Pain medicine : the official journal of the American Academy of Pain Medicine
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Randomized Controlled Trial Clinical Trial
Fear-avoidance behavior and anticipation of pain in patients with chronic low back pain: a randomized controlled study.
In a randomized controlled study, we investigated whether pain anticipation and fear-avoidance beliefs will lead to behavioral avoidance. ⋯ Results confirm that pain anticipation and fear-avoidance beliefs significantly influence the behavior of patients with low back pain in that they motivate avoidance behavior. Therapists must be aware of the powerful effects of cognitive processes, which can give rise to fear of pain and, consequently, avoidance behavior.
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Randomized Controlled Trial Clinical Trial
The additive impact of anxiety and a placebo on pain.
We investigated the effects of pain anxiety and a placebo/nocebo/neutral intervention on ice water-induced pain. ⋯ This study demonstrates that the interaction of the personality variable of pain anxiety with the placebo/nocebo response has an impact on pain, worry, and mood.
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Randomized Controlled Trial Clinical Trial
Palliative pharmaceutical care: a randomized, prospective study of telephone-based prescription and medication counseling services for treating chronic pain.
To evaluate the effects of providing a unique telephone-based pharmaceutical care program to a sample of patients enrolled at a university pain clinic in Philadelphia, Pa. We hypothesized that in comparison to routine pharmaceutical care, the telephone-based pharmaceutical care program would have a positive impact on delivery of medication, quality of life, and overall satisfaction with the pain clinic program. ⋯ This study suggests that the palliative-trained pharmacist can play an important collaborative role in managing chronic pain. Application of the pharmaceutical care model in pain medicine centers can improve satisfaction and remove some of the barriers to good pharmaceutical care facing patients with chronic pain disorders
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Randomized Controlled Trial Clinical Trial
Assessing the impact of heat on the systemic delivery of fentanyl through the transdermal fentanyl delivery system.
To examine the effects of locally applied heat on the systemic delivery of fentanyl through the Transdermal Fentanyl Delivery System. ⋯ Local heat can speed the onset of steady state fentanyl concentration in the Fentanyl Transdermal Drug Delivery System thus limiting the delay in onset of analgesia and allowing earlier identification and treatment of side effects.