Canadian Journal of Pain-Revue Canadienne de la Douleur加拿大疼痛杂志
Canadian Journal of Pain-Revue Canadienne de la Douleur(英文缩写 CAN J PAIN),ISSN 2474-0527,eISSN 2474-0527,中文译名:加拿大疼痛杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 未收录 | N/A |
| 2022 | 2.400 | N/A |
| 2023 | 2.000 | Q3 |
| 2024 | 2.100 | Q3 |
| 2025 | 3.200 | Q2 |
Canadian Journal of Pain-Revue Canadienne de la Douleur 最新收录文献
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1. {"_":" A Case Report of A 66-year-old Male with Knee Osteoarthritis.","i":["\"I Was Told I Needed Both Knees Surgically Replaced, but I Walked the Camino Trail Instead.\""]}
PMID:日期:2026-09-29This case report describes the lived experience of a 66-year-old male (PN) with bilateral knee osteoarthritis whose engagement with best practice conservative management resulted in a positive outcome of unanticipated scope/magnitude. PN had long-term symptomatic knee osteoarthritis and was advised that bilateral arthroplasty was required. He chose to avoid surgery, instead participating in a clinical trial evaluating the effect of embedding pain science education (PSE) into an individualized, graded exercise program (EPIPHA-KNEE trial). The intervention involved four weekly in-person sessions, five telehealth sessions (weeks 5-8, 12), and two top-up in-person sessions (weeks 21, 39). A key intervention component was activity-related goal setting, with cognitive reconceptualization and activity progression underpinned by PSE. PN set an "aspirational goal" - to walk the Camino de Santiago Trail. Clinical outcomes and device-measured activity levels were assessed at baseline, 8, 26 and 52 weeks. Relative to baseline, PN experienced improvements in knee pain (83% reduction), function (71% improvement), and activity levels (50% increase) at 52 weeks with cessation of pain medication use and resolution of knee swelling and night pain. PN experienced continuing benefit, walking 320 km of the Camino Trial in 14 days one year after trial completion. PN's achievement of his aspirational goal is an exemplar of the unanticipated scope of osteoarthritis improvement with best-practice non-surgical management and is shared via a video interview. Documenting and sharing such inspirational stories with people living with knee osteoarthritis may prove an important source of hope and highlight the change potential for non-surgical treatment.
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2. The Critical Care Pain Observation Tool for Families (CPOT-Fam).
PMID:日期:2026-09-24Patients in the intensive care unit (ICU) are often unable to communicate. Family caregivers could assist in pain assessment using a family-adapted version of the Critical Care Pain Observation Tool (CPOT-Fam). We aimed to evaluate the feasibility, acceptability, and convergent validity (compared with nurses' CPOT scores) of the CPOT-Fam for use by family caregivers to assess pain behaviors in ICU patients. We collected simultaneous pain assessments from family caregivers (CPOT-Fam) and from nurses (CPOT) during periods of rest and standard care procedures in ICU patients. Feasibility was assessed by both the proportion of family caregivers who consented to participate and who completed the CPOT-Fam. Acceptability was assessed using surveys of the sentiments of family caregivers and nurses toward family involvement in pain assessment. Convergent validity was evaluated using Spearman's rank correlation between CPOT-Fam and CPOT scores. Fifty-two family caregivers were approached to participate in this study, 43 (82.3%) consented, and all 43 (100%) completed the study. Most family caregivers (90.0%) and nurses (81.4%) reported that families have a valuable role in pain assessment in the ICU. Correlation between CPOT-Fam and CPOT scores (43 paired assessments; [95% confidence intervals]) at rest was ρ = 0.419 [0.127, 0.644], and during standard care procedures (n = 12 paired assessments) was ρ = 0.743 [0.276, 0.926]. The CPOT-Fam appears to be a feasible and acceptable tool for family caregivers to assess pain in ICU patients. Clinical evaluation of CPOT-Fam reliability and validity is warranted.
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4. Evaluation of an Internet-Delivered Multidisciplinary Pain Acceptance and Commitment Therapy (IMPACT) Program for Individuals Living with Chronic Pain: A Feasibility and Pilot Study.
PMID:日期:2026-08-18Chronic pain affects approximately 20% of Canadians and has profound health impacts, highlighting the need for accessible, evidence-based interventions like Acceptance and Commitment Therapy (ACT). Internet-based, self-directed programs may enhance access, though few have been tested in Canadian chronic pain populations. The primary objective involved assessing the feasibility of the IMPACT (Internet-delivered Multidisciplinary Pain Acceptance and Commitment Therapy) program, a 10-module, self-directed intervention co-developed by patient-partners and pain experts. Secondary objectives included examining pilot outcomes (pain and mental health). Adults referred for outpatient chronic pain care were invited to participate. Feasibility was assessed via participant ratings on Likert scales and open-ended feedback. Pain-related (e.g., catastrophizing, interference) and mental health-related (e.g., anxiety and depression) outcomes were assessed using validated measures at baseline, post-intervention, and at 6-month follow-up. Of the 115 who expressed interest (25.2% response rate), 76 consented, and 68 activated the online program (89.5% participation rate). On average, 6.44 program modules (= 3.82) were completed out of 10 (7 core, 3 optional). Most rated the program as user-friendly (80.0%) and clear (92.0%). Time commitment was the most common barrier to participation. Pilot analyses suggested significant improvements across domains at the 6-month follow-up. Large effect sizes were observed for improvements in pain interference ( = -0.92), catastrophizing ( = -0.95), and psychosocial impact ( = -1.06) among full or partial program completers. An internet-based, self-directed ACT program appears feasible, with encouraging pain and psychosocial impact trends. The IMPACT program is currently widely available for free to Canadians through the Power Over Pain portal.
