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Journal Cover British Journal of Pain
  [14 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  [852 journals]
  • Editorial
    • Authors: Knaggs R.
      Pages: 123 - 123
      PubDate: 2016-08-15T04:41:10-07:00
      DOI: 10.1177/2049463716656710
      Issue No: Vol. 10, No. 3 (2016)
  • A qualitative study exploring the effects of attending a community pain
           service choir on wellbeing in people who experience chronic pain
    • Authors: Hopper, M. J; Curtis, S, Hodge, S, Simm, R.
      Pages: 124 - 134
      Abstract: In line with growing evidence of the health benefits of singing, this study aimed to explore participants’ perceptions of the impact of a service-user-led community pain choir on their psychological wellbeing, self-efficacy and relationships with their chronic pain. The choir has links to a multidisciplinary pain management service, which is informed by the ethos of solution-focused (SF) principles, specifically in identifying and drawing upon patients’ resources. Seven choir members participated in semi-structured interviews, grounded in lines of enquiry commonly used in SF practice. Thematic analysis of the data uncovered seven themes: Physical Improvements, Emotional Impact, Personal Growth, Interpersonal Processes, Relationship with the ‘Self’, Living Well with Pain and Sharing the Music and Spreading the Word. Participants’ narratives provided support for participation in the choir in enhancing positive affect, self-worth, interpersonal relationships and overall wellbeing. The choir enabled continued progress towards accomplishing key pain management programme aims: self-management, coping and living well with pain. Findings expanded upon existing evidence relating to singing and wellbeing by highlighting the choir’s role in promoting resilience and acceptance of pain. Clinical implications are explored in relation to psychosocial dimensions of pain.
      PubDate: 2016-08-15T04:41:10-07:00
      DOI: 10.1177/2049463716638368
      Issue No: Vol. 10, No. 3 (2016)
  • A quality review of smartphone applications for the management of pain
    • Authors: Portelli, P; Eldred, C.
      Pages: 135 - 140
      Abstract: Smartphone applications (apps) are recent innovations that have not been studied extensively. The lack of regulatory body assessing the content of existing apps means that their quality is often unknown. This review aims to assess the quality of smartphone apps that claim to provide information and treatment for pain conditions. It assesses the degree to which apps adhere to evidence-based practices in psychological research for pain management and which stand the best chance of being effective for consumers. Another aim is to identify potential apps health-care professionals may wish to recommend to clients. Pain management apps on the official iPhone and Android stores were searched in January 2014. Those containing a psychological component in the app description were downloaded and rated for quality using a checklist devised by two researchers. The checklist was based on cognitive behavioural therapy (CBT) guidelines since the latter is the most effective intervention for computerized programs. A total of 195 apps met inclusion criteria. Although CBT is a promising alternative to traditional psychological interventions, only six apps endorsed theoretical reference to CBT principles. Existing apps are often constructed by lay people or software developers, with little input from health-care professionals. Pain apps sometimes promise a solution to pain without a consideration of app content. The development of evidence-based apps and rigorous evaluation of any long-term outcomes are important in enhancing understanding of the potential of these apps.
      PubDate: 2016-08-15T04:41:10-07:00
      DOI: 10.1177/2049463716638700
      Issue No: Vol. 10, No. 3 (2016)
  • Magnitude and variability of effect sizes for the associations between
           chronic pain and cognitive test performances: a meta-analysis
    • Authors: Rathbone, M; Parkinson, W, Rehman, Y, Jiang, S, Bhandari, M, Kumbhare, D.
      Pages: 141 - 155
      Abstract: Objectives and Methods:A systematic review and meta-analysis were performed to estimate the size and variability of the association between chronic pain (CP) and poorer cognitive test performances as a function of individual tests, pain sub-types, and study sources on 22 studies having (1) a control group, (2) reported means and standard deviations (SDs) and (3) tests studied at least 3 times.Results:CP patients performed significantly poorer with small to moderate effects (d = –.31 to –.57) on Digit Span Backward; STROOP Word; Color and Color-Word; Digit Symbol; Trail Making A and B; Rey Auditory Learning Immediate and Delayed Recall and Recognition. For these 10 measures, single effects (no interaction) were supported (I2 = 0%–8%) and Random and Fixed models yielded similar results. No group differences were found for Corsi Blocks Forward or Wisconsin Cart Sorting Test Categories Achieved, or Perseveration. Effects for the Rey Complex Figure Immediate and Delayed Recall were significant, but effect size was inconclusive, given moderate to high heterogeneity and lack of consistency between Random and Fixed models. For the Paced Auditory Serial Addition Test, there was a homogeneous (I2 = 0%) and significantly lower performance in fibromyalgia (d = –.47), but no effect in diagnostically undifferentiated pain samples, and wide variability across studies of whiplash (d = –.15 to –1.04, I2 = 60%).Conclusion:The magnitude and consistency of the CP – cognition effect depended on the test, pain subgroup and study source.Summary points
      Among tests showing a chronic pain (CP) – cognition effect, the magnitude of this association was consistently small to moderate across tests.
      Effect size estimation was inconclusive for Digit Span Forwards, the Paced Auditory Serial Addition Test and the Rey Complex Figure Test.
      Variance was too heterogeneous for testing cognitive domain specificity of the CP – cognition effect.
      PubDate: 2016-08-15T04:41:10-07:00
      DOI: 10.1177/2049463716642600
      Issue No: Vol. 10, No. 3 (2016)
  • Explaining unexplained pain to fibromyalgia patients: finding a narrative
           that is acceptable to patients and provides a rationale for evidence based
    • Authors: Hyland, M. E; Hinton, C, Hill, C, Whalley, B, Jones, R. C, Davies, A. F.
      Pages: 156 - 161
      Abstract: As the cause of fibromyalgia is controversial, communicating with patients can be challenging, particularly if the patient adopts the narrative ‘I am damaged and so I need a more powerful pain killer’. Research shows that providing patients with alternative narratives can be helpful, but it remains unclear what particular narratives are most acceptable to patients and at the same time provide a rationale for evidence based psychological and exercise interventions. This article described the development of a new narrative and the written comments made about the narrative by fibromyalgia patients. The narrative derives from a complexity theory model and provides an alternative to biogenic and psychogenic models. The model was presented to 15 patients whose comments about comprehensibility led to the final format of the narrative. In the final form, the body is presented as ‘a very, very clever computer’ where fibromyalgia is caused by a software rather than a hardware problem. The software problem is caused by the body adapting when people have to ‘keep going’ despite ‘stop signals’, such as pain and fatigue. The narrative provides a rationale for engaging in psychological and exercise interventions as a way of correcting the body’s software. This way of explaining fibromyalgia was evaluated by a further 25 patients attending a 7-week ‘body reprogramming’ intervention, where the therapy was presented as correcting the body’s software, and included both exercise and psychological components. Attendance at the course was 85%. Thematic analysis of written patient feedback collected after each session showed that patients found the model believable and informative, it provided hope and was empowering. Patients also indicated that they had started to implement lifestyle change with perceived benefit. Fibromyalgia patients appear to respond positively to a technology-derived narrative based on the analogy of the body as a computer.
      PubDate: 2016-08-15T04:41:10-07:00
      DOI: 10.1177/2049463716642601
      Issue No: Vol. 10, No. 3 (2016)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
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