Patient-related barriers to management of cancer pain in Puerto Rico.

Abstract:

:Two hundred and sixty-three ambulatory patients older than 21 years of age who were attending clinics at an oncology hospital in San Juan, Puerto Rico, were studied. They completed a questionnaire (BQ-PR) that measures 8 concerns about reporting pain and using analgesics, such as fears of addiction and tolerance and the belief that reporting pain can distract a physician from focusing on curing one's disease. Ninety percent of the patients had at least some concern about each of the 8 topics, and mean scores on the 8 subscales were near the midpoint on a 0-5 scale. There were significant inverse relationships between level of education, income, and BQ-PR total score. Those persons who experienced cancer-related pain on the day they completed the questionnaire were categorized as using adequate versus not adequate analgesic medication, a determination that was based on a comparison of their level of pain to the medication they were using. Those who were not using adequate analgesic medication had higher BQ-PR total scores than did those who were using adequate medication.

journal_name

Pain

journal_title

Pain

authors

Ward SE,Hernandez L

doi

10.1016/0304-3959(94)90203-8

subject

Has Abstract

pub_date

1994-08-01 00:00:00

pages

233-238

issue

2

eissn

0304-3959

issn

1872-6623

pii

00006396-199408000-00011

journal_volume

58

pub_type

临床试验,杂志文章

相关文献

PAIN文献大全
  • Dissociation of hypertension and enhanced clonidine-induced antinociception in spontaneously hypertensive rats.

    abstract::In the present study, we evaluated the relationship between hypertension and the antinociceptive effect of clonidine in genetically hypertensive rats. Intraperitoneal (i.p.) administration of clonidine (0.69 mg/kg) produced hypoalgesia without lowering blood pressure in conscious spontaneously hypertensive (SH), spont...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(93)90055-T

    authors: Lin JC,Tsao WL,Lee HK,Wang Y

    更新日期:1993-04-01 00:00:00

  • The cognitive and psychomotor effects of morphine in healthy subjects: a randomized controlled trial of repeated (four) oral doses of dextropropoxyphene, morphine, lorazepam and placebo.

    abstract::Ten healthy subjects (four male) of mean age 31 years (range 25-40) took part in a randomized double-blind four-way crossover study to examine the cognitive and psychomotor effects of repeated oral doses of dextropropoxyphene and morphine. Four treatments were compared: dextropropoxyphene napsylate 100 mg, morphine su...

    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)00274-2

    authors: O'Neill WM,Hanks GW,Simpson P,Fallon MT,Jenkins E,Wesnes K

    更新日期:2000-03-01 00:00:00

  • Facial expressions of pain and emotions in chronic TMD patients.

    abstract::This research was designed to identify and validate facial expressions of pain occurring in a clinical chronic pain condition. Facial expressions of 28 patients with chronic temporomandibular disorder pain were videotaped during a painful clinical examination procedure and coded using an anatomically based system. Cha...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(88)90278-3

    authors: LeResche L,Dworkin SF

    更新日期:1988-10-01 00:00:00

  • A multilevel structural equation modeling analysis of vulnerabilities and resilience resources influencing affective adaptation to chronic pain.

    abstract::The processes of individual adaptation to chronic pain are complex and occur across multiple domains. We examined the social, cognitive, and affective context of daily pain adaptation in individuals with fibromyalgia and osteoarthritis. By using a sample of 260 women with fibromyalgia or osteoarthritis, we examined th...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2013.10.007

    authors: Sturgeon JA,Zautra AJ,Arewasikporn A

    更新日期:2014-02-01 00:00:00

  • Analgesic effects of dietary caloric restriction in adult mice.

    abstract::Nociception was studied in male mice, mostly of the C57BL/6 strain, during continuous or prolonged restriction of caloric intake (60% of ad-libitum) from midlife to senescence (up to 105 weeks). Restricted mice showed fewer licking or biting responses 20-60 min after hind paw injection of 5% formalin at 46 and 70 week...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2005.01.010

    authors: Hargraves WA,Hentall ID

    更新日期:2005-04-01 00:00:00

  • Spinal substance P release in vivo during the induction of long-term potentiation in dorsal horn neurons.

