The Caulfield Pain Management and Research Centre

Contact

Alison Johnson
Caulfield Pain Management and Research Centre Manager
A.Johnson@cgmc.org.au

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Overview

The Caulfield Pain Management and Research Centre is an ambulatory service providing specialist assessment and treatment for adults with chronic non-malignant pain and cancer survivors with chronic pain.  The Centre aims to assist patients to reduce the impact of persistent pain by optimising pain treatments, improving function and promoting self-management.

The Caulfield Pain Management and Research Centre has a very strong and active program into applied clinical research. Major areas of current activity include 3 NHMRC funded randomised controlled trials of therapeutic treatments for chronic pain; examining the use of acupuncture to help reduce reliance on opioid medications, a trial of antidepressant therapy for the management of chronic low back pain, and a trial of simple analgesics to reduce pain-related agitation and aggression in persons with dementia living in residential aged care facilities.

The Centre has commenced an ARC funded linkage project, partnering with the Transport Accident Commission and the School of Psychological Science at Monash University, aimed at investigating the role of compensation status on chronic pain and functional outcomes after traumatic injury with a focus on psychological factors (attention, beliefs and attitudes, emotional responses, PTSD). 

Another major stream of research involves the development of better outcome measures for the assessment of chronic pain conditions.  Questionnaire measures and more objective physical performance measures of functional disability associated with persistent pain, cognitive and clinical aspects related to the success and completion of pain management programs, the development of age appropriate assessment for pain, mood and coping, as well as testing a nationally recognised minimum data set for pain management programs in Victoria are currently underway. 

Studies into the phenomenology of phantom limb pain continue and new studies have commenced examining empathy for pain, and disturbance in body representation, in this population. 

All of our research programs involve practicing clinicians and patients with chronic pain, and many clinicians are now undertaking their own self-initiated research studies.  Our contributions to the field are well recognised and many team members are regularly invited to present at national and international meetings.

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Current Projects

Does self efficacy predict long term functional outcomes among patients with persistent pain after attendance at a multidisciplinary pain management group
Investigator: Thomas F
Project was the successful recipient of a 2010 Caulfield Small Project Research Grant

Which physical and functional measures are valid and sensitive to change in a population of clients attending a multidisciplinary pain management program
Investigators: Firth J, Arnold C, Holland A

Investigating caloric vestibular stimulation as a novel therapeutic intervention for chronic pain, mania and depression
Investigators: Ngo T, Gibson, SJ, Fitzgerald P, Miller S, Bardsell W

An investigation into factors that influence access to services at a multidisciplinary pain management centre     
Investigators: Firth J, Johnson A

Predicting long term post operative pain after hernia repair.
Investigators: Konstantos A, Gibson SJ

Investigation of proprioception and motor imagery deficits in chronic pain
Investigators: Tsay A, Giummarra M

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External Collaborations

An investigation of proprioceptive matching performance in relation to chronic pain.
Investigators: Tsay A, Guimmarra M, Allen T, Proske U.
School of Psychological Science, Monash University
Department of Physiology, Monash University 
Accident Research Centre, Monash Injury Research Institute

Is low dose amitriptyline more effective than placebo in the management of chronic, neuropathic low back pain? A double- blind, randomized, placebo-controlled trial with an economic evaluation
.
Investigators: Urquart D, Cicuttini F, Wluka A, Sim M, Van Tudler M, Forbes A, Arnold C, Gibson S, Wang Y
(Project was the successful recipient of a NHMRC Project Grant)
Department of Epidemiology & Preventative Medicine, Monash University
National Ageing Research Institute, University of Melbourne

Empathy and the personal experience of pain when seeing others in pain
Investigators: Giummarra M, Gibson SJ, Blumberg Z, Chou M, Georgiou-Karistianis N
Project was the successful recipient of a 2011 Caulfield Small Project Research Grant
School of Psychological Science, Monash University

An RCT of analgesic medications for the management of BPSD    
Investigators: Ames D, Gibson SJ, Byrne G, Katz B
National Ageing Research Institute, University of Melbourne

Chronic pain and functional impairment following traumatic injury: An investigation into the impact of compensation status and experience
Investigators: Georgiou-Karistianis N, Giummarra M, Cameron P, Gibson SJ, Ponsford J, Fielding J, Jennings P
School of Psychological Science, Monash University
Department of Epidemiology & Preventative Medicine, Monash University
National Ageing Research Institute, University of Melbourne

Electro-acupuncture on opioid consumption by patients with chronic musculoskeletal pain: a randomised controlled trial
Investigators: Xue C, Helme R, Gibson SJ, Zheng Z
National Ageing Research Institute, University of Melbourne
School of Health Sciences, RMIT

