Abstract：
:Drawing on advances in chronic pain metrics, a simplified Graded Chronic Pain Scale-Revised was developed to differentiate mild, bothersome, and high-impact chronic pain. Graded Chronic Pain Scale-Revised was validated among adult enrollees of 2 health plans (N = 2021). In this population, the prevalence of chronic pain (pain present most or every day, prior 3 months) was 40.5%: 15.4% with mild chronic pain (lower pain intensity and interference); 10.1% bothersome chronic pain (moderate to severe pain intensity with lower interference with life activities); and 15.0% high-impact chronic pain (sustained pain-related activity limitations). Persons with mild chronic pain vs those without chronic pain showed small differences on 10 health status indicators (unfavorable health perceptions, activity limitations, and receiving long-term opioid therapy), with nonsignificant differences for 7 of 10 indicators. Persons with bothersome vs mild chronic pain differed significantly on 6 of 10 indicators (eg, negative pain coping beliefs, psychological distress, unfavorable health perceptions, and pain-related interference with overall activities). Persons with high-impact chronic pain differed significantly from those with mild chronic pain on all 10 indicators. Persons with high-impact chronic pain, relative to those with bothersome chronic pain, were more likely to have substantial activity limitations (significant differences for 4 of 5 disability indicators) and more often received long-term opioid therapy. Graded Chronic Pain Scale-Revised strongly predicted 5 activity-limitation indicators with area under receiver operating characteristic curve coefficients of 0.76 to 0.89. We conclude that the 5-item Graded Chronic Pain Scale-Revised and its scoring rules provide a brief, simple, and valid method for assessing chronic pain.
journal_name
Painjournal_title
Painauthors
Von Korff M,DeBar LL,Krebs EE,Kerns RD,Deyo RA,Keefe FJdoi
10.1097/j.pain.0000000000001758subject
Has Abstractpub_date
2020-03-01 00:00:00pages
651-661issue
3eissn
0304-3959issn
1872-6623pii
00006396-202003000-00021journal_volume
161pub_type
杂志文章相关文献
PAIN文献大全abstract：:This study compared a remote-delivered pain management program, the Pain Course, when delivered in online and workbook formats. Participants (n = 178) were randomised into 2 groups: (1) an Internet Group (n = 84) who were provided with secure accounts to the program in an online format; or (2) a Workbook Group (n = 94...
journal_title：Pain
pub_type： 杂志文章,随机对照试验
doi：10.1097/j.pain.0000000000000916
更新日期：2017-07-01 00:00:00
abstract：:The purpose of this study was to determine if some commonly used admission variables could predict treatment outcome on a multidisciplinary pain center. Specifically, it was designed as a prospective study of an index proposed by Maruta et al. The subjects were 104 patients. The 4 outcome measures used were staff judg...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(82)90082-3
更新日期：1982-09-01 00:00:00
abstract：:The ability of a painful stimulus to suppress pain in another, remote area (DNIC) has been intensely studied. However, the effect of the distance between the two painful stimuli and the attentional factors during the measurement of pain perception received minimal treatment. We evaluated the effect of these factors on...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2010.08.009
更新日期：2010-11-01 00:00:00
abstract：:In previous studies, pain behaviors produced in the spinal nerve ligation rat model of neuropathic pain were partly reduced by surgical lumbar sympathectomy. However, systemic injection of phentolamine, an alpha-adrenoceptor blocker, was not effective in reducing pain behaviors, at least in the Sprague-Dawley strain o...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/S0304-3959(00)00277-3
更新日期：2000-08-01 00:00:00
abstract：:Evidence has shown that electrical stimulation at the dorsal columns attenuated the "wind-up" phenomenon in dorsal horn neurons in nerve-injured rats. This study was aimed to test the effect of spinal cord stimulation (SCS) on temporal summation (TS), the clinical correlate of the wind-up phenomenon in patients with r...
