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Recurrent Pain (recurrent + pain)
Selected AbstractsPopulation-Based U.S. Study of Severe Headaches in Adults: Psychological Distress and ComorbiditiesHEADACHE, Issue 2 2006Objective.,To examine the associations between severe headaches (SH), psychological distress, and comorbid conditions among U.S. adults. Background.,The lifetime prevalence of headaches is over 90% and headaches, particularly migraines, have been associated with disability, increased healthcare costs, and mood disorders. Methods.,We analyzed data obtained from adults aged 18 years or older (n = 29,828) who participated in the 2002 National Health Interview Survey, an ongoing, computer-assisted personal interview of a representative sample of the U.S. population. Results.,Approximately 15.1% of adults aged 18 years or older reported SH in the previous 3 months. Those reporting such headaches were significantly more likely, than those who did not, to report insomnia, excessive sleepiness, recurrent pain, and depressive or anxiety symptoms during the preceding 12 months. Approximately 88% of those who reported having had SH within the previous 3 months also indicated that they had at least one comorbid medical condition, relative to 67% of those without SH. Conclusion.,Despite their episodic nature, our results suggest that SH are associated with impairments in both physical and mental health. As the presence of SH may serve as an indicator of significant psychological distress and medical comorbidities, eliciting information about their occurrence during a standard medical examination appears to be warranted. [source] Intermittent testicular pain: fix the testesBJU INTERNATIONAL, Issue 4 2003S. Kamaledeen OBJECTIVE To analyse the presenting features, signs and operative findings of children presenting with intermittent testicular pain, as testicular torsion is a relatively common and serious emergency in children that can lead to testicular loss in up to 80%, although half of these children have previous episodes of pain suggestive of intermittent torsion. PATIENTS AND METHODS Data were collected prospectively for all patients presenting with recurrent pain between December 2000 and June 2001. Variables assessed included presenting symptoms, age, size, lie and position of the testis when supine and erect, the operative findings and follow-up. RESULTS Eight children had at least two previous episodes of testicular pain; four of these were admitted on six occasions. Two had undergone previous scrotal exploration. On clinical examination, six boys had a transverse testicle and two a discrepancy in testicular size. All children had their testes fixed. At operation in all patients there was abnormal attachment of the tunica vaginalis with a typical ,bell clapper' deformity. On follow-up only one patient still complains of pain. CONCLUSION In view of high incidence of abnormalities we consider that to improve the testicular salvage rate and prevent testicular atrophy, bilateral testicular fixation is recommended for boys with intermittent testicular pain and positive clinical findings. [source] SMS pain diary: a method for real-time data capture of recurrent pain in childhoodACTA PAEDIATRICA, Issue 7 2010Gösta AlfvénArticle first published online: 5 MAR 2010 Abstract Objectives:, To capture recurrent pain in children aged 9,15 years reported by short message service (SMS) and to test the compliance of such reporting in a pilot study. Methods:, After instructions, 15 children reported their pain six times a day on SMS for a week and the compatibility of the reporting was evaluated. The pain was expressed and reported on three variables: intensity captured using a numeric rating scale (NRS-11), duration in minutes and a verbal pain-related disability scale with six alternatives (0,5). The validity of this scale was tested in 37 children, and the reliability in a test,retest procedure in 20 children. Results:, Good compliance reporting the three variables intensity and duration of pain as well as pain-related disability on SMS was indicated. Support for construct validity and reliability of the verbal instrument for pain-related disability was achieved. Conclusion:, The study supports the hypothesis that pain experience expressed as intensity, duration and pain-related disability can be captured in real time by SMS in an inexpensive and compliant way in children aged 9,15 years. Validity and reliability was indicated for the constructed verbal pain-related disability scale. Further studies are needed to further confirm these findings. [source] Psychosocial Impact of Headache and Comorbidity with Other Pains among Swedish School AdolescentsHEADACHE, Issue 8 2002Åsa Fichtel MSc Background.,The psychosocial impact of headache combined with other pains has previously been insufficiently investigated. Objective., The present study examined the prevalence of headache, its comorbidity with other pains and psychosocial impact among adolescents. Methods., 793 adolescents in a sample recruited from 8 schools in the middle of Sweden were assessed. Results.,Forty-five percent of the adolescents reported ongoing pain during assessment and more than half of the adolescents reported at least one frequent pain during the previous 6 months. The most common pain among girls was headache (42%), but for boys muscle pain (32%) was most prevalent. Number of pains and perceived pain disability were also higher among girls than boys. One-third of the headache sufferers had headache only, while one-third reported one other frequent pain and the others had at least two other frequent pains. Overall, adolescents with frequent headaches had higher levels of anxiety or depressive symptoms, in addition to functional disability and usage of analgesic medication. Frequent headache sufferers reported more problems in everyday life areas than those with infrequent headaches. Conclusions.,It is recommended that adolescents suffering from recurrent headaches routinely should be asked about the presence of other pains, anxiety and depressive symptoms, medication usage, in addition to psychosocial consequences in their everyday life activities. Longitudinal research is also needed to delineate causal relationships between psychosocial factors and recurrent pains, in particular regarding possible sex differences. [source] | ||||||||||