scholarly journals Psychological Interventions in Pain Management

2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Mustafa Nadeem Kirmani ◽  
Firdos Jehan ◽  
Rumana Sanam

Pain is among the most common somatic complaints. Fortunately, in only a minority of people is pain long lasting and severe, such that it interferes with daily life activities. Those with chronic, disabling pain present to healthcare providers repeatedly. Often they experience anxiety and depression, irritation, frustration and helplessness, and they suffer from insomnia and excessive medication use. It results from complex interplay of biological, psychological & sociocultural factors. There are gamut of medical and psychosocial factors which cause pain. Pain is basically a sensory, emotional and subjective experience. High psychological arousal and cognitive set are significant factors which maintain or exacerbate the pain. In this paper, psychological strategies of pain management are being discussed. The major focus being cognitive behavioral interventions. The paper focuses on psychological factors related to pain and the role of professional psychologists in dealing with cases of chronic or other pain related disorders. The paper highlights the importance of incorporating biopsychosocial model in pain management for speedy recovery and better quality of life of pain patient.

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mustafa Nadeem Kirmani ◽  
Shabahat Bano ◽  
Firdos Jahan

Pain results from complex interplay of biological, psychological & sociocultural factors. There are gamuts of medical and psychosocial factors which cause pain. The advent of technology and inordinate and improper use of computers and its components like key board and mouse are also associated with pain. It has been found both on the basis of research and clinically that software professionals often consult physicians for pain in different site of their body more specifically fingers, upper limbs, neck and forehead. This medical condition is known as Repetitive Strain Injury (RSI). It might result because of repetitive tasks, mechanical compressions or sustained or awkward positions. The patients of this medical condition often experience inflammation at different sites of body parts which are often involved in using computers. Unhealthy bodily postures are also associated with an issue. Pain is basically a sensory, emotional and subjective experience. High psychological arousal and cognitive set are significant factors which maintain or exacerbate the pain. In this paper, Behavioral management of pain specifically refers to brief cognitive, behavioral and mindfulness based psychological interventions in pain management. The current paper focuses on psychological factors related to pain and presented a case with RSI in holistic pain management and highlights the importance of incorporating biopsychosocial model in pain management for speedy recovery and better quality of life of patient.


1987 ◽  
Vol 50 (8) ◽  
pp. 262-263 ◽  
Author(s):  
Jenny Strong

This paper describes the contribution the occupational therapist makes in improving the quality of life of the patient with chronic benign pain. Working closely with medical specialists, the occupational therapist is able to contribute much towards the rehabilitation of the patient. Occupational therapists are currently providing pain patient services from specialist pain clinics, community centres, general hospitals and private practice settings. The role of the occupational therapist in chronic pain management is highlighted by a case history.


2017 ◽  
Vol 38 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Jeffrey H. Kahn ◽  
Daniel W. Cox ◽  
A. Myfanwy Bakker ◽  
Julia I. O’Loughlin ◽  
Agnieszka M. Kotlarczyk

Abstract. The benefits of talking with others about unpleasant emotions have been thoroughly investigated, but individual differences in distress disclosure tendencies have not been adequately integrated within theoretical models of emotion. The purpose of this laboratory research was to determine whether distress disclosure tendencies stem from differences in emotional reactivity or differences in emotion regulation. After completing measures of distress disclosure tendencies, social desirability, and positive and negative affect, 84 participants (74% women) were video recorded while viewing a sadness-inducing film clip. Participants completed post-film measures of affect and were then interviewed about their reactions to the film; these interviews were audio recorded for later coding and computerized text analysis. Distress disclosure tendencies were not predictive of the subjective experience of emotion, but they were positively related to facial expressions of sadness and happiness. Distress disclosure tendencies also predicted judges’ ratings of the verbal disclosure of emotion during the interview, but self-reported disclosure and use of positive and negative emotion words were not associated with distress disclosure tendencies. The authors present implications of this research for integrating individual differences in distress disclosure with models of emotion.


Drugs ◽  
2003 ◽  
Vol 63 (Special Issue 2) ◽  
pp. 15-21 ◽  
Author(s):  
Henrik Kehlet ◽  
Mads Utke Werner

2020 ◽  
pp. 074391562098472
Author(s):  
Lu Liu ◽  
Dinesh K. Gauri ◽  
Rupinder P. Jindal

Medicare uses a pay-for-performance program to reimburse hospitals. One of the key input measures in the performance formula is patient satisfaction with their hospital care. Physicians and hospitals, however, have raised concerns especially about questions related to patient satisfaction with pain management during hospitalization. They report feeling pressured to prescribe opioids to alleviate pain and boost satisfaction survey scores for higher reimbursements. This over-prescription of opioids has been cited as a cause of current opioid crisis in the US. Due to these concerns, Medicare stopped using pain management questions as inputs in its payment formula. We collected multi-year data from six diverse data sources, employed propensity score matching to obtain comparable groups, and estimated difference-in-difference models to show that, in fact, pain management was the only measure to improve in response to pay-for-performance system. No other input measure showed significant improvement. Thus, removing pain management from the formula may weaken the effectiveness of HVBP program at improving patient satisfaction, which is one of the key goals of the program. We suggest two divergent paths for Medicare to make the program more effective.


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