The IASP classification of chronic pain for ICD-11: chronic primary pain

, Michael Nicholas, Johan W S Vlaeyen, Winfried Rief, Antonia Barke, Qasim Aziz, Rafael Benoliel, Milton Cohen, Stefan Evers, Maria Adele Giamberardino, Andreas Goebel, Beatrice Korwisi, Serge Perrot, Peter Svensson, Shuu-Jiun Wang, Rolf-Detlef Treede

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

This article describes a proposal for the new diagnosis of chronic primary pain (CPP) in ICD-11. Chronic primary pain is chosen when pain has persisted for more than 3 months and is associated with significant emotional distress and/or functional disability, and the pain is not better accounted for by another condition. As with all pain, the article assumes a biopsychosocial framework for understanding CPP, which means all subtypes of the diagnosis are considered to be multifactorial in nature, with biological, psychological, and social factors contributing to each. Unlike the perspectives found in DSM-5 and ICD-10, the diagnosis of CPP is considered to be appropriate independently of identified biological or psychological contributors, unless another diagnosis would better account for the presenting symptoms. Such other diagnoses are called "chronic secondary pain" where pain may at least initially be conceived as a symptom secondary to an underlying disease. The goal here is to create a classification that is useful in both primary care and specialized pain management settings for the development of individualized management plans, and to assist both clinicians and researchers by providing a more accurate description of each diagnostic category.

Original languageEnglish
Pages (from-to)28-37
Number of pages10
JournalPain
Volume160
Issue number1
DOIs
Publication statusPublished - Jan 2019

Keywords

  • CENTRAL SENSITIZATION
  • CHRONIC WIDESPREAD PAIN
  • CRPS
  • CWP
  • Chronic pain
  • Chronic primary pain
  • Classification
  • DIAGNOSTIC-CRITERIA
  • DISEASE
  • FIBROMYALGIA
  • Fibromyalgia
  • Functional pain
  • Headache
  • ICD-11
  • Idiopathic pain
  • MANAGEMENT
  • MECHANISMS
  • Musculoskeletal pain
  • Orofacial pain
  • PELVIC PAIN
  • SOMATOFORM DISORDERS
  • TAXONOMY
  • Visceral pain

Cite this

Nicholas, Michael ; Vlaeyen, Johan W S ; Rief, Winfried ; Barke, Antonia ; Aziz, Qasim ; Benoliel, Rafael ; Cohen, Milton ; Evers, Stefan ; Giamberardino, Maria Adele ; Goebel, Andreas ; Korwisi, Beatrice ; Perrot, Serge ; Svensson, Peter ; Wang, Shuu-Jiun ; Treede, Rolf-Detlef. / The IASP classification of chronic pain for ICD-11 : chronic primary pain. In: Pain. 2019 ; Vol. 160, No. 1. pp. 28-37.
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abstract = "This article describes a proposal for the new diagnosis of chronic primary pain (CPP) in ICD-11. Chronic primary pain is chosen when pain has persisted for more than 3 months and is associated with significant emotional distress and/or functional disability, and the pain is not better accounted for by another condition. As with all pain, the article assumes a biopsychosocial framework for understanding CPP, which means all subtypes of the diagnosis are considered to be multifactorial in nature, with biological, psychological, and social factors contributing to each. Unlike the perspectives found in DSM-5 and ICD-10, the diagnosis of CPP is considered to be appropriate independently of identified biological or psychological contributors, unless another diagnosis would better account for the presenting symptoms. Such other diagnoses are called {"}chronic secondary pain{"} where pain may at least initially be conceived as a symptom secondary to an underlying disease. The goal here is to create a classification that is useful in both primary care and specialized pain management settings for the development of individualized management plans, and to assist both clinicians and researchers by providing a more accurate description of each diagnostic category.",
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author = "Michael Nicholas and Vlaeyen, {Johan W S} and Winfried Rief and Antonia Barke and Qasim Aziz and Rafael Benoliel and Milton Cohen and Stefan Evers and Giamberardino, {Maria Adele} and Andreas Goebel and Beatrice Korwisi and Serge Perrot and Peter Svensson and Shuu-Jiun Wang and Rolf-Detlef Treede",
year = "2019",
month = "1",
doi = "10.1097/j.pain.0000000000001390",
language = "English",
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Nicholas, M, Vlaeyen, JWS, Rief, W, Barke, A, Aziz, Q, Benoliel, R, Cohen, M, Evers, S, Giamberardino, MA, Goebel, A, Korwisi, B, Perrot, S, Svensson, P & Wang, S-J & Treede, R-D 2019, 'The IASP classification of chronic pain for ICD-11: chronic primary pain', Pain, vol. 160, no. 1, pp. 28-37. https://doi.org/10.1097/j.pain.0000000000001390

The IASP classification of chronic pain for ICD-11 : chronic primary pain. /; Nicholas, Michael; Vlaeyen, Johan W S; Rief, Winfried; Barke, Antonia; Aziz, Qasim; Benoliel, Rafael; Cohen, Milton; Evers, Stefan; Giamberardino, Maria Adele; Goebel, Andreas; Korwisi, Beatrice; Perrot, Serge; Svensson, Peter; Wang, Shuu-Jiun; Treede, Rolf-Detlef.

In: Pain, Vol. 160, No. 1, 01.2019, p. 28-37.

Research output: Contribution to journalReview articleAcademicpeer-review

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AU - Nicholas, Michael

AU - Vlaeyen, Johan W S

AU - Rief, Winfried

AU - Barke, Antonia

AU - Aziz, Qasim

AU - Benoliel, Rafael

AU - Cohen, Milton

AU - Evers, Stefan

AU - Giamberardino, Maria Adele

AU - Goebel, Andreas

AU - Korwisi, Beatrice

AU - Perrot, Serge

AU - Svensson, Peter

AU - Wang, Shuu-Jiun

AU - Treede, Rolf-Detlef

PY - 2019/1

Y1 - 2019/1

N2 - This article describes a proposal for the new diagnosis of chronic primary pain (CPP) in ICD-11. Chronic primary pain is chosen when pain has persisted for more than 3 months and is associated with significant emotional distress and/or functional disability, and the pain is not better accounted for by another condition. As with all pain, the article assumes a biopsychosocial framework for understanding CPP, which means all subtypes of the diagnosis are considered to be multifactorial in nature, with biological, psychological, and social factors contributing to each. Unlike the perspectives found in DSM-5 and ICD-10, the diagnosis of CPP is considered to be appropriate independently of identified biological or psychological contributors, unless another diagnosis would better account for the presenting symptoms. Such other diagnoses are called "chronic secondary pain" where pain may at least initially be conceived as a symptom secondary to an underlying disease. The goal here is to create a classification that is useful in both primary care and specialized pain management settings for the development of individualized management plans, and to assist both clinicians and researchers by providing a more accurate description of each diagnostic category.

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KW - Fibromyalgia

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KW - Headache

KW - ICD-11

KW - Idiopathic pain

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KW - SOMATOFORM DISORDERS

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KW - Visceral pain

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