journal_title：Pain
pub_type： 杂志文章,随机对照试验
doi：10.1097/01.j.pain.0000460342.69718.a2
更新日期：2015-03-01 00:00:00
abstract：:According to fear-avoidance models, a catastrophic interpretation of a painful experience may give rise to pain-related fear and avoidance, leading to the development and maintenance of chronic pain problems in the long term. However, little is known about how exactly motivation and goal prioritization play a role in ...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000000116
更新日期：2015-08-01 00:00:00
abstract：:Capsaicin elicits burning pain via the activation of the vanilloid receptor (TRPV1). Intriguingly, several reports showed that capsaicin also inhibits Na+ currents but the mechanisms remain unclear. To explore this non-TRPV1 action we applied capsaicin to HEK293 cells stably expressing inactivation-deficient rat skele...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2006.08.002
更新日期：2007-01-01 00:00:00
abstract：:Migraine encompasses a broader spectrum of sensory symptoms than just headache. These "other" symptoms, eg, sensory phobias, cognitive and mood changes, allodynia, and many others indicate an altered sensitivity to sensory input which can be measured, in principle, by quantifying sensory threshold changes longitudinal...
journal_title：Pain
pub_type： 杂志文章,评审
doi：10.1097/j.pain.0000000000001531
更新日期：2019-07-01 00:00:00
abstract：:This article reports on a study that examines the influence of task-related factors on nurses' pain assessments and decision regarding interventions. In an experimental design pediatric nurses (n = 202), were exposed to different cases, each case being a combination of a vignette and a videotape. For every case subjec...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(95)00147-6
更新日期：1996-04-01 00:00:00
abstract：:A young female outpatient experienced painful tonic contractions in the right triceps surae muscles as a result of a partial damage of the right peroneal nerve. Electrophysiological recordings of the soleus muscle showed a tonic EMG activity and an hyperexcitability of the monosynaptic H reflex (Hmax/Mmax ratio: 90%)....
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(88)90037-1
更新日期：1988-03-01 00:00:00
abstract：:Postmastectomy pain (PMP), a distinctive postsurgical neuropathic pain syndrome, has been thought to be consequence of 4-6% of surgical procedures for cancer of the breast, but remains understudied and poorly documented. In this cross-sectional descriptive study, a convenience sample of 95 women who had undergone brea...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(94)00162-8
更新日期：1995-04-01 00:00:00
abstract：:Thirty subjects were given a placebo (intravenous saline), which was described as a known pain killer, once a week for 3 consecutive weeks. Experimental ischemic arm pain was produced prior to the placebo and again 1 h later. In a double blind procedure, half of the subjects received 10 mg of naloxone after placebo; t...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(83)90203-8
更新日期：1983-06-01 00:00:00
abstract：:Migraine is a common and disabling neurologic disorder, with important psychiatric comorbidities. Its pathophysiology involves activation of neurons in the trigeminocervical complex (TCC). Kainate receptors carrying the glutamate receptor subunit 5 (GluK1) are present in key brain areas involved in migraine pathophysi...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/01.j.pain.0000460325.25762.c0
更新日期：2015-03-01 00:00:00
abstract：:Plasticity in inhibitory receptors, neurotransmission, and networks is an important mechanism for nociceptive signal amplification in the spinal dorsal horn. We studied potential changes in GABAergic pharmacology and its underlying mechanisms in hyperalgesic priming, a model of the transition from acute to chronic pai...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000000513
更新日期：2016-06-01 00:00:00
abstract：:Features of somatisation have been shown to predict the onset of widespread body pain. This study aims to determine to what extent persons with orofacial pain syndromes share these features and to what extent they are uniquely related to oral mechanical factors. We have conducted a population-based cross-sectional sur...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/S0304-3959(02)00181-1
更新日期：2002-10-01 00:00:00
abstract：:The relation between personality characteristics and the psychological functioning of headache patients has long been a topic of interest. Early investigations focused on clinical and anecdotal reports while recent research has moved toward a more objective evaluation of headache groups by using the MMPI. However, the...
journal_title：Pain
pub_type： 杂志文章,评审
doi：10.1016/0304-3959(86)90037-0
更新日期：1986-02-01 00:00:00
abstract：:Acute microinjection of mu-, delta-, or kappa-opioid receptor (MOPr, DOPr, KOPr) agonists into the rostral ventromedial medulla (RVM) produces antinociception. Thermal antinociception produced by MOPr and DOPr agonists is potentiated during inflammation [Hurley RW, Hammond DL. The analgesic effects of supraspinal mu a...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2007.07.010
更新日期：2008-06-01 00:00:00
abstract：:In this study, we examined the relationship between astrocyte activation in the cuneate nucleus (CN) and behavioral hypersensitivity after chronic constriction injury (CCI) of the median nerve. In addition, we also examined the effects of pre-emptive treatment with a number of drugs on astrocyte activation and hyperse...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2009.11.004
更新日期：2010-01-01 00:00:00
abstract：:Although many patients with multiple sclerosis (MS) complain of trigeminal neuralgia (TN), its cause and mechanisms are still debatable. In a multicentre controlled study, we collected 130 patients with MS: 50 patients with TN, 30 patients with trigeminal sensory disturbances other than TN (ongoing pain, dysaesthesia,...
