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The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises

Srinivasa N. RajaDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD, United StatesDaniel B. CarrProgram in Public Health and Community Medicine, Department of Anesthesiology and Perioperative Medicine, Tufts University School of Medicine, Boston, MA, United StatesMilton CohenSt Vincent's Clinical School, UNSW Sydney, Sydney, New South Wales, AustraliaNanna Brix FinnerupDanish Pain Research CenterHerta FlorInstitute of Cognitive and Clinical Psychology, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyStephen J. GibsonCaulfield Pain Management and Research Centre, University of Melbourne, Melbourne, AustraliaFrancis J. KeefeDuke Pain Prevention and Treatment Research Program, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United StatesJeffrey S. MogilDepartments of Psychology and Anesthesia, McGill University, Montreal, QC, CanadaMatthias RingkampDepartment of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, United StatesKathleen A. SlukaDepartment of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, IA, United StatesXue‐Jun SongSUSTech Center for Pain Medicine, Southern University of Science and Technology School of Medicine, Shenzhen, Guangdong, ChinaBonnie StevensLawrence S Bloomberg Faculty of Nursing, Faculties of Medicine and Dentistry, University of Toronto, Toronto, ON, CanadaMark D. SullivanPsychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United StatesPerri R. TutelmanDepartment of Psychology and Neuroscience, Dalhousie University, Halifax, NS, CanadaTakahiro UshidaMultidisciplinary Pain Center, Aichi Medical University, Nagakute, Aichi, JapanKyle VaderSchool of Rehabilitation Therapy, Queen's University, and Chronic Pain Clinic, Kingston Health Sciences Centre, Kingston, ON; Chronic Pain Clinic, Kingston Health Sciences Centre, Kingston, ON, Canada
2020en
ABI

Аннотация

ABSTRACT: The current International Association for the Study of Pain (IASP) definition of pain as "An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" was recommended by the Subcommittee on Taxonomy and adopted by the IASP Council in 1979. This definition has become accepted widely by health care professionals and researchers in the pain field and adopted by several professional, governmental, and nongovernmental organizations, including the World Health Organization. In recent years, some in the field have reasoned that advances in our understanding of pain warrant a reevaluation of the definition and have proposed modifications. Therefore, in 2018, the IASP formed a 14-member, multinational Presidential Task Force comprising individuals with broad expertise in clinical and basic science related to pain, to evaluate the current definition and accompanying note and recommend whether they should be retained or changed. This review provides a synopsis of the critical concepts, the analysis of comments from the IASP membership and public, and the committee's final recommendations for revisions to the definition and notes, which were discussed over a 2-year period. The task force ultimately recommended that the definition of pain be revised to "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage," and that the accompanying notes be updated to a bulleted list that included the etymology. The revised definition and notes were unanimously accepted by the IASP Council early this year.

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