Exam 1 Measuring Pain Psych Flashcards
is pain intensity the same for everyone?
no, very variable
what is the current scheme when thinking about physical and psychological factors
we think that standard practice only looks at the physical things, and psychological things are only for mental health specialists
what is the proposed scheme
that we have psychologically informed practice, meaning we look at the body, with their beliefs, attitudes, moods and responses to pain, and try to decrease disability.
red flags
serious pathology, like caudate equina syndrome or fracture or a tumor
orange flags
depression personality disorder
black flags
healthcare system, like legislation or insurance limitations
blue flags
work related, like thinking work caused their injury and that their boss sucks
yellow flags
beliefs judgements and pain catastrophizing, things like worry stress and fear and avoidance.
how do we find flags
screen them, and ask follow up questions
what are the depression screening questions
during the last two months, have you often been bothered by feeling down, depressed or hopeless?
during the past month, have you often been bothered by little interest or pleasure in doing things?
TF: the probability of severe depression decreases from 20-5% with one negative response to the depression questions?
true
with 2 positive depression questions, what does the probability increase to
20-50%
if they answered yes to both questions, what can you do
give them the full questionnaire (PHQ-9) to see severity of depression and question 9 looks at suicide
how is PHQ-9 scored
0-4 none 5-9 mild 10-14 moderate 15-19 mod-severe 20-27 severe
what is the Orebro Musculoskeletal Screening questionnaire (OMSQ)
a 21 item thing to look at people who were injured at work, and if they will have long term pain
