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Home : Professionals : CME/CE/CPE Slide Presentations
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The Association Between Chronic Pain and Mood and Anxiety Disorders
This CME/CE/CPE satellite symposium was recorded in Boston, Massachusetts on March 31, 2005.
Release Date: May 2005
Expiration Date: May 31, 2007
Sponsored by The Dannemiller Memorial Educational Foundation
This educational activity is made possible by an educational grant from Eli Lilly and Company
You will need speakers and a sound card to view this presentation.
You will also need the latest verison of the Adobe Flash Player.
Edward C. Covington, MD
Director, Chronic Pain Rehabilitation
Cleveland Clinic Foundation
Cleveland, Ohio
Rollin M. Gallagher, MD, MPH
Pain Service, Department of Anesthesia
Philadelphia Veterans Affairs Medical Center
Departments of Psychiatry and Anesthesiology
University of Pennsylvania
Philadelphia, Pennsylvania
Daniel M. Doleys, PhD
Program Director
Pain and Rehabilitation Institute
Birmingham, Alabama
Statement of Need
Significant positive associations have been found between chronic pain and mood and anxiety disorders. The latest theories indicate there are common neurochemical pathways and shared mechanisms in pain, emotions and physical symptoms in depression. Both serotonin and norepinephrine dysregulation are implicated in both the pathogenesis of depression and the perception of pain. As a result, antidepressants that block reuptake of both serotonin and norepinephrine, such as the tricyclic antidepressants have been used to treat pain syndromes in patients with or without comorbid depression or anxiety. Accordingly, it is important to update healthcare providers on the association between chronic pain and mood and anxiety disorders and how to effectively treat patients so affected.
Intended Audience
This audio/slide presentation is intended for physicians, pharmacists and nurses who are interested in the management of patients with chronic pain and co-morbid mood and anxiety disorders
Learning Objectives
Upon completion of this activity, the participant should be able to:
- Describe the comorbidity of chronic pain and mood and anxiety disorders.
- Discuss the impact of the serotonin and norepinephrine systems in pain and mood and anxiety disorders.
- Review key points in the diagnosis of co-morbid pain, mood and anxiety disorders.
- Identify and discuss the pharmacological agents available to treat patients with chronic pain and comorbid mood and anxiety disorders.
- Identify and discuss non-pharmacological options available to treat patients with chronic pain and comorbid mood and anxiety disorders.
Accreditation Statement
The Dannemiller Memorial Educational Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statements
Physicians: The Dannemiller Memorial Educational Foundation designates this educational activity for a maximum of 2 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.
Pharmacists: Purdue University is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmaceutical education. This is a continuing education activity of Purdue, an equal access/equal opportunity university. To receive the 2 contact hours of continuing education credit, pharmacists should complete the activity requirements and evaluation at the conclusion of the audio-slide show. Approval is valid from the initial release date of March 31, 2005. The expiration date is May 31, 2007. Program # 018-999-04-083-H04.
Nurses: The Dannemiller Memorial Educational Foundation is an approved provider of the California Board of Registered Nursing. Provider approved by the California Board of Registered Nursing, Provider Number 4229 for 2 contact hours.
RNs outside California must verify with their licensing agency for approval of this course.
Method of Participation
This free online activity should take approximately 2 hours to complete, including 105 minutes of recorded material.
The participant should, in order, read the objectives and other introductory information review the slides and listen to the accompanying audio, complete the registration form, post-test, and evaluation form. To access the registration form and post-test, click on the "CME/CE/CPE Post-Test" button on the final slide in the presentation. To receive credit for this activity, follow the instructions provided on the post-test. This credit is valid through May 31, 2007. No credit will be given on the post-test after this date. There is no fee associated with this CME activity.
Upon successful completion of this activity and post-test, a CME/CE/CPE certificate will be issued online and the participant will be able to print the certificate at their location. No additional certificate will be mailed. The participant will have unlimited access to their personal transcript, documenting their participation and achievement. In the event you are unable to print the certificate, please submit the post-test and then email editor@dannemiller.com, and a certificate will be mailed to you within two weeks.
Disclosure Information
The Dannemiller Memorial Educational Foundation requires that faculty participating in a continuing medical education activity disclose to participants any significant financial interest or other relationship 1) with the manufacture(s) of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation, and 2) with any commercial supporters of the activity.
Edward C. Covington, MD reported that he is a consultant for Purdue Pharma, Eli Lilly and Company and Pfizer.
Rollin M. Gallagher, MD, MPH reported that he is on the advisory boards for Eli Lilly and Company, Endo, Pfizer and Janssen.
Daniel M. Doleys, PhD reported that he is a speaker for Medtronics.
Dannemiller Staff Disclosure and Conflict of Interest Statement
In accordance with the Accreditation Council for Continuing Medical Education (ACCME) the
Dannemiller Memorial Educational Foundation requires that any person who is
in a position to control the content of a CME activity must disclose all
relevant financial relationships they have with a commercial interest.
The Dannemiller Memorial Educational Foundation staff that was involved in the development of this activity has no financial relationships with any commercial interests that are relevant to this activity.
To resolve identified conflicts of interest of the faculty, the proposed educational content was fully reviewed by Bernard Abrams, MD, Clinical Professor of Neurology, University of Missouri at Kansas City School of Medicine, Kansas City, Missouri. Dr. Abrams has nothing to disclose. The resulting certified lectures were found to provide educational content that is current, evidence-based and commercially balanced.
Disclaimer:
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of the Dannemiller Memorial Educational Foundation or Eli Lilly and Company. This material is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter. Therefore, healthcare professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.
For questions regarding the content of this activity and technical assistance, contact Dannemiller Memorial Educational Foundation, accredited provider for this CME/CE/CPE activity, at editor@dannemiller.com
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