Stephen Gibson; Week 12 MED1011; Medicine of the Mind
Pain pathways are medial (emotional and cognitive aspects of pain) or lateral (sensory-discriminative aspects). Can be persistent, chronic, nociceptive (pressure, heat, cold chemical), neuropathic (damage to nociceptive system) or psychogenic. Pain increases anxiety mainly, also depression. Persistent pain can also affect sleep, neurocognitive performance, addiction, work, social relationships, quality of life and physical health. ABC of pain is antecedents (injury or disease), beliefs (meaning of pain, sense of control, coping skills), consequences (emotional reactions, behavioural responses).
Stoicism and cautiousness can be responses to pain. Measures of behaviour can be somatic interventons (medication, treatments, doctor), function/performance measures (sex, recreation, sleep), pain complaints. Treatment can be medical, psychological or physical therapy. CBT is good for pain.