Epidemiologic perspective on chronic pain treatment
Eldon R Tunks1, Robin Weir, Joan Crook
1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario. tunks@hhsc.ca
Objective:
To review the epidemiologic literature concerning psychosocial mediators of outcome in chronic pain. These factors deserve attention in the assessment and treatment of chronic pain by mental health professionals.
Method:
We reviewed literature dealing with epidemiologic perspectives on abuse, depression, addiction, employment, coping skills, and psychosocial problems. Treatments considered include analgesics, psychological rehabilitation, and prevention of disability.
Results:
Psychosocial factors such as abuse, mood disorder, employment handicap, poor coping skills, and other psychosocial problems are commonly found in chronic pain patients referred to clinics.
Conclusion:
Many psychosocial factors that can be identified in chronic pain sufferers are relevant to the professional skills of mental health professionals. These factors are determinants of prognosis, course, and outcome of chronic pain.
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Analgesia and Pain Management
Nociception
Chronic Pancreatitis II: Collaborative Care
Assessment:
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pain