    abstract::Long-term potentiation (LTP) in wide dynamic range (WDR) neurons in the dorsal horn has been suggested to contribute to central sensitization and the development of chronic pain. Indirect experimental evidence indicates an involvement of substance P (SP), in this respect. The aim of the present study was to monitor th...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(01)00414-6

    authors: Afrah AW,Fiskå A,Gjerstad J,Gustafsson H,Tjølsen A,Olgart L,Stiller CO,Hole K,Brodin E

    更新日期:2002-03-01 00:00:00

  • Functional differences between neurochemically defined populations of inhibitory interneurons in the rat spinal dorsal horn.

    abstract::In order to understand how nociceptive information is processed in the spinal dorsal horn we need to unravel the complex synaptic circuits involving interneurons, which constitute the vast majority of the neurons in laminae I-III. The main limitation has been the difficulty in defining functional populations among the...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2013.05.001

    authors: Polgár E,Sardella TCP,Tiong SYX,Locke S,Watanabe M,Todd AJ

    更新日期:2013-12-01 00:00:00

  • Responses of spinothalamic tract cells in the thoracic spinal cord of the monkey to cutaneous and visceral inputs.

    abstract::Somatovisceral convergence was demonstrated in recordings from 15 of 16 spinothalamic tract cells in the lower thoracic spinal cords of anesthetized monkeys. Inputs were produced by mechanical (or sometimes electrical) stimulation of the skin over the lower trunk and by electrical stimulation of the greater splanchnic...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(81)90002-6

    authors: Foreman RD,Hancock MB,Willis WD

    更新日期:1981-10-01 00:00:00

  • Reactive oxygen species contribute to neuropathic pain by reducing spinal GABA release.

    abstract::Although both a loss of spinal inhibitory neurotransmission and the involvement of oxidative stress have been regarded as important mechanisms in the pathogenesis of pain, the relationship between these 2 mechanisms has not been studied. To determine whether reactive oxygen species (ROS) involvement in pain mechanisms...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2010.12.034

    authors: Yowtak J,Lee KY,Kim HY,Wang J,Kim HK,Chung K,Chung JM

    更新日期:2011-04-01 00:00:00

  • Evaluation of the fear-avoidance model with health care workers experiencing acute/subacute pain.

    abstract::Studies in the literature do not show clear evidence supporting the relationship between pain and depressive symptoms in individuals experiencing acute/subacute pain compared to those experiencing chronic pain. However, more information is needed about which variables act as mediators in the pain-depression relationsh...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.pain.2011.07.024

    authors: Corbière M,Zaniboni S,Coutu MF,Franche RL,Guzman J,Dawson K,Yassi A

    更新日期:2011-11-01 00:00:00

  • OnabotulinumtoxinA decreases interictal CGRP plasma levels in patients with chronic migraine.

    abstract::OnabotulinumtoxinA (onabotA) has shown efficacy in chronic migraine (CM). Its mechanism of action, however, remains obscure. We have analysed whether treatment with onabotA is able to induce changes in interictal plasma calcitonin gene-related peptide (CGRP) concentrations, which have been shown to be increased in pat...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000119

    authors: Cernuda-Morollón E,Ramón C,Martínez-Camblor P,Serrano-Pertierra E,Larrosa D,Pascual J

    更新日期:2015-05-01 00:00:00

  • Altered trigeminal pain processing on brainstem level in persistent idiopathic facial pain.

    abstract::Persistent Idiopathic Facial Pain (PIFP) is a poorly understood chronic pain syndrome of the face, formerly known as atypical facial pain. It is characterized by a constant painful sensation without neurological abnormalities and without clinically objectifiable cause. Similarities to neuropathic pain conditions have ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000002126

    authors: Ziegeler C,Schulte LH,May A

    更新日期:2020-10-26 00:00:00

  • Isometric exercise has opposite effects on central pain mechanisms in fibromyalgia patients compared to normal controls.

    abstract::Aerobic exercise has been shown to activate endogenous opioid and adrenergic systems and attenuate experimental pain in normal control subjects (NC). In contrast, fibromyalgia (FM) subjects' experimental pain ratings increase after aerobic exercise, suggestive of abnormal pain modulation. In order to determine whether...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2005.08.007

    authors: Staud R,Robinson ME,Price DD

    更新日期:2005-11-01 00:00:00

  • Bradykinin is a potent pruritogen in atopic dermatitis: a switch from pain to itch.

    abstract::Histamine, substance P, serotonin and bradykinin were applied by iontophoresis to lesional and visually non-lesional skin of 14 patients with atopic dermatitis, and normal skin of 15 healthy volunteers. Itch could be evoked by light stroking of skin with a cotton swab (alloknesis) in all lesional skin sites, but not i...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2006.06.003

    authors: Hosogi M,Schmelz M,Miyachi Y,Ikoma A

    更新日期:2006-12-15 00:00:00

  • Migraine understood as a sensory threshold disease.

