Significance of pain in psychiatric hospital patients.

Abstract:

:In a consecutive series of 227 psychiatric hospital admissions, data were recorded in respect of the complaint of pain. Eighty-six (38%) had pain. Fourty-four (19%) mentioned it spontaneously and 49 (22%) had no relevant physical cause. Women were affected more often than men (P less than 0.01) and tended to complain more often of severe pain (P less than 0.01). Severe pain was more often reported spontaneously (P less than 0.02). Also, the longer pain lasted the more likely the patient was to report it spontaneously (P less than 0.02). Men more often had a relevant physical diagnosis (P less than 0.05) and the low back was the commonest site of pain in them. Pain was relatively often associated with diagnoses of anxiety and personality disorder and relatively infrequently with schizophrenia, organic brain syndromes and transient situational disturbances. It is concluded that whilst there is a strong association between pain and psychiatric illness, this is less prominent, paradoxically, in some of the more severe psychiatric disturbances.

journal_name

Pain

journal_title

Pain

authors

Delaplaine R,Ifabumuyi OI,Merskey H,Zarfas J

doi

10.1016/0304-3959(77)90146-4

subject

Has Abstract

pub_date

1978-04-01 00:00:00

pages

361-366

issue

4

eissn

0304-3959

issn

1872-6623

pii

00006396-197710001-00064

journal_volume

4

pub_type

杂志文章

相关文献

PAIN文献大全
  • Depression and the chronic pain experience.

    abstract::The present study examined the relationship between depression and a constellation of pain-related variables that describe the experience of chronic pain patients. Thirty-seven depressed and 32 non-depressed heterogeneous chronic pain patients were identified through structured interviews, use of standardized criteria...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(91)90073-7

    authors: Haythornthwaite JA,Sieber WJ,Kerns RD

    更新日期:1991-08-01 00:00:00

  • A dynamic set point for thermal adaptation requires phospholipase C-mediated regulation of TRPM8 in vivo.

    abstract::The ability to sense and respond to thermal stimuli at varied environmental temperatures is essential for survival in seasonal areas. In this study, we show that mice respond similarly to ramping changes in temperature from a wide range of baseline temperatures. Further investigation suggests that this ability to adap...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2014.08.001

    authors: Brenner DS,Golden JP,Vogt SK,Dhaka A,Story GM,Gereau RW IV

    更新日期:2014-10-01 00:00:00

  • Estrogen and progesterone activate spinal kappa-opiate receptor analgesic mechanisms.

    abstract::Rats and humans manifest elevated response thresholds to aversive stimuli during gestation and parturition. This pregnancy-associated antinociception is mediated, in part, by a spinal cord dynorphin/kappa antinociceptive system. Simulating the maternal pregnancy blood concentration profile (in non-pregnant animals) of...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(95)00092-5

    authors: Dawson-Basoa ME,Gintzler AR

    更新日期:1996-01-01 00:00:00

  • Can one predict the likely specific orofacial pain syndrome from a self-completed questionnaire?

    abstract::To estimate the prevalence of orofacial pain (OFP) by specific diagnostic subgroups in the general population. Cross-sectional population study. General medical practice in South East Cheshire, UK. Participants of baseline investigation who completed the full postal questionnaire (1510, adjusted study participation ra...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2004.07.002

    authors: Macfarlane TV,Blinkhorn AS,Craven R,Zakrzewska JM,Atkin P,Escudier MP,Amy Rooney C,Aggarwal V,Macfarlane GJ

    更新日期:2004-10-01 00:00:00

  • Premorbid psychosocial factors are associated with poor health-related quality of life in subjects with new onset of chronic widespread pain - results from the EPIFUND study.

    abstract::Chronic widespread pain (CWP) is associated with poor health-related quality of life (HRQoL). It is unclear whether pain itself is the cause of poor HRQoL or other factors play a role. We hypothesised that new onset of CWP was associated with poor physical and mental HRQoL but that psychosocial risk markers for CWP on...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2008.10.022

    authors: Nicholl BI,Macfarlane GJ,Davies KA,Morriss R,Dickens C,McBeth J

    更新日期:2009-01-01 00:00:00

  • Prevalence of chronic pain in psychiatric patients.

