Psychological treatment for patients with chronic pain.

2019 ◽  
Author(s):  
Beth D. Darnall
Keyword(s):  
Chronic Pain ◽  
Psychological Treatment

Cognitive-behavioural interventions

2013 ◽  
pp. 519-530 ◽  
Author(s):  
Deirdre E. Logan ◽  
Rachael M. Coakley ◽  
Brittany N. Barber Garcia
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Practical Problem ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Behavioural Interventions ◽  
Empirically Supported ◽  
Cognitive Behavioural ◽  
Hands On ◽  
Cognitive Behavioural Interventions

Cognitive-behavioural therapy (CBT) is the most commonly researched and empirically supported psychological treatment for the management of paediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach (Kendall, 2012). It is based on the concept that thoughts, feelings, and behaviours are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive-behavioural strategies commonly used for paediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for paediatric pain.

Topical Review: Enhancing Understanding of the Clinical Meaningfulness of Outcomes to Assess Treatment Benefit from Psychological Therapies for Children with Chronic Pain

2019 ◽  
Author(s):  
Tonya M Palermo ◽  
Susmita Kashikar-Zuck ◽  
Anne Lynch-Jordan
Keyword(s):  
Chronic Pain ◽  
Clinical Trials ◽  
Clinical Significance ◽  
Clinical Decision Making ◽  
Psychological Treatment ◽  
Clinical Decision ◽  
Health Impact ◽  
Treatment Benefit ◽  
Topical Review ◽  
Pediatric Chronic Pain

Abstract Objective Despite the availability of measures for assessing physical, psychological, and health impact in children with chronic pain, there are not established guidelines for interpretation of children’s pain outcomes following psychological treatment. The purpose of this topical review is to discuss clinical significance as a neglected area of consideration in pediatric chronic pain assessment and to make recommendations on how the field can move toward benchmarking on core outcome domains. Method We review definitions of clinical significance and examples of several methodologies that have been used in other populations or are emerging in pediatric chronic pain including anchor-based methods, distribution-based methods, or multimethod approaches. Results Few measures across pediatric chronic pain outcome domains have established clinical significance of scores to interpret meaningful change following treatment limiting the interpretability of findings from clinical trials. In the context of clinical practice, several efforts to examine clinical significance to improve the translation of evidence-based measurement into standard clinical decision-making exist. Conclusions Recommendations are provided to encourage additional validation efforts of outcome measures in pediatric chronic pain and to encourage authors to report clinical significance in clinical trials of psychological interventions for pediatric chronic pain.

scholarly journals Mixed Experiences and Perceptions of Psychological Treatment for Chronic Pain in Singapore: Skepticism, Ambivalence, Satisfaction, and Potential

Pain Medicine ◽  
2015 ◽  
Vol 16 (7) ◽  
pp. 1290-1300 ◽  
Author(s):  
Su-Yin Yang ◽  
Angeliki Bogosian ◽  
Rona Moss-Morris ◽  
Lance M. McCracken
Keyword(s):  
Chronic Pain ◽  
Psychological Treatment

Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy

2014 ◽  
Vol 31 (2) ◽  
pp. 131-143 ◽  
Author(s):  
Katherine VanBuskirk ◽  
Scott Roesch ◽  
Niloofar Afari ◽  
Julie Loebach Wetherell
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Cognitive Behavioural Therapy ◽  
Acceptance And Commitment Therapy ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Tailored Interventions ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural

Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.

scholarly journals Differential changes in functional disability and pain intensity over the course of psychological treatment for children with chronic pain

Pain ◽  
2014 ◽  
Vol 155 (10) ◽  
pp. 1955-1961 ◽  
Author(s):  
Anne M. Lynch-Jordan ◽  
Soumitri Sil ◽  
James Peugh ◽  
Natoshia Cunningham ◽  
Susmita Kashikar-Zuck ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Psychological Treatment

Treatment of Chronic Pain

2021 ◽  
pp. 141-156
Author(s):  
John D. Otis
Keyword(s):  
Chronic Pain ◽  
Gold Standard ◽  
Subjective Experience ◽  
Pain Treatment ◽  
Psychological Treatment ◽  
Negative Mood ◽  
Cognitive Behavioral ◽  
Psychological Treatments ◽  
Domains Of Life ◽  
The Many

Chronic pain is a highly prevalent condition that causes substantial impairment in many domains of life. Recent advances in pain research have elucidated the many biological, psychological, and social factors that can contribute to and impact the subjective experience of pain. In addition to treating patients using medications to manage pain, psychological treatments have now been developed and tested and found to significantly improve the severity of pain and the negative mood that often accompanies pain, as well as disability and impairment. Cognitive behavioral approaches are now considered the “gold standard” psychological treatment for pain. To maximize their efficacy, however, these treatments are not implemented rigidly; rather, they are tailored to the particular needs of the patient. This chapter covers the essential treatment components for pain and offers therapists ideas for effectively tailoring treatment to individual patients, so that pain treatment can be implemented flexibly, but with fidelity.

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