This
is
the
first
study
to
empirically
determine
potential
for
data-driven
personalization
in
context
of
chronic
primary
pain
(CPP).
Effect
sizes
psychological
treatments
individuals
with
CPP
are
small
moderate
on
average.
Aiming
better
treatment
outcomes
individual
patient,
call
personalize
increased
over
time.
However,
empirical
evidence
that
can
optimize
needed.
seeks
estimate
heterogeneity
effect
cognitive
behavioral
therapy
(CBT)
as
approach
greatest
base.
For
this
purpose,
a
Bayesian
variance
ratio
meta-regression
conducted
using
updated
data
from
2
recently
published
meta-analyses
randomized
controlled
trials
comparing
CBT
delivered
face-to-face
treatment-as-usual
or
waiting
list
controls.
Heterogeneity
patients
would
be
reflected
by
larger
overall
post-treatment
score
compared
control
group.
We
found
an
The
intercept
was
0.06,
indicating
6%
higher
end
point
values
intervention
groups.
result
warrants
careful
consideration.
Further
research
needed
shed
light
studies
and
thus
uncover
full
personalized
psychotherapy
CPP.A
indicates
could
increase
effects
therapy.
This
review
explores
recent
advancements
in
anesthesia
care,
focusing
on
the
integration
of
innovative
practices
to
enhance
patient
outcomes
across
perioperative
period.
Following
framework
Whitmore
and
Knafl,
we
systematically
searched
six
databases
(PubMed,
Google
Scholar,
EMBASE,
CINAHL,
OVID,
Cochrane
Library)
for
studies
published
from
January
2020
2024,
relating
best
practice
implementation,
outcomes.
After
independent
screening
data
extraction
by
two
reviewers,
focuses
innovations
anesthetic
drugs,
monitoring
technologies,
techniques,
evidence-based
clinical
guidelines.
Of
25,984
retrieved,
26
met
inclusion
criteria.
Recent
developments
drugs
have
improved
safety
efficacy,
reducing
complications.
Advanced
devices,
such
as
multiparameter
brain
function
monitors,
enhanced
through
real-time
assessments.
Innovations
regional
ultrasound-guided
nerve
blocks
led
better
pain
management,
reduced
recovery
time,
minimized
morbidity.
Additionally,
like
comprehensive
preoperative
assessment,
education,
multidisciplinary
teamwork
significantly
Integrating
latest
care
is
essential
optimizing
Ongoing
research
adoption
advanced
technologies
are
crucial
addressing
current
challenges
enhancing
quality.
emphasizes
importance
a
holistic
approach
preparation
postoperative
achieve
optimal
Abstract
This
study
investigates
whether
data
from
people
with
endometriosis
(n
=
58)
and
fibromyalgia
exhibit
what
is
called
“ergodicity,”
meaning
that
results
analyses
of
aggregated
group
can
be
used
to
support
conclusions
about
the
individuals
within
groups.
The
variables
studied
here
are
commonly
investigated
in
chronic
pain:
pain
intensity,
interference,
depressive
symptoms,
psychological
flexibility,
catastrophizing.
Data
were
collected
twice
daily
for
42
days
each
participant
analyzed
2
ways:
as
separate
cross-sectional
studies
using
timepoints
sets
(between-person)
individual
longitudinal
person's
time
series
(within
person).
To
confirm
ergodicity,
should
agree.
However,
this
not
was
observed
several
respects.
between-person
showed
substantially
less
variability
compared
within-person
data.
evident
both
summary
statistics
involving
single
correlational
analyses.
Overall,
correlations
relatively
restricted
range,
while
varied
widely.
These
findings
have
potentially
profound
implications
field
research.
Because
ergodicity
found,
raises
doubts
around
assumption
groups
accurately
represent
range
experiences
pain.
advocate
a
shift
toward
inclusion
more
person-focused
approaches
an
addition
group-based
approaches.
could
lead
personalized
effective
treatments
by
better
capturing
then
clarifying
heterogeneous
nature
pain,
including
processes
underlie
it.
