The Clinical journal of pain
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Perceived injustice (PI), assessed by the Injustice Experience Questionnaire (IEQ), is an important trigger of anger. Both PI and anger are associated with adverse chronic pain outcomes, and with comorbid mental health severity. We aimed to examine the roles of PI and anger in mediating pain across Fibromyalgia patients, with and without comorbid anxiety/depression (FM+A/D, FM-A/D respectively), as well as Rheumatoid Arthritis (RA), and healthy controls (HC). We hypothesized the highest levels of PI, anger, and pain in FM+A/D patients, followed by FM-A/D, RA, and HC, thus also validating a Hebrew version of the IEQ. ⋯ Our findings validate a Hebrew IEQ, and highlight the importance of PI and state and trait anger in the differential manifestation of mental health comorbidity in FM.
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Chronic pain is a significant public health concern. Psychological treatments are effective for treating chronic pain, but long term follow up studies are limited, and treatment effects sizes are small. Identifying modifiable treatment targets, such as emotion regulation, is critical to improve interventions. Emotion regulation (ER; i.e., cognitive and attentional strategies to modulate or maintain emotional experience) has been linked to psychopathology and pain experience in adults. Yet, the existing work is limited and has largely focused on the relationship between emotional experience, not ER, and pain. ⋯ Given that emotion regulation is readily targeted in psychological treatments for chronic pain, the results from the current study provide initial evidence to target these ER strategies in treatment.
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This retrospective study aimed to investigate the effectiveness and safety of early combined therapy with CT-guided paravertebral nerve (PVN) pulsed radiofrequency (PRF) and subcutaneous block on acute/subacute herpes zoster (HZ). ⋯ Our data revealed surprising levels of pain relief by combination therapies of PRF and subcutaneous block targeting different sites of pain pathway, thus suggesting a valuable treatment option for acute/subacute herpetic neuralgia.
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A biopsychosocial approach to understand and treat pain is crucial; however, there are limited socially-targeted interventions for adolescents with chronic pain. Peer support interventions implemented with other populations are associated with positive outcomes. Adolescents with chronic pain perceive peer support to have high potential value. This study explored the preferences of adolescents with chronic pain regarding the content and design of a group peer support intervention. ⋯ Adolescents with chronic pain desire a facilitated socially-focused intervention that provides them with the opportunity to spend time with other adolescents with chronic pain. A group peer support environment where adolescents with chronic pain can provide and receive peer support through sharing their experiences with others who understand them as well as engage in activities was described. The findings from this study provide insights for the development of a group peer support intervention.
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Randomized controlled trials indicate regional anesthesia (RA) improves postoperative outcomes with reduced pain and opioid consumption. Therefore, we hypothesized children who received RA, regardless of technique, would have reduced pain/opioid use in routine practice. ⋯ Despite adjustment for confounders, the association of RA with pediatric pain/opioid use outcomes was mixed. Further investigation is necessary to maximize the benefits of RA.