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The “Five-Minute” Mental Status Examination of Persons with Pain

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Treatment of Chronic Pain by Integrative Approaches

Abstract

The mental status examination (MSE) is just that – a set of processes that systematically examine various aspects of a person’s mental functioning – in essence, a physical examination of the mind. A complete MSE constitutes a distinct portion of a complete psychiatric assessment. In practice, whether in psychiatry or other specialties, the MSE can be less comprehensive than a complete MSE, according to the clinical setting. MSEs can be partial – focusing only a particular aspect, such as mood or intelligence, or can be exhaustive.

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References

  1. Pull CB, Cloos J-M, Pull-Erpelding M-C. Clinical assessment instruments in psychiatry. In: Maj M, Gaebel W, López-Ibor JJ, Sartorius N, editors. Psychiatric diagnosis and classification. Chichester: Wiley; 2002.

    Google Scholar 

  2. Galanti G-A. Caring for patients from different cultures. Philadelphia: University of Pennsylvania Press; 2004. p. 33–4. http://books.google.com/books?id=nVgeOxUL3cYC&pg=PA34#v=onepage&q&f=false. Accessed 2 Oct 2011.

    Google Scholar 

  3. Teal CR, Street RL. Critical elements of culturally competent communication in the medical encounter: a review and model. Soc Sci Med. 2009;68:533–43.

    Article  PubMed  Google Scholar 

  4. Tindall SC. Level of consciousness. In: Walker HK, Hall WD, Hurst JW, editors. Clinical methods: the history, physical, and laboratory examinations. 3rd ed. Boston: Butterworths; 1990. p. 296–9. http://www.ncbi.nlm.nih.gov/books/NBK380/#A1732. Accessed 2 Oct 2011.

    Google Scholar 

  5. NINDS. Chorea information page. http://www.ninds.nih.gov/disorders/chorea/chorea.htm. Accessed 2 Oct 2011.

  6. NINDS. Sydenham chorea information page. http://www.ninds.nih.gov/disorders/sydenham/sydenham.htm. Accessed 2 Oct 2011.

  7. Taylor MA. The neuropsychiatric mental status examination. New York: SP Medical & Scientific Books; 1981. p. 36–8.

    Book  Google Scholar 

  8. Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock’s comprehensive textbook of psychiatry. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. 1083p.

    Google Scholar 

  9. Ungvaria GS, Xianga Y-T, Hong Y, et al. Diagnosis of schizophrenia: reliability of an operationalized approach to ‘praecox-feeling’. Psychopathology. 2010;43:292–9.

    Article  Google Scholar 

  10. Bruehl S, Burns JW, Chung OY, Chont M. Pain-related effects of trait anger expression: neural substrates and the role of endogenous opioid mechanisms. Neurosci Biobehav Rev. 2009;33:475–91.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Tsang A, von Korff M, Lee S, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain. 2008;9(10):883–91.

    Article  PubMed  Google Scholar 

  12. Fishbain DA. The association of chronic pain and suicide. Semin Clin Neuropsychiatry. 1999;4(3):221–7.

    CAS  PubMed  Google Scholar 

  13. Cheatle MD. Depression, chronic pain, and suicide by overdose: on the edge. Pain Med. 2011;12:S43–8.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Edwards RR, Smith MT, Kudel I, Haythornthwaite J. Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain. Pain. 2006;126:272–9.

    Article  PubMed  Google Scholar 

  15. Ilgen MA, Zivin K, McCammon RJ, Valenstein M. Pain and suicidal thoughts, plans and attempts in the United States. Gen Hosp Psychiatry. 2008;30:521–7.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Braden JB, Sullivan MD. Suicidal thoughts and behavior among adults with self-reported pain conditions in the National Comorbidity Survey Replication. J Pain. 2008;9(12):1106–15.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Smith MT, Edwards RR, Robinson RC, Dworkin RH. Suicidal ideation, plans, and attempts in chronic pain patients: factors associated with increased risk. Pain. 2004;111:201–8.

    Article  PubMed  Google Scholar 

  18. Tang NKY, Crane C. Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links. Psychol Med. 2006;36:575–86.

    Article  PubMed  Google Scholar 

  19. Gould MS, Frank A, Marrocco FA, Kleinman M, et al. Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. JAMA. 2005;293(13):1635–43.

    Article  CAS  PubMed  Google Scholar 

  20. Fishbain DA, Bruns D, Lewis JE, et al. Predictors of homicide – suicide affirmation in acute and chronic pain patients. Pain Med. 2011;12:127–37.

    Article  PubMed  Google Scholar 

  21. Tarasoff v. Regents of the University of California, 17 Cal. 3d 425, 551 P.2d 334, 131 Cal. Rptr. 14 (Cal. 1976).

    Google Scholar 

  22. Mokhlesi B, Leiken JB, Murray P, Corbridge TC. General approach to the intoxicated patient. Part I. Chest. 2003;123:577–92.

    Article  PubMed  Google Scholar 

  23. Crack Cocaine. http://www.cesar.umd.edu/cesar/drugs/crack.asp. Accessed 2 Oct 2011.

  24. Mokhlesi B, Leiken JB, Murray P, Corbridge TC. General approach to the intoxicated patient. Part II. Chest. 2003;123:897–922.

    Article  CAS  PubMed  Google Scholar 

  25. Examples of medications with anticholinergic properties. In: Center for Medicare and Medicaid Services. State operations manual, appendix PP – Guidance to surveyors for long term care facilities. p. 410–412. https://cms.gov/manuals/Downloads/som107ap_pp_guidelines_ltcf.pdf. Accessed 2 Oct 2011.

  26. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189–98.

    Article  CAS  PubMed  Google Scholar 

  27. DeLuca J, Cicerone KD. Confabulation following aneurysm of the anterior communicating artery. Cortex. 1991;27(3):417–23.

    Article  CAS  PubMed  Google Scholar 

  28. Gundogar D, Demirci S. Multiple sclerosis presenting with fantastic confabulation. Gen Hosp Psychiatry. 2006;28(5):448–51.

    Article  PubMed  Google Scholar 

  29. Schnider A. Spontaneous confabulation, reality monitoring, and the limbic system – a review. Brain Res Rev. 2001;36:150–60.

    Article  CAS  PubMed  Google Scholar 

  30. Jason LA, Boulton A, Porter NS, et al. Classification of myalgic encephalomyelitis/chronic fatigue syndrome by types of fatigue. Behav Med. 2010;36(1):24–31.

    Article  PubMed  Google Scholar 

  31. Leavitt F, Katz RS. Distraction as a key determinant of impaired memory in patients with fibromyalgia. J Rheumatol. 2006;33(1):127–32.

    PubMed  Google Scholar 

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Correspondence to J. David Haddox DDS, M.D., DAPBM, MRO .

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© 2015 American Academy of Pain Medicine

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Haddox, J.D., Kerner, B. (2015). The “Five-Minute” Mental Status Examination of Persons with Pain. In: Deer, T., Leong, M., Ray, A. (eds) Treatment of Chronic Pain by Integrative Approaches. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1821-8_5

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  • DOI: https://doi.org/10.1007/978-1-4939-1821-8_5

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  • Publisher Name: Springer, New York, NY

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  • Online ISBN: 978-1-4939-1821-8

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