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Journal Cover British Journal of Pain
   [11 followers]  Follow    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 2049-4637 - ISSN (Online) 2049-4645
     Published by Sage Publications Homepage  [737 journals]
  • Editorial
    • Authors: Cox; F.
      Pages: 61 - 61
      PubDate: 2014-05-08T03:00:42-07:00
      DOI: 10.1177/2049463714530690|hwp:resource-id:spbjp;8/2/61
      Issue No: Vol. 8, No. 2 (2014)
  • A psychological flexibility conceptualisation of the experience of
           injustice among individuals with chronic pain
    • Authors: Scott, W; McCracken, L. M, Trost, Z.
      Pages: 62 - 71
      Abstract: Accumulating evidence suggests that the experience of injustice in patients with chronic pain is associated with poorer pain-related outcomes. Despite this evidence, a theoretical framework to understand this relationship is presently lacking. This review is the first to propose that the psychological flexibility model underlying Acceptance and Commitment Therapy (ACT) may provide a clinically useful conceptual framework to understand the association between the experience of injustice and chronic pain outcomes. A literature review was conducted to identify research and theory on the injustice experience in chronic pain, chronic pain acceptance, and ACT. Research relating injustice to chronic pain outcomes is summarised, the relevance of psychological flexibility to the injustice experience is discussed, and the subprocesses of psychological flexibility are proposed as potential mediating factors in the relationship between injustice and pain outcomes. Application of the psychological flexibility model to the experience of pain-related injustice may provide new avenues for future research and clinical interventions for patients with pain. Summary points • Emerging research links the experience of pain-related injustice to problematic pain outcomes. • A clinically relevant theoretical framework is currently lacking to guide future research and intervention on pain-related injustice. • The psychological flexibility model would suggest that the overarching process of psychological inflexibility mediates between the experience of injustice and adverse chronic pain outcomes. • Insofar as the processes of psychological inflexibility account for the association between injustice experiences and pain outcomes, methods of Acceptance and Commitment Therapy (ACT) may reduce the impact of injustice of pain outcomes. • Future research is needed to empirically test the proposed associations between the experience of pain-related injustice, psychological flexibility and pain outcomes, and whether ACT interventions mitigate the impact of pain-related injustice on pain outcomes.
      PubDate: 2014-05-08T03:00:42-07:00
      DOI: 10.1177/2049463713514736|hwp:master-id:spbjp;2049463713514736
      Issue No: Vol. 8, No. 2 (2014)
  • Howling at the moon' The effect of lunar phases on post-surgical pain
    • Authors: Komann, M; Weinmann, C, Meissner, W.
      Pages: 72 - 77
      Abstract: Objective: Many people are convinced that lunar phases influence their lives – despite the fact that a lot of studies have shown that this belief is wrong. In this article, we investigate the effect of lunar phases on acute post-surgical pain and on treatment-related side effects. We hypothesize that there is no influence. Methods: The data for the study were collected in 2010 and 2011 in 10 international hospitals participating in the research project PAIN OUT. Hospitalized patients were asked for their pain after surgery and pain treatment side effects using numerical ratings scales from 0 to 10. We applied Kurskal–Wallis H-tests to find out if the four moon phases show significant differences in 14 outcome variables. Afterwards, we adjusted for age, gender and three tracer surgeries. Results: A total of 12,224 patient data sets were assessed. For most variables and sub-groups, there is no lunar effect on the observed outcome variables. The only items that show statistically significant differences are pain interference with sleep (p = 0.01) and drowsiness (p = 0.01). The only sub-groups that show statistically significant connections to lunar phases in some variables are men (7 out of 14 variables significant) and elderly people (4 out of 14 variables significant). Discussion: Even in the statistically significant sub-groups, the differences are small and only show up in some variables. We conclude that lunar phases have no effect on post-surgical pain or its side effects. The hypothesis holds. Thus, there is no reason for patients to postpone surgeries or to fear surgeries on any given date.
      PubDate: 2014-05-08T03:00:42-07:00
      DOI: 10.1177/2049463714522985|hwp:master-id:spbjp;2049463714522985
      Issue No: Vol. 8, No. 2 (2014)
  • A prospective audit project into the adequacy of pain assessment in the
           medical and surgical wards in a North London District General Hospital
    • Authors: Atkinson, V. J; Almahdi, B.
      Pages: 78 - 83
      Abstract: Background: Accurate assessment of pain is associated with improved pain management, which can lead to better patient outcomes. It has been recommended that all patients have their pain assessed and the scores documented as the ‘fifth vital sign’. Method: All inpatients in the medical and surgical wards in our hospital were asked directly to score their pain according to the hospital-wide scoring system. Their observation charts and drug charts were then reviewed in order to determine the accuracy of documented pain assessments and the subsequent analgesic management. Results: Of the 208 patients reviewed, 20 (15%) patients on medical wards and 26 (38%) patients on surgical wards were in moderate to severe pain. Documentation of pain scores was not universal, with 29 (14%) patients having no score documented with their last set of observations. Of those with a score recorded, it was not found to correlate with the scores reported on direct questioning in 41% of medical patients and 71% of surgical patients. Provision of analgesia was also found to differ between medical and surgical wards. Discussion: The care of pain in the wards falls below the standards set by the Royal College of Anaesthetists. It is necessary to undertake a programme of education to increase awareness of the problem and to improve assessment and management to enhance the patient experience.
      PubDate: 2014-05-08T03:00:42-07:00
      DOI: 10.1177/2049463713510288|hwp:master-id:spbjp;2049463713510288
      Issue No: Vol. 8, No. 2 (2014)
  • Interventional Pain Medicine SIG 2013 Annual Meeting Poster Abstracts
    • Pages: 84 - 89
      PubDate: 2014-05-08T03:00:42-07:00
      DOI: 10.1177/2049463714527068|hwp:resource-id:spbjp;8/2/84
      Issue No: Vol. 8, No. 2 (2014)
  • Erratum
    • Pages: 90 - 90
      PubDate: 2014-05-08T03:00:42-07:00
      DOI: 10.1177/2049463714531876|hwp:resource-id:spbjp;8/2/90
      Issue No: Vol. 8, No. 2 (2014)
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