Session 4: Thought-Challenging and Thought-Changing Skills

2020 ◽  
pp. 43-50
Author(s):  
Bryan D. Carter ◽  
William G. Kronenberger ◽  
Eric L. Scott
Keyword(s):  
Energy Level ◽  
Pain Intensity ◽  
Coping Skills ◽  
Automatic Thoughts ◽  
Mind Reading ◽  
Catastrophic Thinking ◽  
Thinking Errors ◽  
The Impact ◽  
Previous Session

Session 4 builds on “Managing the Impact” coping skills by helping you learn to apply “Challenging Your Thoughts” skills to the stressful situations identified earlier and recorded on the “Thought-Changing Skills” Worksheet from the previous session. The goal of this session is to assist you in more accurately identifying those distortions in your assumptions, beliefs and thinking that underly distressful and uncomfortable emotions/feelings, which in turn can amplify unpleasant symptoms such as energy level and pain intensity. Common thinking errors such as hopelessness, catastrophic thinking, and mind reading are introduced and applied to your own identified automatic thoughts. This is followed by introducing strategies for challenging those often unsubstantiated and disabling thoughts that serve as barriers to setting goals, expectations, and motivation, which make it difficult to get your coping and lifestyle back on track.

Session 4: Thought-Challenging and Thought-Changing Skills

2020 ◽  
pp. 73-76
Author(s):  
Bryan D. Carter ◽  
William G. Kronenberger ◽  
Eric L. Scott ◽  
Christine E. Brady
Keyword(s):  
Chronic Illness ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Automatic Thoughts ◽  
Cognitive Behavioral ◽  
Cognitive Errors ◽  
Mind Reading ◽  
Health And Illness ◽  
Recovery Program ◽  
The Impact

Employing information from their Thought Record homework, in Session 4 the teen is instructed in applying cognitive behavioral therapy (CBT) thought-challenging skills employing the “Challenging Your Thoughts” worksheet in the Children’s Health and Illness Recovery Program (CHIRP) Workbook. Common cognitive errors (e.g., hopelessness, catastrophizing, mind reading) are introduced and applied to the teen’s own identified automatic thoughts. For youth with chronic illness, the impact of their symptoms on their functioning can adversely impact on their expectations and willingness to set challenging yet appropriate goals for themselves. CBT skills in challenging and changing unsubstantiated and disabling beliefs and schema are crucial to overcoming these barriers.

scholarly journals Parental Catastrophizing and Goal Pursuit in the Context of Child Chronic Pain: A Daily Diary Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Line Caes ◽  
Cynthia van Gampelaere ◽  
Eline Van Hoecke ◽  
Myriam Van Winckel ◽  
Kristien Kamoen ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Pain Control ◽  
Daily Diary ◽  
Diary Study ◽  
Parental Distress ◽  
Activity Engagement ◽  
Daily Diary Study ◽  
Catastrophic Thinking ◽  
The Impact

Background: Despite daily variability in children's chronic pain experiences, little is known about how parents' emotions and goals toward their child's pain are influenced by these daily changes. This diary study examined how daily child pain intensity (as perceived by parents) moderates the associations between parental catastrophic thoughts about child pain on the one hand, and daily parental distress and parents' goals with regard to their child's pain (pain control vs. activity engagement) on the other hand.Method: Participants were 25 parents of 20 different children (N = 18; 90% girls). Children, aged 8–14 years (M = 9.5, SD = 2.09), experienced either chronic headache or functional abdominal pain with an average pain duration of 22.5 months (SD = 24.5 months). Daily parental responses (i.e., perceived child pain intensity, distress and goal endorsement) were collected through a 3-week daily diary (resulting in 413 valid diary reports). Parents completed the Pain Catastrophizing Scale for Parents prior to starting the diary (PCS-P general) and a daily measure (PCS-P daily) included in the diary. To account for the interdependence of the data, the data were analyzed using multilevel modeling.Results: Perceived daily child pain intensity moderated the impact of parental general and daily catastrophic thoughts on parents' daily distress. Only for parents experiencing low general catastrophic thoughts an increase in distress was observed on days when they perceived their child's pain intensity as high. For all parents, high levels of perceived child pain intensity were related to more distress on days where parents reported high levels of catastrophic thinking (i.e., PCS-P daily). Perceived daily child pain intensity also moderated the impact of parental general catastrophic thinking on parents' daily endorsement of goals. Parents with high levels of general catastrophic thinking reported a lower focus on child pain control on days when child pain intensity was perceived to be low. Parents with low general catastrophic thinking reported lower endorsement of the activity engagement goal on days where the child's pain intensity was perceived to be low.Conclusion: These findings highlight the complexity of daily fluctuations in parental distress and goals regarding their child's pain. Clinical implications and future directions are critically assessed.