journal_title：Pain
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pain.2008.12.026
更新日期：2009-06-01 00:00:00
abstract：:Injection of bee venom into one hindpaw of rat can elicit acute inflammation together with spontaneous pain, heat hyperalgesia and mechanical hyperalgesia/allodynia in the injected paw. 5-hydroxytryptamine (5-HT)1A receptor is the predominant receptor subtype in the spinal dorsal horn mediating the function of 5-HT in...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/s0304-3959(03)00315-4
更新日期：2003-11-01 00:00:00
abstract：:Currently, opioids targeting mu-opioid receptors are the most potent drugs for acute and cancer pain. However, opioids produce adverse side effects such as constipation, respiratory depression, or addiction potential. We recently developed (±)-N-(3-fluoro-1-phenethylpiperidine-4-yl)-N-phenyl propionamide (NFEPP), a co...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000001968
更新日期：2020-12-01 00:00:00
abstract：:Studies in healthy human subjects and patients with irritable bowel syndrome suggest sex differences in cerebral nociceptive processing. Here we examine sex differences in functional brain activation in the rat during colorectal distention (CRD), a preclinical model of acute visceral pain. [(14)C]-iodoantipyrine was i...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2009.05.025
更新日期：2009-09-01 00:00:00
abstract：:In children, many psychometric properties of the visual analogue scale (VAS) are known, including the minimum clinically significant difference (10mm on a 100-mm VAS). However, its imprecision or reliability is not well known. Thus, in order to determine the reliability of this scale, a prospective cohort study was pe...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2012.01.006
更新日期：2012-04-01 00:00:00
abstract：:An indentical questionnaire are administered separately to 100 chronic pain patients and a close family member of each. The majority of patients and relatives agreed on the answers to these questions about the pain problem. Highest congruency between patient and relative was associated with cases in which there were m...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(88)90003-6
更新日期：1980-04-01 00:00:00
abstract：:Iatrogenic Cushing's syndrome has been reported after the use of nasal, aerosol, oral, and intramuscular steroid preparations. Presented is a case of Cushing's syndrome due to an epidural injection of methylprednisolone. A 24-year-old man had left arm pain after an occupational injury. Electromyography revealed C7 rad...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(90)91054-M
更新日期：1990-01-01 00:00:00
abstract：:Central poststroke pain (CPSP) is one of the most refractory chronic pain syndromes. Repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex has been demonstrated to provide moderate pain relief for CPSP. However, the mechanism underlying the pain relief remains unclear. The objective of this s...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2013.04.017
更新日期：2013-08-01 00:00:00
abstract：:Opioid use for chronic pain is limited by severe central adverse effects. We examined whether activating mu-opioid receptors (MORs) in the peripheral nervous system attenuates spinal cord injury (SCI) pain-like behavior in mice. We produced a contusive SCI at the T10 vertebral level and examined motor and sensory dysf...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000001671
更新日期：2019-12-01 00:00:00
abstract：:Pain is generally considered to have a sensory and an affective component. Clinical research has suggested that morphine more potently attenuates the affective component as compared to the sensory component. Because preclinical nociception models typically focus on the sensory component of nociception, and do not asse...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2007.07.027
更新日期：2008-06-01 00:00:00
abstract：:This experiment had three goals: 1. To identify the basis of sucking-induced analgesia in healthy, term, newborn humans undergoing the painful, routine, procedure of heel lance and blood collection. 2. To evaluate how taste-induced and sucking-induced analgesias combine to combat pain. 3. To determine whether facial g...
journal_title：Pain
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/S0304-3959(99)00166-9
更新日期：1999-12-01 00:00:00
abstract：:Combined oral administration of morphine sulfate (MS) and the over-the-counter antitussive drug and N-methyl-D-aspartate receptor antagonist dextromethorphan (DM) prevented the development of tolerance to the antinociceptive effects of MS (15, 24, or 32 mg/kg) in rats. This combined oral treatment regimen also attenua...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(96)03120-x
更新日期：1996-10-01 00:00:00
