar and bipolar stimulation modes by the use of multipolar electrodes.

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Although convergent lines of evidence indicate that one can expect a high rate of suicide completion for chronic pain patients, this problem has not previously been investigated. Follow-up data from our pain center revealed three chronic pain patients (two men and one woman) who completed suicide. These three cases are presented. The sequential nature of the data enabled us to calculate suicide rates for our chronic pain population and subsamples of this population: 16.5 women per year; 29.3 men per year; 57.1 white men and 34.9 white women in the age range of 35–64 years per year; and 78.6 white worker compensation men in the age range of 35–64 years per year. Calculation of the 95% confidence interval and comparison of these suicide rates to the general population of the United States using the Z statistic indicated that all chronic pain patient suicide rates were significantly greater than that of the general population. White men, white women, and white worker compensation men with chronic pain in the age range of 35–64 years are twice, three, and three times as likely, respectively, as their counterparts in the general population to die by suicide. Although no firm conclusions can be drawn because of the small suicide sample, these case reports indicate a need for further studies of chronic pain patient suicide rates at other pain centers.

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The following discussion demonstrates a clinical need for a physical education service in a multidisciplinary pain center. Weight loss, and physical and aerobic conditioning are essential aspects of managing pain. By improving patient care and increasing one's pain center attraction, physical education and aerobic research centers can also increase departmental revenues.

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1991

数据来源: OVID