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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The concept of psychogenic pain is discussed and reviewed from multiple theoretical perspectives. The validity of psychogenic pain disorder as a clinical diagnosis is also examined, as are regional pain syndromes such as psychogenic abdominal, facial, pelvic, chest, and headache pain. The term "psychogenic pain" is considered to have limited clinical or diagnostic usefulness and the preferred term "idiopathic pain syndrome" used in DSM-III-R is advocated.
Gen Hosp Psychiatry 1987 Mar
PMID:Psychogenic/idiopathic pain syndromes. 355 78

The findings in a 199 neurology patients referred to a psychiatric consultation-liaison service are analyzed. Neurology referrals differ from general hospital referrals in reasons for referral and in patterns of diagnosis. The most common conversion symptoms seen are pain and pseudoseizures. The psychiatric diagnosis made in those patients with functional pain varies with the site of the pain. These two conversion symptoms, pain and pseudoseizures, have differing ages of onset and prognoses. A number of patients were given no psychiatric diagnosis and the reasons for this are discussed. The incidence of various neurologic diagnoses made in those patients referred to the consultation-liaison service is compared with the incidence of those diagnoses made in consecutive admissions to the neurology ward.
Gen Hosp Psychiatry 1987 Jul
PMID:Neurologic referrals to a psychiatric consultation-liaison service. A study of 199 patients. 360 34

This study compared 102 depressed pain patients and 41 anxious pain patients. Depressed pain patients were significantly more often older in age. Pain patients with anxiety disorder were more often younger and unemployed. There was no significant difference in the family psychiatric morbidity. Such a subdivision of chronic pain patients based on psychopathology could be useful for management purposes and for future research.
Gen Hosp Psychiatry 1987 Sep
PMID:A comparison of depressed and anxious chronic pain patients. 367 12

This article compares the prevalence of alexithymia among chronic pain patients, their spouses, and psychoneurotic outpatients using the Beth Israel Questionnaire (BIQ) and the MMPI subscale for alexithymia. Both instruments showed the pain patients to be significantly more alexithymic than the psychoneurotic controls, but not more alexithymic than their normal spouses. Comparison of the two instruments showed that the MMPI subscale did not correlate highly with the BIQ. When demographic variables were assessed, age was found to be correlated with alexithymia. Theoretical and treatment implications of these findings are discussed.
Gen Hosp Psychiatry 1986 May
PMID:Alexithymia in chronic pain patients. 371 Jan 49

The prescribing of antidepressants by nonpsychiatric physicians on adult medical-surgical inpatient services of a university hospital was examined through the review of medical records of patients who received amitriptyline hydrochloride, doxepin hydrochloride, or imipramine hydrochloride during a one-year period. Reasons for antidepressant use were treatment of depression (56%), pain (30%), or other conditions (14%). Regardless of the reason for use, nonpsychiatric physicians were found to use relatively low dosages, rarely plan or effect dosage increases, and rarely discontinue medication.
Arch Gen Psychiatry 1987 Feb
PMID:Antidepressant treatment of medical-surgical inpatients by nonpsychiatric physicians. 381 11

Twenty-five patients with chronic venous leg ulcers were treated in general practice by pinch grafting. Fifteen of the ulcers (60%) were completely healed one year after grafting. Prior to grafting 19 patients (76%) complained of daily pain in the ulcer. These patients experienced complete relief from pain after grafting. Pinch grafting is a simple, safe and effective therapy when applied in a domiciliary environment.
J R Coll Gen Pract 1985 Dec
PMID:Pinch grafting for chronic venous leg ulcers in general practice. 391 1

Myths about hypnosis have interfered with its use in emergency settings. Specifically, included are myths about who induces the hypnotic state, the length of induction time, and the traumatized patient's inability to concentrate on a focal point. It is suggested, however, that altered states of awareness occur rapidly and spontaneously in the patient who has experienced acute trauma and/or pain. Two cases are presented that illustrate spontaneous trancelike states occurring in traumatic situations. The cases also show how the recognition of these altered states can facilitate the patient's care and treatment in an emergency setting.
Gen Hosp Psychiatry 1986 Jan
PMID:Emergency room use of hypnosis. 394 11

The second of a two-part series, this article draws on the clinical and research literature reviewed in the first article to formulate guidelines for research and clinical practice. In future research, the complex heterogeneity of coronary artery disease (CAD) must be recognized in more rigorous descriptive, comparative, and physiologic correlative studies of psychosocial etiology. Pseudoangina is largely unexamined by systematic study and therefore warrants research on several of its aspects. Similarly, systematic research on intervention in anginoid pain is virtually nonexistent and obviously warranted. Clinical guidelines include the emphasis of didactic, supportive approaches, detailed focus on several aspects of the pain, early and extended psychotherapeutic availability, recognition and treatment of underlying specific psychopathology, and somatic interventions aimed at presumed pathophysiologic mechanisms.
Gen Hosp Psychiatry 1985 Jan
PMID:Psychotherapeutic intervention in angina: II. Implications for research and practice. 396 28

Twenty 2- to 13-year-old infantile autistic children (16 boys and four girls) and four 4- to 13-year-old children (two boys and two girls) with other kinds of childhood psychoses were compared with eight 6-month-old to 6-year-old normal children with regard to cerebrospinal fluid contents of endorphin fractions I and II. The psychosis groups showed higher mean cerebrospinal fluid endorphin fraction II levels, and 11 (55%) of the 20 autistic patients showed values higher than the highest in the group of normal children. There was a trend toward a correlation between high fraction II levels and self-destructiveness and decreased pain sensibility in the psychotic children. The results are regarded as preliminary but as warranting further research in this potentially fruitful field.
Arch Gen Psychiatry 1985 Aug
PMID:Endorphin activity in childhood psychosis. Spinal fluid levels in 24 cases. 401 22

An audit of 150 consecutive cases of abdominal pain presenting to an urban teaching practice between October 1983 and May 1984 was performed. The median duration of pain prior to presentation was two days. Females predominated in all age groups.Eighty-nine per cent of these patients were managed entirely in the practice and of these, 52 per cent were managed with reassurance and advice alone, while 48 per cent also received a prescription. Only 15 per cent of patients were investigated in any way by the practice. Of the 17 patients (11 per cent) referred, nine were referred as emergencies and eight were admitted that day. However, there were only three true surgical emergencies in the entire series (one appendicitis, one intussusception and one fulminating pancreatitis).
J R Coll Gen Pract 1985 May
PMID:Audit of abdominal pain in general practice. 402 Jul 46


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