Using an App to monitor postoperative pain at home in pediatric patients

2021 ◽  
pp. 136749352091931
Author(s):  
Emanuela Tiozzo ◽  
Valentina Biagioli ◽  
Matilde Brancaccio ◽  
Riccardo Ricci ◽  
Anna Marchetti ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Intensity ◽  
Health Professionals ◽  
Pediatric Patients ◽  
Pain Scale ◽  
Factors Associated ◽  
Prospective Comparative Study ◽  
Paper And Pencil ◽  
The Impact ◽  
At Home

A prospective comparative study was conducted in 487 pediatric patients (69% male, mean age = 6.4 ± 4.0) to evaluate (a) the incidence, intensity, and characteristics of pain in pediatric patients at home during the first 24 hours and 5 days after surgery and (b) the factors associated with higher pain intensity, including the impact of an application (App) compared to the paper-and-pencil approach. Postoperative pain was assessed by patients or their parents at home using the ‘Bambino Gesù’ Children’s Hospital (Ospedale Pediatrico Bambino Gesù, OPBG) tool for participants aged 4–17 years or the Faces, Legs, Arms, Cry, and Consolability scale for participants less than four years old. Participants were assigned to two groups: those who used the paper-and-pencil version of the pain scale and those who used the App. Overall, 209 of the 472 (44%) participants reported pain during the first 24 hours, and 92 of the 420 (22%) reported pain between one and five days after surgery. Higher pain intensity scores were associated with being in the App group, directly assessing own pain, and using the OPBG tool. The App was effective in facilitating pain assessment. Health professionals could empower pediatric patients and their parents in assessing pain at home through a dedicated App.

Assessing the Impact of the Position Paper “Prescribing and Administering Opioid Doses Based Solely on Pain Intensity”

2018 ◽  
Vol 19 (6) ◽  
pp. 573-579
Author(s):  
Ann Quinlan-Colwell ◽  
Kathleen Broglio ◽  
Diana Rae ◽  
Debra J. Drew ◽  
Carolyn C. Brown ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Position Paper ◽  
The Impact

Introducing a Cognitive Model of ADHD

2017 ◽  
pp. 65-82
Author(s):  
Steven A. Safren ◽  
Susan E. Sprich ◽  
Carol A. Perlman ◽  
Michael W. Otto
Keyword(s):  
Cognitive Model ◽  
Automatic Thoughts ◽  
Case Vignette ◽  
Thinking Errors ◽  
The Relationship

This chapter provides the therapist with information needed to orient clients to the cognitive model of ADHD. The therapist teaches clients with ADHD to recognize and identify their automatic thoughts and to understand the relationship among thoughts, behaviors, and feelings. The therapist educates the client about common thinking errors. Using a thought record, clients are taught to self-monitor their thoughts. A case vignette is provided to illustrate the technique of keeping a thought record.

scholarly journals Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain

2019 ◽  
Vol 8 (9) ◽  
pp. 1373 ◽  
Author(s):  
Probst ◽  
Jank ◽  
Dreyer ◽  
Seel ◽  
Wagner ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Pain Perception ◽  
Rating Scale ◽  
Post Treatment ◽  
Interdisciplinary Treatment ◽  
Binary Logistic Regression Analysis ◽  
Pain Acceptance ◽  
Pain Outcomes ◽  
The Impact

Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes. A total of 69 patients with chronic, non-malignant pain (at least 6 months) were treated in a day-clinic for four-weeks. Pain acceptance was measured with the Chronic Pain Acceptance Questionnaire (CPAQ), pain outcomes included pain intensity (Numeric Rating Scale, NRS) as well as affective and sensory pain perception (Pain Perception Scale, SES-A and SES-S). Regression analyses controlling for the pre-treatment values of the pain outcomes, age, and gender were performed. Early changes in pain acceptance predicted pain intensity at post-treatment measured with the NRS (B = −0.04 (SE = 0.02); T = −2.28; p = 0.026), affective pain perception at post-treatment assessed with the SES-A (B = −0.26 (SE = 0.10); T = −2.79; p = 0.007), and sensory pain perception at post-treatment measured with the SES-S (B = -0.19 (SE = 0.08); T = -2.44; p = 0.017) . Yet, a binary logistic regression analysis revealed that early changes in pain acceptance did not predict clinically relevant pre-post changes in pain intensity (at least 2 points on the NRS). Early changes in pain acceptance were associated with pain outcomes, however, the impact was beneath the threshold defined as clinically relevant.

scholarly journals Efficacy of Density in Predicting the Protective Properties of Padded Clothing in Rugby

Proceedings ◽  
2020 ◽  
Vol 49 (1) ◽  
pp. 38
Author(s):  
Syed Imam ◽  
Heather Driscoll ◽  
Keith Winwood ◽  
Prabhuraj Venkatraman ◽  
Tom Allen
Keyword(s):  
Mechanical Properties ◽  
Energy Level ◽  
Rank Test ◽  
Limited Information ◽  
Peak Acceleration ◽  
Control Material ◽  
Protective Properties ◽  
Impact Performance ◽  
Impact Acceleration ◽  
The Impact