Annual Review of Psychology,
Год журнала:
2023,
Номер
75(1), С. 601 - 624
Опубликована: Авг. 16, 2023
Psychological
flexibility
is
a
model
of
human
performance
and
well-being.
It
essentially
entails
an
approach
to
life
circumstances
that
includes
openness,
awareness,
engagement.
has
roots
in
behavior
analysis,
it
linked
philosophy
science
called
functional
contextualism
specific
therapy
Acceptance
Commitment
Therapy.
One
the
earliest
most
developed
research
areas
which
this
have
been
applied
chronic
pain.
This
review
describes
psychological
its
facets
more
detail,
sets
them
context
relevant
models,
examines
related
assessment
treatment
methods.
also
evidence,
current
challenges,
future
directions.
proposed
flexibility,
or
expanded
very
much
like
it,
could
provide
basis
for
integrating
approaches
pain
health
generally.
This,
turn,
produce
improved
treatments
people
with
other
conditions.
Scandinavian Journal of Pain,
Год журнала:
2024,
Номер
24(1)
Опубликована: Янв. 1, 2024
Abstract
Background
&
objective
Psychologically
informed
care
has
been
proposed
to
improve
treatment
outcomes
for
chronic
pain
and
aligns
with
a
person-centered
approach.
Yet
implementation
lags
behind,
studies
suggest
that
lack
of
competency
leads
poor
results.
It
is
unclear
what
training
clinicians
require
deliver
this
care.
We
examine
how
we
might
psychologically
guided
by
the
needs
patient
in
congruence
scientific
literature
particular
focus
on
competencies
be
upgraded
enhanced.
Methods
selectively
review
pain.
The
patient’s
view
needed
contrasted
necessary
meet
these
should
evaluated.
Results
Patient
corresponding
are
delineated.
A
number
multi-professional
skills
required
provide
Single-subject
methodologies
can
determine
whether
desired
effect
individual
facilitate
effectiveness.
argue
becoming
competent
“pain
clinician”
requires
new
approach
education
transcends
current
professional
boundaries.
Conclusions
Providing
line
shows
great
potential
but
multiple
competencies.
propose
clinician
future
individual’s
needs.
methodology
allows
continual
evaluation
European Journal of Pain,
Год журнала:
2023,
Номер
28(2), С. 181 - 198
Опубликована: Окт. 24, 2023
Abstract
Background
and
Objective
Low
back
pain
(LBP),
in
particular
non‐specific
low
(NSLBP),
which
accounts
for
approximately
90%
of
LBP,
is
the
leading
cause
years
lived
with
disability
worldwide.
In
clinical
trials,
LBP
often
poorly
categorized
into
‘specific’
versus
‘non‐specific’
‘acute’
‘chronic’
pain.
However,
a
better
understanding
underlying
mechanisms
might
improve
study
results
reduce
number
NSLBP
patients.
Databases
Data
Treatment
Narrative
review.
Results
multi‐dimensional,
biopsychosocial
condition
that
requires
all
contributing
dimensions
to
be
assessed
prioritized.
Thereby,
assessment
contribution
nociceptive,
neuropathic
nociplastic
forms
basis
personalized
management.
addition,
psychosocial
(e.g.
anxiety,
catastrophizing)
contextual
factors
work
situation)
as
well
comorbidities
need
individually
weighted.
Personalized
treatment
further
choosing
modalities,
example,
exercising,
patient
education,
cognitive‐behavioural
advice,
pharmacotherapy,
tailoring
within
these
delivery
tailored
psychological
interventions
or
exercise
programs.
As
main
mechanism
may
vary
over
time,
re‐assessment
necessary
success
should
ideally
quantitatively
qualitatively.
