Document 0238
 DOCN  M9590238
 TI    Pain in HIV/AIDS: a multidimensional approach.
 DT    9509
 AU    Glare P; Kirkwood K; Nicholas M; Royal Prince Alfred Hospital,
       Camperdown, N.S.W.
 SO    Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:287 (unnumbered poster).
       Unique Identifier : AIDSLINE ASHM6/95291861
 AB    OBJECTIVES: (1) To assess the physical, psychological and social aspects
       of pain experienced by patients with HIV/AIDS using a range of
       well-validated self-report measures and a medical examination. (2) To
       prospectively evaluate the short-term outcome of current pain management
       practices in a sample of HIV/AIDS patients with persisting pain. METHOD:
       A pre-/post-treatment design was used. Subjects were examined by a
       physician and completed 10 questionnaires administered by a
       psychologist. Subjects also completed a weekly pain diary, a weekly
       measure of disability for 4 weeks and were reassessed after one month.
       RESULTS: 50 patients have completed the study. The main pain complaints
       were peripheral neuropathy, abdominal pain and back pain. Subjects
       reported a moderate level of disability (mean [x] = 37.160, standard
       deviation [SD] = 15.470), anxiety (state anxiety x = 39.900, SD =
       15.134; trait anxiety x = 42.680, SD = 11.931) and were mildly to
       moderately depressed (x = 19.080, SD = 9.508). 58% expressed feelings of
       hopelessness and 60% expressed suicidal ideation. Subjects also
       demonstrated an external locus of control and a tendency towards low use
       of pain control strategies. There appears to be an association between
       coping and a subjects' cognitive appraisals. A full analysis and
       discussion of the data obtained will be presented. CONCLUSION: Pain in
       HIV/AIDS is best understood within a multidimensional framework as
       sensory, psychological and social variables influence outcome.
 DE    Acquired Immunodeficiency Syndrome/*PHYSIOPATHOLOGY  Human  HIV
       Infections/*PHYSIOPATHOLOGY  Internal-External Control  Pain/*PSYCHOLOGY
       Pain Measurement  Palliative Treatment  *Patient Care Team  Personality
       Assessment  Prospective Studies  Sick Role  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).