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1 |
Description of the Disorder |
1.1 |
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Definitions |
1.2 |
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Terminology |
1.2.1 |
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Classification of Pain |
1.3 |
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Epidemiology |
1.3.1 |
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Prevalence of Chronic Pain |
1.3.2 |
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Economic Impact of Pain |
1.4 |
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Course and Prognosis |
1.5 |
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Differential Diagnosis |
1.6 |
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Comorbidities |
1.6.1 |
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Sleep Disorders |
1.6.2 |
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Depression |
1.6.3 |
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Anxiety |
1.6.4 |
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Substance Abuse |
1.7 |
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Diagnostic Procedures and Documentation |
2 |
Theories and Models of the Disorder |
2.1 |
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Dualistic Models |
2.2 |
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Gate-Control Theory |
2.3 |
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Biopsychosocial Model |
2.3.1 |
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Operant Conditioning Model |
2.3.2 |
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Cognitive-Behavioral Model |
2.3.3 |
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Multidisciplinary Management |
3 |
Diagnosis and Treatment Indications |
3.1 |
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Referral Questions and Medical Record Review |
3.2 |
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Guidelines of Assessing Medical History |
3.2.1 |
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History of Pain Complaint |
3.2.2 |
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Pain Intensity, Location, Aggravating and Relieving Factors |
3.2.3 |
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Medical History |
3.3 |
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Guidelines for Assessing Cognitions |
3.3.1 |
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Beliefs and Expectations |
3.3.2 |
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Cognition |
3.4 |
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Guidelines for Assessing Psychiatric Disorders |
3.4.1 |
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Behavioral Observations and Mental Status |
3.4.2 |
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Depression |
3.4.3 |
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Anxiety Disorders |
3.4.4 |
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Substance Abuse |
3.5 |
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Guidelines of Assessing Daily Activity Patterns |
3.5.1 |
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Work and Everyday Activities |
3.5.2 |
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Relationships- Family and Friends |
3.6 |
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Additional Areas for Assessment |
3.6.1 |
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Anger |
3.6.2 |
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Social History |
3.6.3 |
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Educational and Employment History |
3.6.4 |
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Presurgical Screening |
3.7 |
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Diagnosis and Treatment Recommendations |
3.7.1 |
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Diagnosis |
3.7.2 |
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Treatment Plan |
3.7.3 |
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Referrals to Additional Providers and Communication with Referring Physicians |
4 |
Treatment |
4.1 |
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Introduction |
4.2 |
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Methods of Treatment |
4.2.1 |
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Medical Treatments |
4.3 |
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Psychological Interventions |
4.3.1 |
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Cognitive-Behavioral Therapy |
4.3.2 |
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Education |
4.3.3 |
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Identifying and Restructuring Negative Cognitions |
4.3.4 |
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Changing Behaviors |
4.3.5 |
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Self-Regulatory Techniques |
4.4 |
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Efficacy and Prognosis |
4.5 |
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Mechanisms of Action |
4.6 |
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Variations and Combinations of Methods |
4.6.1 |
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Physical Therapy |
4.6.2 |
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Complementary and Alternative Medicine (CAM) |
4.7 |
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Problems in Carrying Out the Treatments |
4.8 |
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Multicultural Issues |
4.9 |
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Conclusion |
5 |
Case Vignette |
6 |
Further Reading |
7 |
References |
8 |
Appendix: Tools and Resources |