Pain and depression: an interdisciplinary patient-centered approach

Contents......Page 6
Preface......Page 8
Abstract......Page 11
Types of Pain and Depression......Page 12
Chronic Pain Treatment Goals......Page 13
Formulation of Depression......Page 14
Diseases......Page 16
Life Stories......Page 19
Dimensions......Page 22
Behaviors......Page 25
Conclusion......Page 29
References......Page 30
The Psychological Behaviorism Theory of Pain......Page 38
Biology......Page 39
Cognition......Page 40
Personality......Page 41
The Social Environment......Page 42
The Impact on Pain of Improving Mood by Engaging in Sexual Fantasies......Page 43
The Impact on Pain of Reducing Anxiety......Page 44
Anger Flooding......Page 45
Psychological Behaviorism Therapy Treatment of Osteoarthritic Pain......Page 46
The Placebo and Pain......Page 47
Pain Anxiety and Responsiveness to Placebo Suggestion......Page 48
References......Page 49
Introduction......Page 51
Background: Disability Theory......Page 52
What Is the Effect of RA on Function and Life Activities?......Page 54
Adding the Concept of ‘Personal Value’ to the Assessment of Disability......Page 55
What Is the Link between Function and Psychological Well-Being in RA?......Page 57
What Are the Implications of the Relationship between Function and Psychological Well-Being for the Model of Disability?......Page 61
Clinical Implications of the Proposed Model......Page 64
Suggestions for Future Research......Page 67
References......Page 68
Introduction......Page 73
Putative Mechanisms Underlying Psychotherapeutic Treatments......Page 75
Summary......Page 76
Psychopharmacological Treatments That Work for Depression and Chronic Pain......Page 77
Summary......Page 78
Quantitative Genetic Studies of Pain and Negative Emotions......Page 79
Molecular Genetic Studies of Pain and Negative Emotions......Page 80
The IE Model of the Structure of Common Mental Disorders: Recent Evidence of a Connection to Pain......Page 82
Conclusions: The Internalizing Spectrum Conceptualization Can Inform Research on Chronic Pain......Page 83
References......Page 84
Introduction......Page 88
Peripheral Mechanisms......Page 90
Dorsal Horn Mechanisms......Page 91
Ascending Tract and Descending Inhibition Mechanisms......Page 94
References......Page 95
Introduction......Page 99
Nomenclature......Page 100
Etiopathogenesis......Page 101
Psychiatric Comorbid Conditions in Chronic Pain......Page 102
Psychiatric Disease in CRPS......Page 103
Neglect-Like Symptoms......Page 104
Sympathetic Nervous System and Pain......Page 106
Sympathetic Nervous System Dysfunction......Page 107
CNS Dysfunction......Page 108
References......Page 109
Abstract......Page 112
Introduction......Page 113
Disease, Symptoms, and Disability in Populations and in Clinical Practice......Page 115
The Conceptual Basis of Population-Based Care......Page 116
Preclinical Prevention......Page 118
Routine Primary Care Mitigation of Postwar Symptoms......Page 120
Collaborative Primary Care Symptom Reduction and Disability Prevention......Page 122
Intensive Rehabilitative Care to Reduce Symptom Duration and Disability Severity......Page 123
Health Information Systems for Postwar Healthcare......Page 124
Preventing Postwar Syndromes – Implementing the Strategy......Page 125
Postwar Health Services Research Agenda and Expertise......Page 126
Primary Care Practice Guidelines on Postdeployment Healthcare Delivery......Page 127
Guideline Implementation following the September 11 Pentagon Attack......Page 128
References......Page 129
Introduction......Page 133
Opioid Effectiveness......Page 134
Pain-Centered Characteristics......Page 135
Enhancing Opioid Therapy by Adding N-Methyl-D-Aspartate Antagonists, Calcium Channel Blockers, Clonidine, and Opioids Plus Low-Dose Opioid Antagonists......Page 136
Addiction......Page 138
Depression......Page 141
Cognitive Dysfunction......Page 142
Conclusion......Page 143
References......Page 144
Abstract......Page 148
Patient-Related Issues......Page 149
Physician-Related Issues......Page 151
The Drug Enforcement Administration......Page 152
Pharmaceutical Companies......Page 153
Controversy over the Effectiveness of Opioids in the Treatment of Chronic Nonmalignant Pain......Page 154
Possible Solutions......Page 155
Conclusion......Page 157
References......Page 158
Introduction......Page 161
Background......Page 162
Ethical Treatment of Patients with Chronic Pain......Page 163
The Core Ethical Conflict in Chronic Pain Treatment......Page 164
Compassion, Autonomy, and Function in Patients with Chronic Pain......Page 170
A Harm Reduction Approach......Page 174
Steps for the Ethical Management of Pain......Page 176
References......Page 177
C......Page 182
M......Page 183
P......Page 184
S......Page 185
V......Page 186