    abstract::Five hundred consecutive patients attending a psychiatric clinic were examined in order to ascertain the prevalence of chronic pain in various psychiatric illnesses and demographic categories. Chronic pain was found to be a frequent symptom in anxiety neurosis (60%), neurotic depression (45%) and hysteria (24.3%). Les...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(87)91039-6

    authors: Chaturvedi SK

    更新日期:1987-05-01 00:00:00

  • Brief preoperative mind-body therapies for total joint arthroplasty patients: a randomized controlled trial.

    abstract:ABSTRACT:While knee and hip replacements are intended to relieve pain and improve function, up to 44% of knee replacement patients and 27% of hip replacement patients report persistent postoperative joint pain. Improving surgical pain management is essential. We conducted a single-site, three-arm, parallel-group random...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000002195

    authors: Hanley AW,Gililland J,Erickson J,Pelt C,Peters C,Rojas J,Garland EL

    更新日期:2021-01-12 00:00:00

  • Primary and secondary hyperalgesia can be differentiated by postnatal age and ERK activation in the spinal dorsal horn of the rat pup.

    abstract::Noxious C-fibre stimulation produces increased sensitivity within the injured area (primary hyperalgesia), and a surrounding zone of secondary hyperalgesia. As significant changes in nociceptive processing occur during development, we compared C-fibre induced primary and secondary hyperalgesia in rat pups aged 3, 10 a...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2006.09.015

    authors: Walker SM,Meredith-Middleton J,Lickiss T,Moss A,Fitzgerald M

    更新日期:2007-03-01 00:00:00

  • Neuropathic pain phenotyping by international consensus (NeuroPPIC) for genetic studies: a NeuPSIG systematic review, Delphi survey, and expert panel recommendations.

    abstract::For genetic research to contribute more fully to furthering our knowledge of neuropathic pain, we require an agreed, valid, and feasible approach to phenotyping, to allow collaboration and replication in samples of sufficient size. Results from genetic studies on neuropathic pain have been inconsistent and have met wi...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1097/j.pain.0000000000000335

    authors: van Hecke O,Kamerman PR,Attal N,Baron R,Bjornsdottir G,Bennett DLH,Bennett MI,Bouhassira D,Diatchenko L,Freeman R,Freynhagen R,Haanpää M,Jensen TS,Raja SN,Rice ASC,Seltzer Z,Thorgeirsson TE,Yarnitsky D,Smith BH

    更新日期:2015-11-01 00:00:00

  • Age-related differences in endogenous pain modulation: a comparison of diffuse noxious inhibitory controls in healthy older and younger adults.

    abstract::Despite decades of research, hundreds of studies, and a number of recent reviews, the effects of aging on the experience of pain remain poorly understood. Many prior investigators have reported increases in persistent pain conditions and diminished tolerance for certain types of laboratory-induced pain among the elder...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(02)00324-x

    authors: Edwards RR,Fillingim RB,Ness TJ

    更新日期:2003-01-01 00:00:00

  • Reference of pain following percutaneous cervical cordotomy.

    abstract::In order to clarify the mechanism of reference of pain following cordotomy (ROPC), the authors investigated ROPC in 66 patients undergoing percutaneous cervical cordotomy (PCC) and examined the features of ROPC and the correlation between the occurrence of ROPC and the pre-operative pain states, as well as the results...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(93)90082-Z

    authors: Nagaro T,Amakawa K,Kimura S,Arai T

    更新日期:1993-05-01 00:00:00

  • Health locus of control, gender differences and adjustment to persistent pain.

    abstract::Locus of control (LOC) beliefs, long thought important in adjustment to persistent pain, were studied among 160 subjects (67 males and 93 females) referred to a comprehensive pain rehabilitation program. The subscale structure of the Multidimensional Health Locus of Control (MHLC) was factorially replicated in our sam...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(90)91141-5

    authors: Buckelew SP,Shutty MS Jr,Hewett J,Landon T,Morrow K,Frank RG

    更新日期:1990-09-01 00:00:00

  • A trial of an activating intervention for chronic back pain in primary care and physical therapy settings.

    abstract::In primary care and physical therapy settings, we evaluated an intervention for chronic back pain patients which incorporated fear reducing and activating techniques. Primary care patients seen for back pain in primary care were screened to identify persons with significant activity limitations 8-10 weeks after their ...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.pain.2004.11.007

    authors: Von Korff M,Balderson BHK,Saunders K,Miglioretti DL,Lin EHB,Berry S,Moore JE,Turner JA

    更新日期:2005-02-01 00:00:00

  • Pain in women with HIV/AIDS.

