Psychological Domains Of Chronic Pain Assessment

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Every day clinicians come directly into contact with the many ways pain leads to changes in what the individual pain sufferer thinks, what they feel in their body and in their emotions, and, perhaps most importantly, what they do or do not do, including how they speak about their experiences, and what they do to seek relief. Standard self-report inventories administered along with these clinical encounters help to quantify some of these experiences. In turn, empirical analyses of large clinical databases, using factor analysis, show some consistency in the factors underlying the information collected for clinical purposes. These analyses reliably demonstrate that emotional distress, disability, and pain description are key domains.3,4 56 These domains are validated further by their inclusion in attempts to produce an integrated psychosocial assessment model for chronic pain,7 in attempts to standardize a comprehensive assessment procedure from both the physician and patient perspec-tive,8 in attempts to develop comprehensive assessment instruments for young people with chronic pain,9 and in recommendations for outcome domains in clinical trials for chronic pain.10

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Natural Pain Management

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