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5. "CARING in Action": A Knowledge Mobilization Project on Co-Creating Evidence-Based Communication Training in Chronic Pain Care for Healthcare Professionals.
PMID:日期:2026-08-06Pain is a complex and multifactorial experience shaped by biopsychosocial and contextual factors. Communication gaps between healthcare professionals and people living with pain persist as a major barrier to effective and patient-centered care. Supporting the education of healthcare professionals is essential to improving patient satisfaction and the overall experience of care for both healthcare professionals and people living with pain. To address this gap in pain care communication, this paper aims to describe the project, a patient-oriented approach to co-developing resource materials and a dissemination strategy to enhance knowledge mobilization and implementation. This project employed a participatory co-creation design informed by Canada's Strategy for Patient-Oriented Research. Patient partners contributed across all stages, from idea conceptualization, to planning and dissemination. We identified communication gaps, adapted evidence to context, and held iterative virtual and in-person workshops with people with lived experience, healthcare professionals, researchers, and trainees. Prototype materials were refined through three cycles of iteration, resulting in an evidence-informed, educational tool shaped by diverse interest holder perspectives and strengthened by a process prioritizing consensus-building, inclusivity, and validation. The final eight-module is a self-directed online educational resource for licensed and trainee healthcare professionals, to strengthen effective communications with people living with pain. This initiative generated concrete knowledge products that support culturally attuned communication and relational approaches to pain management. Together, these outputs provide practical resources for healthcare professionals and trainees across pre-licensure and post-licensure education, supporting the implementation of patient-centered communication practices in pain care.
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6. Pain Beliefs in the Military: A Qualitative Study Exploring the Perspectives of Instructors Within the Canadian Armed Forces on How Pain Is Addressed in Basic Training and the Broader Military Culture.
PMID:日期:2026-07-28Pain beliefs play an important role in how people understand and cope with pain, and they are especially relevant for military personnel and Veterans who bear a disproportionately high burden of chronic pain. However, limited research has examined which pain beliefs are central to military training and the broader military culture from the perspective of active basic training instructors. The current study aims to explore what beliefs about pain are emphasized in basic military training and the broader military culture from the perspective of active basic training instructors within the Canadian Armed Forces. We used a qualitative descriptive study design involving two semi-structured focus groups with instructors. The transcripts were analyzed using inductive content analysis. Three themes were generated. Theme 1 describes how instructors aim to teach recruits to prioritize mission and team success by pushing through pain and distinguishing it from injury. Theme 2 outlines the culture around pain in training and the broader military. Injuries are often experienced as personal failures and threaten one's identity. Thus, there is pressure to endure painful injuries and stigma for seeking care. Theme 3 describes instructors' critical reflections on how pain is addressed within the military, emphasizing that the military's relationship with pain is a double-edged sword with both helpful and harmful aspects. There is a tension between the military's operational goals and the effective management of pain and injuries. Implications for military training and future research are discussed.
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7. Prevalence of Risk of Iron Deficiency.
PMID:日期:2026-07-20Iron deficiency (ID), a common cause of anemia, disproportionately affects women of reproductive age and is characterized by symptoms such as fatigue, cognitive fog, migraines, restless‑leg syndrome, and musculoskeletal pain. Some of these are also common to chronic pain syndromes. Iron is essential for the synthesis of multiple neurotransmitters, suggesting a mechanistic link between ID and pain perception. This single‑center cross-sectional study assessed the prevalence of risk factors for iron deficiency among 81 women attending the Michael G. DeGroote Pain Clinic. Participants completed a validated questionnaire adapted from Dr. Toby Richards' Iron Clinic, which evaluated risk factors including heavy menstrual bleeding, prior iron‑deficiency status, and supplementation history. Patients were defined as being at high risk for ID if they endorsed two or more positive symptoms within Question 14 (menstrual‑bleeding characteristics). Overall, 54% of participants were identified as high risk for iron deficiency. 46% reported having restless‑leg syndrome, 47% reported a history of anemia or ID, 41% had taken oral iron supplements, and 15% were receiving iron‑infusion therapy. These results indicate that a substantial proportion of women with chronic pain may also have unrecognized ID. Since iron's role in neurotransmitter metabolism provides a plausible biological mechanism for some symptomatology, and there is overlap of the symptoms of ID and chronic pain conditions, routine screening for ID, along with patient education, dietary optimization, oral iron supplementation, and intravenous iron therapy, should be considered as part of integrative pain‑management strategies. Cost-effectiveness analyses support ferritin screening as a feasible approach in this population, highlighting the potential for improved patient outcomes.
