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Chronic pain and neuropsychological functioning.
R P Hart1, M F Martelli, N D Zasler
1Department of Psychiatry, Medical College of Virginia Commonwealth University, Richmond 23298-0268, USA.
Neuropsychology Review
|September 13, 2000
Summary
Chronic pain negatively impacts cognitive functions like attention and processing speed in individuals without brain injuries. More research is needed to understand pain
Area of Science:
- Neuroscience
- Psychology
- Pain Medicine
Background:
- Chronic pain is a prevalent condition affecting millions globally.
- Neuropsychological functioning can be altered by persistent pain.
- Exclusion of traumatic brain injury (TBI) and neurological disorders isolates pain's specific effects.
Purpose of the Study:
- To review existing literature on the relationship between chronic pain and neuropsychological deficits.
- To focus on patient groups without confounding neurological conditions or TBI.
- To identify specific cognitive domains affected by chronic pain.
Main Methods:
- Systematic review of relevant scientific studies.
- Inclusion criteria focused on chronic pain patients without TBI or neurological disorders.
- Analysis of studies assessing various aspects of neuropsychological functioning.
Main Results:
- Significant evidence indicates neuropsychological impairment in chronic pain patients.
- Impairments are particularly noted in attentional capacity, processing speed, and psychomotor speed.
- Findings suggest a direct link between chronic pain and cognitive deficits.
Conclusions:
- Chronic pain is associated with measurable deficits in neuropsychological functioning.
- Further research is required to elucidate mediating variables and the role of associated symptoms.
- Understanding these cognitive impacts is crucial for comprehensive pain management strategies.