The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises

Raja, Srinivasa N.1; Carr, Daniel B.2; Cohen, Milton3; Finnerup, Nanna B.4,5; Flor, Herta6; Gibson, Stephen7; Keefe, Francis J.8; Mogil, Jeffrey S.9,10; Ringkamp, Matthias11; Sluka, Kathleen A.12; Song, Xue-Jun13; Stevens, Bonnie14; Sullivan, Mark D.15; Tutelman, Perri R.16; Ushida, Takahiro17; Vader, Kyle18,19

2020-09

10.1097/j.pain.0000000000001939

PAIN   Impact Factor & Quartile

0304-3959

1872-6623

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.

Definition Terminology Taxonomy Task force Revision IASP

SCI

English

ESI Highly Cited Papers ; ESI Hot Papers ; ESI Hot Papers

Others

National Institutes of Health, NIH[NS26363]

Anesthesiology ; Neurosciences & Neurology

Anesthesiology ; Clinical Neurology ; Neurosciences

WOS:000571186100006

LIPPINCOTT WILLIAMS & WILKINS

NEUROSCIENCE & BEHAVIOR

Web of Science

1.Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21205 USA
2.Tufts Univ, Program Publ Hlth & Community Med, Dept Anesthesiol & Perioperat Med, Sch Med, Boston, MA USA
3.UNSW Sydney, St Vincents Clin Sch, Sydney, NSW, Australia
4.Aarhus Univ, Danish Pain Res Ctr, Dept Clin Med, Aarhus, Denmark
5.Aarhus Univ Hosp, Dept Neurol, Aarhus, Denmark
6.Heidelberg Univ, Med Fac Mannheim, Inst Cognit & Clin Psychol, Cent Inst Mental Hlth, Mannheim, Germany
7.Univ Melbourne, Caulfield Pain Management & Res Ctr, Melbourne, Vic, Australia
8.Duke Univ, Duke Pain Prevent & Treatment Res Program, Dept Psychiat & Behav Sci, Sch Med, Durham, NC USA
9.McGill Univ, Dept Psychol, Montreal, PQ, Canada
10.McGill Univ, Dept Anesthesia, Montreal, PQ, Canada
11.Johns Hopkins Univ, Sch Med, Dept Neurosurg, Baltimore, MD 21205 USA
12.Univ Iowa, Dept Phys Therapy & Rehabil Sci, Iowa City, IA USA
13.Southern Univ Sci & Technol, SUSTech Ctr Pain Med, Sch Med, Shenzhen, Guangdong, Peoples R China
14.Univ Toronto, Lawrence S Bloomberg Fac Nursing, Fac Med & Dent, Toronto, ON, Canada
15.Univ Washington, Psychiat & Behav Sci, Seattle, WA USA
16.Dalhousie Univ, Dept Psychol & Neurosci, Halifax, NS, Canada
17.Aichi Med Univ, Multidisciplinary Pain Ctr, Nagakute, Aichi, Japan
18.Queens Univ, Sch Rehabil Therapy, Kingston, ON, Canada
19.Kingston Hlth Sci Ctr, Chron Pain Clin, Kingston, ON, Canada

Raja, Srinivasa N.,Carr, Daniel B.,Cohen, Milton,et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises[J]. PAIN,2020,161(9):1976-1982.

Raja, Srinivasa N..,Carr, Daniel B..,Cohen, Milton.,Finnerup, Nanna B..,Flor, Herta.,...&Vader, Kyle.(2020).The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.PAIN,161(9),1976-1982.

Raja, Srinivasa N.,et al."The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises".PAIN 161.9(2020):1976-1982.