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  Vol. 288 No. 8, August 28, 2002 TABLE OF CONTENTS
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Effective Pain Treatment Promotes Activities

Lynne Lamberg

JAMA. 2002;288:948-949.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Philadelphia—"Pain is whatever the patient says it is, and exists whenever the patient says it does," asserted Michel Dubois, MD.

"The patient's self-report is the single most reliable indicator of pain and its intensity," said Dubois, who directs the pain management center at New York University Medical Center.

Chronic pain typically spawns a constellation of somatic and psychological symptoms: it hijacks a person's attention, diminishing concentration and impairing memory. Pain sufferers become irritable and anxious. They sleep poorly and feel fatigued during waking hours. Some stop work or leave school, and withdraw from family and social interactions.

Multidisciplinary pain treatment centers don't see pain cessation as their primary goal. Such centers seek instead to help people return to normal activities and improve their quality of life. A combination of medications and behavioral interventions can facilitate this process, Dubois and other pain specialists said at the annual meeting . . . [Full Text of this Article]



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