    abstract::Poor women and women of color are disproportionately affected by HIV and this is particularly evident in sub-Saharan Africa. Even with increased access to antiretroviral therapy that makes HIV/AIDS a chronic manageable condition, little progress has been made to address the issues of pain caused by HIV disease in wome...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1016/j.pain.2007.10.009

    authors: Gray G,Berger P

    更新日期:2007-11-01 00:00:00

  • Mechanisms of referred visceral pain: uterine inflammation in the adult virgin rat results in neurogenic plasma extravasation in the skin.

    abstract::The purpose of this study was to investigate the mechanisms of referred pain observed in female patients with pain from the reproductive organs. We developed a model of inflammatory uterine pain in the rat. Inflammation of the uterus in rats pretreated with Evans Blue Dye resulted in dye extravasation in the skin over...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(97)00112-7

    authors: Wesselmann U,Lai J

    更新日期:1997-12-01 00:00:00

  • Percutaneous electrical nerve stimulation: an alternative to TENS in the management of sciatica.

    abstract::Sciatica is a common pain problem and current pharmacologic therapies have proven inadequate for many patients. The objective of this sham-controlled investigation was to compare a novel non-pharmacologic technique, percutaneous electrical nerve stimulation (PENS), to transcutaneous electrical nerve stimulation (TENS)...

    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)00097-4

    authors: Ghoname EA,White PF,Ahmed HE,Hamza MA,Craig WF,Noe CE

    更新日期:1999-11-01 00:00:00

  • 5-hydroxytryptamine1A receptor is involved in the bee venom induced inflammatory pain.

    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

    authors: Wang W,Wu SX,Wang YY,Liu XY,Li YQ

    更新日期:2003-11-01 00:00:00

  • Aberrant reactive aldehyde detoxification by aldehyde dehydrogenase-2 influences endometriosis development and pain-associated behaviors.

    abstract::Endometriosis affects ∼176 million women worldwide, yet on average, women experience pain ∼10 years from symptom onset before being properly diagnosed. Standard treatments (drugs or surgery) often fail to provide long-term pain relief. Elevated levels of reactive aldehydes such as 4-hydroxynonenal (4-HNE) have been im...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001949

    authors: McAllister SL,Sinharoy P,Vasu M,Gross ER

    更新日期:2021-01-01 00:00:00

  • Analysis of excitatory amino acid transmission within the rostral ventromedial medulla: implications for circuitry.

    abstract::Two classes of neurons with distinct responses to opioids have been identified in the rostral ventromedial medulla (RVM), a region with a well-documented role in nociceptive modulation. 'On-cells' are directly inhibited by opioids, and opioids can thus gain access to the modulatory circuitry of the RVM by an action on...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(97)00226-1

    authors: Heinricher MM,McGaraughty S

    更新日期:1998-04-01 00:00:00

  • Considerations for improving assay sensitivity in chronic pain clinical trials: IMMPACT recommendations.

    abstract::A number of pharmacologic treatments examined in recent randomized clinical trials (RCTs) have failed to show statistically significant superiority to placebo in conditions in which their efficacy had previously been demonstrated. Assuming the validity of previous evidence of efficacy and the comparability of the pati...

    journal_title:Pain

    pub_type: 共识发展会议,杂志文章

    doi:10.1016/j.pain.2012.03.003

    authors: Dworkin RH,Turk DC,Peirce-Sandner S,Burke LB,Farrar JT,Gilron I,Jensen MP,Katz NP,Raja SN,Rappaport BA,Rowbotham MC,Backonja MM,Baron R,Bellamy N,Bhagwagar Z,Costello A,Cowan P,Fang WC,Hertz S,Jay GW,Junor R,Ker

    更新日期:2012-06-01 00:00:00

  • Epidural administration of opiates by a new device.

    abstract::Epidural administration of opiates as a long-term treatment of cancer pain, even for out-patients, is now well established. Most reports describe intermittent injections given several times a day, which may have technical and personal disadvantages. Continuous epidural infusion may be preferable. This report describes...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(87)90164-3

    authors: Ingemar F,Ahlgren H,Ahlgren MBE

    更新日期:1987-12-01 00:00:00

  • Subject versus experimenter control in the reaction to pain.