Conclusions
The
identification
integration
patients'
view
on
their
condition,
including
beliefs,
preferences,
concerns
expectations,
are
key
management
NSLBP.
research,
importance
placed
accurate
characterization
patients
outcomes
relevant
individual
patient.
Significance
Statement
Here,
comprehensive
review
challenges
associated
diagnostic
label
‘non‐specific
pain’
given.
It
outlines
what
lacking
current
guidelines
it
summarized
currently
known
respect
phenotyping.
becomes
clear
more
research
clinically
meaningful
subgroups
needed
best
tailor
approaches.
Frontiers in Psychology,
Год журнала:
2023,
Номер
14
Опубликована: Дек. 22, 2023
Objective
Chronic
pain
frequently
co-occurs
with
clinically
relevant
psychological
distress.
A
systematic
review
was
conducted
to
identify
the
efficacy
of
cognitive
behavioral
therapy-based
interventions
for
patients
these
comorbid
conditions.
Methods
The
search
carried
out
in
Medline,
PsycINFO,
Web
Science,
and
Scopus
up
March
18th,
2023.
Four
reviewers
independently
screenings,
extraction,
quality
assessment.
Results
Twelve
randomized
controlled
trials
one
non-randomized
trial
involving
1,661
participants
that
examined
Cognitive
Behavioral
Therapy
(nine
studies),
Mindfulness-based
Interventions
(three
Acceptance
Commitment
(one
study),
Activation
Depression
study)
were
included.
Compared
treatment
as
usual,
six
eight
studies
traditional
reported
significant
differences
reduction
depressive
symptoms
at
post-treatment
(
d
from
1.31
0.18)
four
follow-up
0.75
0.26);
similarly,
five
anxiety
1.08
0.19)
three
1.07
0.27).
Overall,
no
between
usual
exploring
intensity
catastrophizing.
Conclusion
available
evidence
suggests
may
produce
benefits
improvement
depression,
anxiety,
life,
but
not
More
is
needed
determine
effects
MBI,
ACT,
BATD.
Systematic
registration
PROSPERO
,
CRD42021219921.
European Journal of Pain,
Год журнала:
2025,
Номер
29(2)
Опубликована: Янв. 6, 2025
ABSTRACT
Background
The
Multidimensional
Psychological
Flexibility
Inventory
(MPFI)
is
a
measure
of
all
facets
psychological
flexibility
and
inflexibility,
potentially
important
processes
change
in
treatment
for
chronic
pain.
In
some
contexts,
it
can
be
considered
too
long.
aim
this
study
was,
therefore,
to
validate
short
form
MPFI
(MPFI‐24P)
pain
sample.
Methods
Adults
with
were
recruited
online
(
N
=
404)
cross‐sectional
survey
study.
They
first
completed
background
questions
the
MPFI.
For
examining
convergent
construct
validity
explained
variance
pain‐related
outcomes,
participants
also
Brief
Pain
(BPI)
Interference
Scale,
Work
Social
Adjustment
Scale
(WSAS)
Patient
Health
Questionnaire
(PHQ‐9),
depression
measure.
Data
collected
on
two
occasions,
2
weeks
apart.
Item
response
theory
(IRT)
confirmatory
factor
analysis
(CFA)
used
selecting
best‐performing
items.
Results
IRT
parameters
overall
adequate,
hierarchical
CFA
demonstrated
good
model
fit.
Network
items
indicated
that,
general,
intended
same
substantially
interconnected,
more
so
inflexibility
Temporal
stability
was
internal
consistency
good.
MPFI‐24P
correlated
interference,
work
social
adjustment
depression,
scale
better
predicting
these
outcomes.
strongly
full‐length
Conclusions
generally
valid
reliable,
especially
scale.
It
performs
similarly
Significance
This
paper
contributes
that
both
feasible
use
clinical
practice
research,
while
being
able
inflexibility—psychological
are
evaluate
order
individualize
treatment.
