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Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington (DC): National Academies Press (US); 2011.
Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research.
Show details- Acute pain
Pain that comes on quickly, can be severe, but lasts a relatively short time. (1)1
- Addiction
A primary, chronic, neurobiologic disease whose development and manifestations are influenced by genetic, psychosocial, and environmental factors. It is characterized by behavior that includes one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving. (2)
- Allodynia
Pain due to a stimulus that does not normally provoke pain. (3)
- Allostatic load
The cumulative physiological cost to the body of chronic exposure to the stress response. (4)
- Analgesia
Absence of pain in response to a stimulus that would normally be painful. (5)
- Beliefs
Assumptions about reality that shape the interpretation of events and, consequently, the appraisal of pain. (6)
- Biopsychosocial model
A framework that accounts for the biological, psychological, and social dimensions of illness and disease. The biopsychosocial model provides a basis for the understanding and treatment of disease, taking into account the patient, his/her social context, and the impact of illness on that individual from a societal perspective. The model states that ill health and disease are the result of interaction among biological, psychological, and social factors. (7)
- Chronic pain
Ongoing or recurrent pain lasting beyond the usual course of acute illness or injury or, generally, more than 3 to 6 months and adversely affecting the individual’s well-being. A simpler definition for chronic or persistent pain is pain that continues when it should not. (8)
- Cognitive-behavioral therapy
An empirically supported treatment focusing on patterns of thinking that are maladaptive and the beliefs that underlie such thinking. Cognitive-behavioral therapy is based on the idea that our thoughts, not external factors, such as people, situations, and events, cause our feelings and behavior. As a result, we can change the way we think to improve the way we feel, even if the situation does not change. (9)
- Hyperalgesia
Increased pain from a stimulus that normally provokes pain. (10)
- Interdisciplinary
Refers to efforts in which professionals from several disciplines combine their professional expertise and understanding to solve a problem.
- Neuromatrix theory
Proposes that pain is a multidimensional experience produced by characteristic “neurosignature” patterns of nerve impulses generated by a widely distributed neural network—the “body-self neuromatrix”—in the brain. These neurosignature patterns may be triggered by sensory inputs, but they may also be generated independently of them. (11)
- Neuropathic pain
Pain caused by a lesion or disease of the somatosensory nervous system. (12)
- Nociception
The neural processes of encoding and processing noxious stimuli. (13)
- Opioid
Any compound that binds to an opioid receptor. Includes the opioid drugs (agonist analgesics and antagonists) and the endogenous opioid peptides. (14)
- Pain
An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. (15)
- Pain catastrophizing
An individual’s tendency to focus on and exaggerate the threat value of painful stimuli and negatively evaluate his/her ability to deal with pain. (16)
- Referred pain
Pain subjectively localized in one region although due to irritation in another. (17)
- Self-efficacy
Beliefs that individuals hold about their capability to carry out actions in a way that will influence the events that affect their lives. (18)
- Sensitization
An increased response of neurons to a variety of inputs following intense or noxious stimuli. (19)
REFERENCES
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- American Chronic Pain Association. Glossary. 2011. [accessed June 9, 2011]. http://www
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- APS (American Pain Society). Definitions related to the use of opioids for the treatment of pain. 2001. [accessed April 25, 2011]. http://www
.ampainsoc .org/advocacy/opioids2.htm. [PubMed: 11579797] - 3.
- IASP (International Association for the Study of Pain). Pain terms. 2011. [accessed June 9, 2011]. http://www
.iasp-pain .org/AM/Template.cfm?Section =Pain_Definitions&Template=/CM/HTMLDisplay .cfm&ContentID=1728#Allodynia. - 4.
- NIAAA (National Institute on Alcohol Abuse and Alcoholism). Glossary. 2011. [accessed April 25, 2011]. http://pubs
.niaaa.nih .gov/publications/arh312/177-179.pdf. - 5.
- IASP (International Association for the Study of Pain). Pain terms. 2011. [accessed June 9, 2011]. http://www
.iasp-pain .org/AM/Template.cfm?Section =Pain_Definitions&Template=/CM/HTMLDisplay .cfm&ContentID=1728#Analgesia. - 6.
- Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsycho social approach to chronic pain: Scientific advances and future directions. Psychological Bulletin. 2007;133(4):581–624. [PubMed: 17592957]
- 7.
- Brown BT, Bonello R, Pollard H. The biopsychosocial model and hypothyroidism. Chiropractic and Osteopathy. 2005;13(1):5. [PMC free article: PMC1151653] [PubMed: 15967049]
- 8.
- American Chronic Pain Association. Glossary. 2011. [accessed June 9, 2011]. http://www
.theacpa.org/30/Glossary.aspx. - 9.
- a. NAMI (National Alliance on Mental Illness). Treatment and services—cognitive-behavioral therapy. 2011. [accessed May 4, 2011]. http://www
.nami.org/Template .cfm?Section =About_Treatments_and _Supports&template= /ContentManagement /ContentDisplay .cfm&ContentID=7952.
b. NACBT (National Association of Cognitive-Behavioral Therapists). Cognitive-behavioral therapy. 2011. [accessed May 4, 2011]. http://www.nacbt.org/whatiscbt.htm. - 10.
- IASP (International Association for the Study of Pain). Pain terms. 2011. [accessed June 9, 2011]. http://www
.iasp-pain .org/AM/Template.cfm?Section =Pain_Definitions&Template=/CM/HTMLDisplay .cfm&ContentID=1728#Hyperalgesia. - 11.
- Melzack R. Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: Presented at the Third World Congress of World Institute of Pain, Barcelona 2004. Pain Practice. 2005;5(2):85–94. [PubMed: 17177754]
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- IASP (International Association for the Study of Pain). Pain terms. 2011. [accessed June 9, 2011]. http://www
.iasp-pain .org/AM/Template.cfm?Section =Pain_Definitions&Template=/CM/HTMLDisplay .cfm&ContentID =1728#Neuropathicpain. - 13.
- Loeser JD, Treede RD. The Kyoto protocol of IASP basic pain terminology. Pain. 2008;137(3):473–477. [PubMed: 18583048]
- 14.
- Katzung B, Trevor A, Masters S. Basic and clinical pharmacology. 11th ed. McGraw-Hill Companies, Inc; 2009. Opiod analgesics & antagonists.
- 15.
- IASP (International Association for the Study of Pain). Pain terms. 2011. [accessed June 9, 2011]. http://www
.iasp-pain .org/AM/Template.cfm?Section =Pain_Definitions&Template=/CM/HTMLDisplay .cfm&ContentID=1728#Pain. - 16.
- a. Keefe FJ, Lefebvre JC, Egert JR, Affleck G, Sullivan MJ, Caldwell DS. The relationship of gender to pain, pain behavior, and disability in osteoarthritis patients: The role of catastrophizing. Pain. 2000;87(3):325–334. [PubMed: 10963912]
b. Rosenstiel AK, Keefe FJ. The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain. 1983;17(1):33–44. [PubMed: 6226916]
c. Keefe FJ, Brown GK, Wallston KA, Caldwell DS. Coping with rheumatoid arthritis pain: Catastrophizing as a maladaptive strategy. Pain. 1989;37(1):51–56. [PubMed: 2726278]
d. Sullivan MJL, Bishop S, Pivik J. The pain catastrophizing scale: Development and validation. Psychological Assessment. 1995;7(4):524–532. - 17.
- MedlinePlus. Referred pain. 2011. [accessed April 25, 2011]. http://www
.merriam-webster .com/medlineplus/referredpain. - 18.
- Smith BJ, Tang KC, Nutbeam D. WHO health promotion glossary: New terms. Health Promotion International. 2006;21(4):340–345. [PubMed: 16963461]
- 19.
- Baranauskas G, Nistri A. Sensitization of pain pathways in the spinal cord: Cellular mechanisms. Progress in Neurobiology. 1998;54(3):349–365. [PubMed: 9481803]
Footnotes
- 1
Numbers in parentheses indicate the respective references listed at the end of this glossary.
- Glossary - Relieving Pain in AmericaGlossary - Relieving Pain in America
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