Journal article
The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises
Pain (Amsterdam), Vol.161(9), pp.1976-1982
09/01/2020
DOI: 10.1097/j.pain.0000000000001939
PMCID: PMC7680716
PMID: 32694387
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.
Details
- Title: Subtitle
- The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises
- Creators
- Srinivasa N Raja - Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD, United StatesDaniel B Carr - Program in Public Health and Community Medicine, Department of Anesthesiology and Perioperative Medicine, Tufts University School of Medicine, Boston, MA, United StatesMilton Cohen - St Vincent's Clinical School, UNSW Sydney, Sydney, New South Wales, AustraliaNanna B Finnerup - Department of Neurology, Aarhus University Hospital, Aarhus, DenmarkHerta Flor - Institute of Cognitive and Clinical Psychology, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyStephen Gibson - Caulfield Pain Management and Research Centre, University of Melbourne, Melbourne, AustraliaFrancis J Keefe - Duke Pain Prevention and Treatment Research Program, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United StatesJeffrey S Mogil - Departments of Psychology and Anesthesia, McGill University, Montreal, QC, CanadaMatthias Ringkamp - Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, United StatesKathleen A Sluka - Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, IA, United StatesXue-Jun Song - SUSTech Center for Pain Medicine, Southern University of Science and Technology School of Medicine, Shenzhen, Guangdong, ChinaBonnie Stevens - Lawrence S Bloomberg Faculty of Nursing, Faculties of Medicine and Dentistry, University of Toronto, Toronto, ON, CanadaMark D Sullivan - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United StatesPerri R Tutelman - Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, CanadaTakahiro Ushida - Multidisciplinary Pain Center, Aichi Medical University, Nagakute, Aichi, JapanKyle Vader - School 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
- Resource Type
- Journal article
- Publication Details
- Pain (Amsterdam), Vol.161(9), pp.1976-1982
- DOI
- 10.1097/j.pain.0000000000001939
- PMID
- 32694387
- PMCID
- PMC7680716
- NLM abbreviation
- Pain
- ISSN
- 0304-3959
- eISSN
- 1872-6623
- Publisher
- United States
- Grant note
- R01 NS026363 / NINDS NIH HHS R01 AG058702 / NIA NIH HHS R01 NS097221 / NINDS NIH HHS UG1 CA189824 / NCI NIH HHS R01 AR073187 / NIAMS NIH HHS UG3 AR076387 / NIAMS NIH HHS R01 AR070875 / NIAMS NIH HHS P30 AG064201 / NIA NIH HHS U24 NS112873 / NINDS NIH HHS U2C NR014637 / NINR NIH HHS
- Alternative title
- The Revised IASP definition of pain: concepts, challenges, and compromises
- Language
- English
- Date published
- 09/01/2020
- Academic Unit
- Iowa Neuroscience Institute; Nursing; Physical Therapy and Rehabilitation Science; Neuroscience and Pharmacology
- Record Identifier
- 9984070597602771
Metrics
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