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8. A Survey of Knowledge, Attitudes, and Behaviours of Canadian Family Physicians in Response to the Canadian Guideline on Prescribing Opioids for Chronic Non-cancer Pain.
PMID:日期:2026-07-16Chronic non-cancer pain (CNCP) is widespread in Canada, with Family Physicians (FPs) playing a crucial role in patient care and opioid stewardship amidst high prescribing rates. Two national surveys conducted in 2010 and 2018 revealed notable knowledge gaps and poor adherence to safe opioid prescribing practices among Canadian FPs. To provide an update on Canadian FPs' knowledge, attitudes, and behavior regarding opioid prescribing for CNCP. This study is the third national cross-sectional online survey of Canadian FPs. The results are presented narratively, and only descriptive statistics are offered. A total of 529 responses were collected from July 2023 to June 2024, primarily from female participants (52%) and Ontario (50%). Eighteen percent of respondents did not prescribe opioids for CNCP, and 17% prescribed only weak opioids. Wait time for a pain specialist and for a non-urgent referral to an addiction specialist were less than one month among 23% and 25% of respondents, respectively. Only 27% of respondents were able to correctly identify the minimum daily dose of morphine equivalents to start prescribing a transdermal fentanyl patch. Respondents' adherence to recommended practices before starting opioids varied from 16% for "providing written information about opioid therapy" to 93% for "explaining potential harms of long-term opioid therapy." Several knowledge gaps and a lack of adherence to certain guideline-recommended practices were observed among respondents, along with reduced wait times for consultations with pain specialists.
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9. Pain Rehabilitation Virtual Reality (PR-VR) at Home: A Pilot Randomized Controlled Trial for Youth with Chronic Pain.
PMID:日期:2026-07-16Pain Rehabilitation Virtual Reality (PR-VR) is a novel tool designed to engage youth with chronic pain in exercise as a part of physiotherapy. PR-VR has been evaluated in day-treatment and outpatient settings, but not for at home use. To evaluate the feasibility, acceptability and safety of PR-VR at home for youth with chronic pain. An exploratory aim evaluated the preliminary effectiveness of PR-VR on pain and disability. This was a 3-arm pilot randomized controlled trial (registration #NCT04912817). Each study arm included four 60-min physiotherapy sessions via Zoom (1: commercially available VR; 2: custom-developed PR-VR; 3: standard physiotherapy care). Feasibility metrics included enrollment, accrual, and drop-out rates. Acceptability was measured via satisfaction surveys and qualitative interviews. Pain and disability were measured via self-report, physical performance, and actigraphy. Thirty-seven of 70 eligible patients approached were enrolled and randomized (53% enrollment rate, 100% accrual rate), including 28 females (76%) aged 10-17 years. Twenty-eight participants completed the study (33% drop-out rate; reasons include pain resolution, medical complexity, dissatisfaction with assignment to control). Ten minor adverse events were reported across study arms. Participants and physiotherapists expressed high levels of VR acceptability. Of the participants who completed arms 1 and 2 (n = 17), 94% were satisfied/very satisfied with VR and 100% rated VR as easy/very easy to use. Results from this study demonstrate the safety and acceptability of VR in pediatric pain rehabilitation. These feasibility results will inform the design of future large-scale trials, including consideration of a wait-list control group. ClinicalTrials.gov, NCT04912817.
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10. Prevalence Of Food Insecurity And Associated Factors Among Adults Living With Chronic Pain In Quebec, Canada: A Cross-Sectional Study.
PMID:日期:2026-07-09Food insecurity is the uncertain, insufficient, or inadequate access to, availability of, or utilization of food due to limited financial resources. Research on food insecurity among individuals living with chronic pain is limited. Describe the prevalence of food insecurity in this population and to identify associated factors. This cross-sectional study used data from 1549 participants from the CEMPUS Cohort living with chronic pain (Quebec, Canada). Participants completed a phone or online questionnaire in 2024. Food insecurity was assessed using the validated Canadian 10-item adult Household Food Security Survey Module. Multivariable logistic regression identified the associated factors. Food insecurity was reported by 21.4% of the participants aged 18-24, 28.8% of those aged 25-34, 20.4% of those aged 35-44, 17.1% of those aged 45-54, 9.3% of those aged 55-64, and 4.0% of the adults aged 65 and older; prevalence was similar among females and males. Anxiety (OR: 1.125, 95%CI: 1.051-1.205), depression (OR: 1.081, 95%CI: 1.004-1.164), smoking (OR: 2.098, 95%CI: 1.234-3.566), presence of children in the household (OR: 1.927, 95%CI: 1.114-3.333), and pain duration (1-4 years vs. 3-11 months OR: 2.086, 95%CI: 1.025-4.246) were associated with higher odds of food insecurity. Older age and higher household income were associated with lower odds. While several factors may be amenable to intervention, the observed associations are not necessarily causal, and some factors cannot be directly modified. Nevertheless, our findings from a Quebec sample emphasize the need to consider food insecurity in equity-oriented chronic pain research and the development of supportive strategies.