    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

    authors: Peng KP,May A

    更新日期:2019-07-01 00:00:00

  • Outcomes of prescription opioid dose escalation for chronic pain: results from a prospective cohort study.

    abstract::The use of long-term opioid therapy for chronic pain remains common, yet data on long-term outcomes, especially after dose escalation, are sparse. This study examined potential benefits and harms associated with prescription opioid dose escalation. Participants from 2 institutions were enrolled in a 2-year prospective...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001817

    authors: Morasco BJ,Smith N,Dobscha SK,Deyo RA,Hyde S,Yarborough BJH

    更新日期:2020-06-01 00:00:00

  • Validation of the "Pain Block" concrete ordinal scale for children aged 4 to 7 years.

    abstract::Pain scales using faces are commonly used tools for assessing pain in children capable of communicating. However, some children require other types of pain scales because they have difficulties in understanding faces pain scales. The goal of this study was to develop and validate the "Pain Block" concrete ordinal scal...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究

    doi:10.1097/j.pain.0000000000001131

    authors: Jung JH,Lee JH,Kim DK,Jung JY,Chang I,Kwon H,Shin J,Paek SH,Oh S,Kwak YH

    更新日期:2018-04-01 00:00:00

  • Effects of capsaicin applied locally to adult peripheral nerve. II. Anatomy and enzyme and peptide chemistry of peripheral nerve and spinal cord.

    abstract::(1) Capsaicin solution was applied for 15 min around a 1 cm length of sciatic nerve in the mid upper leg of adult rats. (2) Electron microscopic examinations of the nerve in the treated region after 14 days shows no signs of degeneration of either myelinated or unmyelinated fibres attributable to the capsaicin. (3) Fl...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(81)90637-0

    authors: Ainsworth A,Hall P,Wall PD,Allt G,MacKenzie ML,Gibson S,Polak JM

    更新日期:1981-12-01 00:00:00

  • Effect of local anaesthetic infiltration on chronic postsurgical pain after total hip and knee replacement: the APEX randomised controlled trials.

    abstract::Total hip replacement (THR) and total knee replacement (TKR) are usually effective at relieving pain; however, 7% to 23% of patients experience chronic postsurgical pain. These trials aimed to investigate the effect of local anaesthetic wound infiltration on pain severity at 12 months after primary THR or TKR for oste...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/j.pain.0000000000000114

    authors: Wylde V,Lenguerrand E,Gooberman-Hill R,Beswick AD,Marques E,Noble S,Horwood J,Pyke M,Dieppe P,Blom AW

    更新日期:2015-06-01 00:00:00

  • Subthalamic deep brain stimulation versus best medical therapy for L-dopa responsive pain in Parkinson's disease.

    abstract::Pain is a frequently observed non-motor symptom of patients with Parkinson's disease. In some patients, Parkinson's-related pain responds to dopaminergic treatment. In the present study, we aimed to elucidate whether subthalamic deep brain stimulation has a similar beneficial effect on pain in Parkinson's disease, and...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2013.03.008

    authors: Sürücü O,Baumann-Vogel H,Uhl M,Imbach LL,Baumann CR

    更新日期:2013-08-01 00:00:00

  • Excitatory amino acid antagonists in the rostral ventromedial medulla inhibit mesencephalic morphine analgesia in rats.

    abstract::Supraspinal opioid analgesia is mediated in part by connections between the periaqueductal gray (PAG) and rostral ventromedial medulla (RVM). Morphine analgesia elicited from the PAG is respectively decreased by selective serotonergic and opioid receptor antagonists administered into the RVM, and increased by RVM neur...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(95)00192-1

    authors: Spinella M,Cooper ML,Bodnar RJ

    更新日期:1996-03-01 00:00:00

  • Gabapentin induced polyneuropathy.