World Rugby™ permits players to wear padded clothing meeting the requirements of Regulation-12, which limits density, thickness and impact performance. Due to non-uniform geometry, measuring the density of padding can be challenging and provides limited information on mechanical properties. This study investigated how well density could predict the impact performance of rugby padding, whilst reviewing compliance parameters as alternatives. Eleven samples of rugby padding, plus one control material, were tested for compliance, then impacted at energies of 4.9, 9.8 and 14.7 J using the setup as defined in Regulation-12, and finally cut to calculate density. The density and compliance parameters were correlated against peak impact accelerations using a Spearman’s rank test. Density was not significantly correlated with peak acceleration at any energy level, with compliance tests significantly correlated with impact acceleration at only 4.9 J.

scholarly journals Estudo Unicêntrico Prospetivo de Avaliação Sistemática da Dor em Doentes Portugueses com Cancro da Próstata Metastizado

2017 ◽  
Vol 30 (11) ◽  
pp. 796
Author(s):  
Maria Inês Sequeira ◽  
Nuno Sousa ◽  
Maria Fragoso ◽  
Alexandra Silva ◽  
Filipa Pereira ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Pain Intensity ◽  
Metastatic Prostate Cancer ◽  
Short Form ◽  
Brief Pain Inventory ◽  
Life Assessment ◽  
Medical Interventions ◽  
Reduction Of Pain ◽  
Prevalence Of Pain ◽  
The Impact

Introduction: Pain is one of the most common symptoms reported by cancer patients and is associated with decreased quality of life. Assessment of pain with standardized questionnaires reduces variability in its interpretation and may increase effectiveness of medical interventions. Prostate cancer is the most frequent male neoplasm in Portugal. We designed this study to evaluate the impact of a standardized pain questionnaire on pain management in patients with metastatic prostate cancer.Material and Methods: Single centre prospective observational study of patients with metastatic prostate cancer. The study was designed to evaluate the benefit of systematically evaluating pain with Brief Pain Inventory-Short Form prior to a scheduled medical oncology consult. Patients reporting pain were reassessed one week later by telephone. To assess the benefit two consecutive cohorts were established based on communication of questionnaire results to the treating physician.Results: We recruited 207 patients of which 60% reported pain. Statistically significant decrease in mean pain intensity one week after the scheduled appointment was noted (3.95 vs 3.01; p < 0.001). Patients whose Brief Pain Inventory-Short Form was provided to their oncologist experienced greater reduction in pain, which was non-significant (p = 0.227). Using Brief Pain Inventory-Short Form assessment resulted in a higher probability of pain control (43.5% vs 30.9%; p = 0.193).Discussion: The prevalence of pain founded was higher than described in the literature, probably because our sample was less selected than the published in clinical trials. After the scheduled appointment, there was a statistically significant reduction in mean pain intensity, but the explicit use of this questionnaire was not associated with a statistically significant reduction of pain.Conclusion: Patients with metastatic prostate cancer have a high prevalence of pain. Evaluation and treatment by medical oncologists is associated with a reduction of mean pain intensity. The use of Brief Pain Inventory-Short Form was associated with a non-significant increased reduction of pain.

scholarly journals Evaluation of a Group-Based Resilience Intervention for Typhoon Haiyan Survivors

2016 ◽  
Vol 10 ◽  
Author(s):  
Ma Regina M. Hechanova ◽  
Lynn C. Waelde ◽  
Pia Anna P. Ramos
Keyword(s):  
Coping Skills ◽  
The Philippines ◽  
Focus Group Discussions ◽  
Post Intervention ◽  
Group Discussions ◽  
Culturally Adapted ◽  
Disaster Survivors ◽  
Resilience Intervention ◽  
The Impact

This study evaluated the impact of Katatagan, a culturally adapted, group-based, and mindfulness-informed resilience intervention developed for disaster survivors in the Philippines. The intervention aimed to teach six adaptive coping skills: harnessing strengths, managing physical reactions, managing thoughts and emotions, seeking solutions and support, identifying positive activities, and planning for the future. Pre- and post-intervention assessments were conducted with 163 Typhoon Haiyan survivors. Six-month follow-up assessments were obtained for 37 participants. Pre- and post-results showed improvements in participants’ self-efficacy on all six coping skills. The 6-month follow-up revealed significant improvements in four of the six coping skills. Focus group discussions conducted at follow-up revealed that mindfulness, self-care, strengths, and reframing were some of the topics that were most memorable to participants. Among these, participants identified mindfulness as a skill that they continued to use. Participants also shared that they felt stronger because of the intervention and have shared what they learned with others in their communities.

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