    abstract::Although perceived control has been used as a means of reducing the reaction to pain, conceptually, much is still unclear. The purpose of this study was to clarify the effects of control as a mediating variable in the reaction to pain as a function of the predispositional variables of perceived self-efficacy and trait...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(85)90059-4

    authors: Weisenberg M,Wolf Y,Mittwoch T,Mikulincer M,Aviram O

    更新日期:1985-10-01 00:00:00

  • Lack of analgesic effect of 50 and 100 mg oral tramadol after orthopaedic surgery: a randomized, double-blind, placebo and standard active drug comparison.

    abstract::Tramadol hydrochloride is a synthetic mu-opioid agonist with additional monoaminergic activity. Tramadol's analgesic effect has been equated with that of pethidine, with a more favourable side-effect profile. Tramadol has been the most-selling prescription analgesic in Germany for several years, and it is now availabl...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0304-3959(95)00056-X

    authors: Stubhaug A,Grimstad J,Breivik H

    更新日期:1995-07-01 00:00:00

  • A cross-national study of the course of persistent pain in primary care.

    abstract::Data from the World Health Organization's study of psychological problems in general health care were used to examine the course of persistent pain syndromes among primary care patients. Across 15 sites in 14 countries, 3197 randomly selected primary care patients completed baseline and 12-month follow-up assessments ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(00)00483-8

    authors: Gureje O,Simon GE,Von Korff M

    更新日期:2001-05-01 00:00:00

  • Spiritual healing as a therapy for chronic pain: a randomized, clinical trial.

    abstract::Spiritual healing is a popular complementary and alternative therapy; in the UK almost 13000 members are registered in nine separate healing organisations. The present randomized clinical trial was designed to investigate the efficacy of healing in the treatment of chronic pain. One hundred and twenty patients sufferi...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0304-3959(00)00421-8

    authors: Abbot NC,Harkness EF,Stevinson C,Marshall FP,Conn DA,Ernst E

    更新日期:2001-03-01 00:00:00

  • Effect of peripheral nerve injury on cGMP and nitric oxide synthase levels in rat dorsal root ganglia: time course and coexistence.

    abstract::Using the indirect immunofluorescence method, the distribution of cyclic GMP (cGMP) and nitric oxide synthase (NOS) was investigated in lumbar 5 dorsal root ganglia (DRGs) of untreated rats 1, 3 and 7 days following sciatic nerve section (axotomy). Untreated and axotomized (7 days) rats were also studied after perfusi...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(98)00124-9

    authors: Sten Shi TJ,Holmberg K,Xu ZD,Steinbusch H,de Vente J,Hökfelt T

    更新日期:1998-12-01 00:00:00

  • Artificial ureteral calculosis in rats: behavioural characterization of visceral pain episodes and their relationship with referred lumbar muscle hyperalgesia.

    abstract::In a rat model of artificial ureteral calculosis, the aim of the study was to characterize the behavioural manifestations of direct visceral pain and to evaluate the relationship between number, duration and complexity of the visceral episodes and the extent of referred lumbar muscular hyperalgesia. As evidenced by no...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(94)00208-V

    authors: Giamberardino MA,Valente R,de Bigontina P,Vecchiet L

    更新日期:1995-06-01 00:00:00

  • The use of topical 4% lidocaine in spheno-palatine ganglion blocks for the treatment of chronic muscle pain syndromes: a randomized, controlled trial.

    abstract::To assess the efficacy of 4% topical lidocaine in spheno-palatine blocks, a randomized controlled trial was carried out on patients with chronic muscle pain syndromes. Sixty-one patients (42 with fibromyalgia (FM) and 19 with myofascial pain syndrome (MPS)) completed the trial. Outcome measures included pain intensity...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0304-3959(94)00232-4

    authors: Scudds RA,Janzen V,Delaney G,Heck C,McCain GA,Russell AL,Teasell RW,Varkey G,Woodbury GM

    更新日期:1995-07-01 00:00:00

  • Effects of purinergic and adrenergic antagonists in a rat model of painful peripheral neuropathy.

    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

    authors: Park SK,Chung K,Chung JM

    更新日期:2000-08-01 00:00:00

  • Racial/ethnic differences in the experience of chronic pain.

    abstract::The purpose of this study was to examine racial/ethnic-related differences in a four-stage model of the processing of chronic pain. The subjects were 1557 chronic pain patients (White=1084, African American=473) evaluated at a pain management clinic at a large southeastern university medical center. Using an analysis ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(02)00306-8

    authors: Riley JL 3rd,Wade JB,Myers CD,Sheffield D,Papas RK,Price DD

    更新日期:2002-12-01 00:00:00