Biobehavioral Assessment of Pain

Question 1

Psychiatric Disorders that cause pain

Answer 1

Anxiety
Depression
PTSD
Personality disorders
Somatization

Question 2

Having a lot of medical issues and you can’t find the cause.

Answer 2

Somatization

Question 3

Key pain question.

Answer 3

How long have you been in pain?

Question 4

Where does pain reside?

Answer 4

Doesn’t reside in any one structure.

So pain can be modulated at multiple locations.

Question 5

These two things can cause pain.

Answer 5

Directly from the brain, or from pain that leads to nociception, which then causes pain.

Question 6

Pain = ?

Answer 6

Meaning

Question 7

Does nociception = pain?

Answer 7

No

Question 8

Peripheral Nociception –> _________ –> __________

Answer 8

Spinal cord integration

Central processing

Question 9

Local anesthetic blocks what?

Answer 9

Between Peripheral nociception and spinal cord integration

Question 10

Normal acute pain can be perceived as this.

Answer 10

Anxiety

Question 11

Chronic pain cycle involves

Answer 11

• Depression
• Inactivity
• Weight gain
• Fear and Anxiety
• Insomnia
• Social isolation

Question 12

Combines clinical diagnosis with biobehavioral assessment.

Answer 12

Dual-axis coding

Question 13

PHQ-4 stands for what?

Answer 13

Patient Health Questionnaire

Question 14

Yellow flags for referral of orofacial pain patients include what?

Answer 14

• EtOH or drug use
• Pain beliefs, illness behavior
• Work-related
• Family and social-related
• Chronicity
• Functional limitation
• Discrepancy in findings
• Overuse of medication
• Inappropriate behavior
• Inappropriate expectations
• Inappropriate responsiveness to (prior) tx.

Question 15

A red flag for orofacial pain patients.

Answer 15

Suicidal thoughts

Question 16

What do you do when you see a red flag in your pt?

Answer 16

Reder IMMEDIATELY

Question 17

What do you do when you see a yellow flag in your pt?

Answer 17

Proceed with caution and consider referral

Question 18

A comprehensive evaluation of biobbehavioral factors includes what?

Answer 18

1) Collecting Data
2) Constructs relevant to pain
3) Integration of the constructs

Question 19

How to collect biobehavioral data.

Answer 19

1) Clinical Interview
2) Questionnaires
3) Combination of the two

Question 20

Disadvantages of a clinical interview.

Answer 20

• Time consuming
• Need high clinical skill
• Bias

Question 21

Disadvantages of questionnaires

Answer 21

• Language or reading problems
• May not apply
• May be too specific
• Scoring, missing values

Question 22

Disadvantages of combining clinical interview and questionnaires..

Answer 22

• Need training

- Takes more time than either alone.

Question 23

Used to determine the CNS pain burden by marking the location of a patient’s pain.

Answer 23

Pain drawing

Question 24

Types of pain behaviors.

Answer 24

1) Expression of distress
2) Distorted ambulation or posture
3) Negative affect
4) Avoidance of activity

Question 25

Chronic pain scales measure these things:

Answer 25

Pain persistence, intensity, and interference.

Question 26

Of all the diseases (sjogren, BMS, Malocclusion), this has the greatest functional limitation in chewing and opening.

Answer 26

TMD

Question 27

Depression includes this:

Answer 27

Self-harm

Question 28

Combining data like number of body areas with pain, depression, anxiety, physical symptoms, mastication, mobility, etc.

Answer 28

Integration

Question 29

Axis II assessment instruments.

Answer 29

• Pain location
• Pain intensity
• Pain disability
• Distress
• Sleep
• PTSD
• Alcohol Use
• Functional limitation

Question 30

What type of disorder are these?

• Major depressive disorder
• Anxiety disorders
• Sleep disorders
• Somatoform disorders
• Psychological factors affecting physical condition

Answer 30

Psychiatric