    abstract::Gabapentin is an effective option for the treatment of neuropathic pain syndromes because of its efficacy and favorable side-effect profile. A case is presented of a 58 year old man who developed a painful polyneuropathy while being treated with gabapentin. ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(97)00188-7

    authors: Gould HJ

    更新日期:1998-02-01 00:00:00

  • Why are children still crying? Going beyond "evidence" in guideline development to improve pain care for children: the HELPinKIDS experience.

    abstract::The failure to translate research evidence into day-to-day clinical practices is identified as a significant reason for suboptimal quality care across the health system, including procedural pain management in children. Clinical practice guidelines (CPGs) have been developed to assist in this process by synthesizing a...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1097/j.pain.0000000000000090

    authors: Taddio A,Rogers JM

    更新日期:2015-04-01 00:00:00

  • Dental nerve regeneration in rats. I. Electrophysiological studies of molar sensory deficit and recovery.

    abstract::Return of sensory nerve function in rat molars following cut or crush injury to the inferior alveolar nerve (IAN) was measured by observing the jaw opening reflex (JOR) response of the digastric muscle to electrical stimulation of individual molars or the gingiva. The IAN was injured from a lateral approach to the man...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(83)90071-4

    authors: Berger RL,Byers MR,Calkins DF

    更新日期:1983-04-01 00:00:00

  • Quantitative sensory testing using DFNS protocol in Europe: an evaluation of heterogeneity across multiple centers in patients with peripheral neuropathic pain and healthy subjects.

    abstract::Quantitative sensory testing (QST) in accordance with the DFNS (German Research Network on Neuropathic Pain) protocol assesses the function of afferent nerve fibers on the basis of 13 parameters. Within the consortia IMI (Innovative Medicines Initiative) Europain and Neuropain, QST results from pain research units exp...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究

    doi:10.1097/j.pain.0000000000000433

    authors: Vollert J,Attal N,Baron R,Freynhagen R,Haanpää M,Hansson P,Jensen TS,Rice ASC,Segerdahl M,Serra J,Sindrup SH,Tölle TR,Treede RD,Maier C

    更新日期:2016-03-01 00:00:00

  • Gender differences in pain and depressive tendency among Chinese elders with knee osteoarthritis.

    abstract::The purpose of this study was to explore gender differences in pain experiences, pain control beliefs, pain coping strategies, and depressive tendency among Chinese elderly with knee osteoarthritis (OA). Participants (N=199) were drawn from a previous convenience sample of outpatients with OA in Taiwan. Results indica...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2007.03.014

    authors: Tsai YF

    更新日期:2007-07-01 00:00:00

  • The relation between pain beliefs, negative thoughts, and psychosocial functioning in chronic pain patients.

    abstract::Cognitions and beliefs appear important in predicting adjustment to chronic pain. The current study examines how cognitions and beliefs are related to psychosocial functioning. One hundred and sixty-three chronic pain out-patients were assessed. Regression analyses were performed using scores on the Pain Beliefs and P...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(99)00226-2

    authors: Stroud MW,Thorn BE,Jensen MP,Boothby JL

    更新日期:2000-02-01 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

  • On the generalised embodiment of pain: how interoceptive sensitivity modulates cutaneous pain perception.

    abstract::Individual differences in interoceptive sensitivity are associated with differences in reported intensity of emotional experience, vulnerability to anxiety and mood disorder and capacity for emotional self-regulation. Enhanced sensitivity to autonomic state is often accompanied by increased autonomic reactivity. Here ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.04.030

    authors: Pollatos O,Füstös J,Critchley HD

    更新日期:2012-08-01 00:00:00

  • The burden of chronic pain: a cross-sectional survey focussing on diseases, immigration, and opioid use.

    abstract::Chronic pain is currently considered a public health problem with high costs to the individual and society. To improve prevention and treatment of chronic pain, epidemiologic studies are mandatory for assessing chronic pain. The aims of this study were to estimate the prevalence of chronic pain in the adult Danish pop...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.07.023

    authors: Kurita GP,Sjøgren P,Juel K,Højsted J,Ekholm O

    更新日期:2012-12-01 00:00:00