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The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises
Open accessAbstract
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.
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“The International Association for the Study of Pain also establishes a relationship between fear-painknowledge, as they state that pain not only represents the sensation of physical harm, but also an emotional experience that can be influenced by other emotions, such as anxiety or fear of the unknown [53].”
From Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis (2024) · cites this paper as [53]
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“experience of pain.(37) In addition, the term “unpleasant” has been debated as potentially trivializing the severe pain and suffering associated with many acute and chronic clinical pain states and fails to capture “the full range of words that could be used to describe the experience” and its associated suffering.”
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“In 2020 the International Association for the Study of Pain(IASP) redefined pain as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue dam-age” [1].”
BackgroundBenazzouz, I., Bouhnik, C., Chapron, A., Esvan, M., Lavoué, V., & Brun, T. (2023) · Journal of Gynecology Obstetrics and Human Reproduction · doi:10.1016/j.jogoh.2023.102706 · Cited by 19
Pattison, L. A., Cloake, A., Chakrabarti, S., Hilton, H., Rickman, R. H., Higham, J. P., Meng, M. Y., Paine, L. W., Dannawi, M., Qiu, L., et al. (2024) · Pain · doi:10.1097/j.pain.0000000000003190 · Cited by 19
Sustained release local anesthetics for pain management: relevance and formulation approaches
Getachew, M., Tesfaye, H. D., Belay, W. Y., Ayenew, T., Alemu, S., Dagnew, E. M., Biyazin, Y., Abebe, D., Degefu, N., & Abebaw, A. (2024) · Frontiers in Pain Research · doi:10.3389/fpain.2024.1383461 · Cited by 19
Current advances in the pain treatment and mechanisms of Traditional Chinese Medicine
Zhu, X., Jia, Z., Zhou, Y., Wu, J., Cao, M., Hu, C.-J., Yu, L., & Chen, Z. (2024) · Phytotherapy Research · doi:10.1002/ptr.8259 · Cited by 20
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“The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” [1], marking a recent update to the definition.”
Sorting pain out of salience: assessment of pain facial expressions in the human fetus
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Towards a dynamic account of chronic pain
Vlaeyen, J. W. S., Haslbeck, J. M. B., Sjouwerman, R., & Peters, M. L. (2022) · Pain · doi:10.1097/j.pain.0000000000002706 · Cited by 19
miRNA packaging into small extracellular vesicles and implications in pain
DaCunza, J., Wickman, J. R., & Ajit, S. K. (2024) · PAIN Reports · doi:10.1097/pr9.0000000000001198 · Cited by 21
“119 Acute pain is usually time-limited and resolves as the underlying cause heals.”
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FIGO – IPPS consensus statement: Addressing the global unmet needs of women with chronic pelvic pain
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“8,9 The RCOG definition further complicates matters by characterizing CPP primarily as a symptom.”
Getting to Know Pain Effect Sizes—Guidelines for Effect Size and Sample Size in Global Pain Research
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Managing patients’ pain in the intensive care units
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Psychedelics in the Treatment of Headache and Chronic Pain Disorders
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Digital body mapping of pain quality and distribution in athletes with longstanding groin pain
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The Impact of Nurses’ Beliefs, Attitudes, and Cultural Sensitivity on the Management of Patient Pain
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Underlying Music Mechanisms Influencing the Neurology of Pain: An Integrative Model
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Opening KATP channels induces inflammatory tolerance and prevents chronic pain
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Metadata
- Authors
- Raja, S. N., Carr, D. B., Cohen, M., Finnerup, N. B., Flor, H., Gibson, S., Keefe, F. J., Mogil, J. S., Ringkamp, M., Sluka, K. A., Song, X.-J., Stevens, B., Sullivan, M. D., Tutelman, P. R., Ushida, T., & Vader, K.
- Affiliations
- Johns Hopkins University (US)
- Tufts University (US)
- UNSW Sydney (AU)
- Aarhus University (DK)
- Heidelberg University (DE)
- The University of Melbourne (AU)
- Duke University (US)
- McGill University (CA)
- University of Iowa (US)
- Southern University of Science and Technology (CN)
- University of Toronto (CA)
- University of Washington (US)
- Dalhousie University (CA)
- Aichi Medical University (JP)
- Queen's University (CA)
- Corresponding author
- Raja, Srinivasa N.
- ORCID
- Venue
- Pain
- Published
- 2020-09
- Volume
- 161
- Issue
- 9
- Pages
- 1976-1982
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- PMC
- PMC7680716
- OpenAlex
- W3043476716
- Cited by
- 5,223
- References
- 34
- Citations by year
- 2026: 930 · 2025: 1042 · 2024: 1021 · 2023: 905 · 2022: 757 · 2021: 484 · 2020: 78
- FWCI
- 70.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- other-oa
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P30AG064201, R01AG058702)
- National Cancer Institute (UG1CA189824)
- National Institute of Nursing Research (U2CNR014637, U24NR014637)
- National Institute of Neurological Disorders and Stroke (R01NS097221, R01NS026363, U24NS112873)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR073187, R01AR070875, UG3AR076387)
- National Center for Complementary and Integrative Health (U24AT010961, U24AT009676)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- pain definition, International Association for the Study of Pain, pain classification, concept of pain, tissue damage
- MeSH terms
- Humans, Pain
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