Standardising Outcome Measures in Persistent Pain          
Investigators: Arnold C, Gibson SJ, Hayes C, Jordan M
Hunter Integrated Pain Service
Hunter New England Area Health Service, NSW

Development of psychometric measures in older chronic pain patients
Investigators: Woods B, Nicholas M, Blyth F, Gibson SJ
National Ageing Research Institute, University of Melbourne
Sydney Medical School, University of Sydney
Pain Management Research Institute, University of Sydney at Royal North Shore Hospital

Optimising analgesic pain management for frail older people           
Investigators: McLachlan A, Naganathan V, Le Couteur D, Hilmer S, Gibson SJ
National Ageing Research Institute, University of Melbourne
Centre for Education and Research in Ageing, University of Sydney

Establishing a minimum dataset of outcome measures for use in Victorian Persistent Pain Services - the VICPOP study, jointly with Melbourne Health and Ballarat Health
Investigators: Arnold C, Gibson SJ, Guimmarra M, Dircks L A, Hogg M, Pichler A, , Allen A, Innes A, Ayers T, Auchettl
Royal Melbourne Hospital Pain Service
Ballarat Health Pain Services

Investigation into the neurophysiological correlates of pain contagion
Investigators: Giummarra M, Gibson SJ, Fielding J, Georgiou-Karistianis N, Verdejo-Garcia A
School of Psychological Science, Monash University
Monash Biomedical Imaging, Monash University
National Ageing Research Institute, University of Melbourne

Dementia Training Study Centres     
Investigators: Wingard M, Murray M, Gibson SJ, Disler P, Robinson A, Ebriham J, Stokes D 
La Trobe University (ACEBAC)Monash School of Rural Health
National Ageing Research Institute, University of Melbourne
University of Tasmania
Alzheimer's Australia (Victoria and Tasmania)
Collaborative Health Education Research Centre at Bendigo Health

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Publications in 2013

Brugger P, Lenggenhager B, & Giummarra, MJ. Xenomelia: A social neuroscience view of altered bodily self-consciousness. Frontiers in Psychology 2013.

Lenggenhager B, Arnold CA., & Giummarra, MJ. Phantom limbs: Pain, embodiment and scientific advances in integrative therapies. Cognitive Science, accepted 30/12/2013.

Morrison G, Van Langenberg D.R, Gibson S.J., Gibson, PR.  Chronic pain in inflammatory bowel disease: Characteristics and associations of a hospital based cohort. Inflammatory Bowel Diseases 2013, 19(6):1210-1217.

Oosterman, J.M., Gibson, S.J., Pulles, W.L., Veldhuijzen, D.S. On the moderating role of age in the relationship between pain and cognition. Eur J Pain. 2013; 17(5): 735-741.

Wood, BM, Nicholas, MK, Blyth, F, Asghari, A, Gibson, S.J. Catastrophizing mediates the relationship between pain intensity and depression in older adults with persistent pain.  Journal of Pain. 2013, 14(2): 149-157.  2013.

Dow, B., Fearn, M., Haralambous, B., Hill, K., & Gibson, S.J.  Development and initial testing of the Person-centred Health Care for Older Adults Survey. International Psychogeriatrics  2013, 25(7):1065-1076.

Lukas, A., Barber, J.B, Johnson, P., Gibson, S.J. Observer-rated pain assessment instruments improve both the detection of pain and the evaluation of pain intensity in people with dementia. Eur J Pain. 2013 17(10), 1558-1568.

Anpalahan, M., Gibson, S.J.  Hip Fracture Risk Factors and the Discriminability of Hip Fracture Risk Vary by Age - A Case Control Study.. (In press Geriatrics & Gerontology International  4/06/2013). Jul 23.

Savvas, S., Toye, C., Beatie, E., Gibson, S.J. Implementation of sustainable evidence based practice for the assessment and management of pain in residential aged care facilities.  Pain Management Nursing (In press 2013).

Mendelson D, Mendelson G. Opioid regulation: time to consider the nomenclature and approach.  Journal of Law and Medicine 2013; 21:27-38.

Holmes, A., Williamson, O., Hogg, M., Arnold, C.A. and O'Donnell, M. L. Determinants of Chronic Pain 3 Years after Moderate or Serious Injury. Pain Medicine (2013) 14 (3) 336-344

Zheng, Z., Paterson, C., Ledgerwood, K., Hogg, M., Arnold, C. A. and Xue, C. C. L. (2013), Chaos to Hope: A Narrative of Healing. Pain Medicine.

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