Behavioural Approaches to Pain Management: Difference between revisions

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Cognitive Behavioral Therapy (CBT) can be described as the "gold standard" psychological treatment for individuals with a wide range of pain problems.&nbsp;It can be used alone or in conjunction with medical or interdisciplinary rehabilitation treatments. Chronic pain stands out as the most common condition treated with CBT. But why?&nbsp;As Institute of Medicine (2011) explained, chronic pain is a condition influenced by biological, psychological, and social factors and optimally managed by treatments that address not only its biological causes but also its psychological and social influences and consequences.<ref name="1">Dawn M. Ehde, Tiara M. Dillworth, and Judith A. Turner.  Cognitive-Behavioral Therapy for Individuals WithfckLRChronic Pain - Efficacy, Innovations, and Directions for Research. University of Washington. February-March 2014</ref>  
Cognitive Behavioral Therapy (CBT) can be described as the "gold standard" psychological treatment for individuals with a wide range of pain problems.&nbsp;It can be used alone or in conjunction with medical or interdisciplinary rehabilitation treatments. Chronic pain stands out as the most common condition treated with CBT. But why?&nbsp;As Institute of Medicine (2011) explained, chronic pain is a condition influenced by biological, psychological, and social factors and optimally managed by treatments that address not only its biological causes but also its psychological and social influences and consequences.<ref name="1">Dawn M. Ehde, Tiara M. Dillworth, and Judith A. Turner.  Cognitive-Behavioral Therapy for Individuals WithfckLRChronic Pain - Efficacy, Innovations, and Directions for Research. University of Washington. February-March 2014</ref>  


As time goes by, patient develops behaviours, such as '''pain catastrophizing''' (magnification of the threat of, rumination about, and perceived inability to cope with pain), as well as'''fear-avoidance''' (activity avoidance due to fear of increased pain or bodily harm), which&nbsp;&lt;/span&gt;have consistently been found to be associated with greater physical&nbsp;and psychosocial dysfunction, even after controlling for pain and depression levels (Edwards, Cahalan, Mensing, Smith, &amp; Haythornthwaite, 2011; Quartana,Campbell, &amp; Edwards, 2009; Gatchel et al., 2007; Leeuw et al., 2007).&nbsp;Many individuals with chronic pain have&nbsp;mood, anxiety, and sleep disorders (Alsaadi, McAuley, Hush, &amp; Maher, 2011; Demyttenaere et al., 2007; Gore,&nbsp;Sadosky, Stacey, Tai, &amp; Leslie, 2012; Tsang et al., 2008), and CBT is also used to treat these conditions.<ref name="1" />&nbsp;  
As time goes by, patient develops behaviours, such as '''pain catastrophizing''' (magnification of the threat of, rumination about, and perceived inability to cope with pain), as well as&nbsp;'''fear-avoidance''' (activity avoidance due to fear of increased pain or bodily harm), which&nbsp;&lt;/span&gt;have consistently been found to be associated with greater physical&nbsp;and psychosocial dysfunction, even after controlling for pain and depression levels (Edwards, Cahalan, Mensing, Smith, &amp; Haythornthwaite, 2011; Quartana,Campbell, &amp; Edwards, 2009; Gatchel et al., 2007; Leeuw et al., 2007).&nbsp;Many individuals with chronic pain have&nbsp;mood, anxiety, and sleep disorders (Alsaadi, McAuley, Hush, &amp; Maher, 2011; Demyttenaere et al., 2007; Gore,&nbsp;Sadosky, Stacey, Tai, &amp; Leslie, 2012; Tsang et al., 2008), and CBT is also used to treat these conditions.<ref name="1" />&nbsp;  


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Revision as of 14:13, 20 April 2016

Welcome to PPA Pain Project. This page is being developed by participants of a project to populate the Pain section of Physiopedia.  The project is supervised and co-ordinated by the The Physiotherapy Pain Association.
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Cognitive Behavioural Therapy (CBT)
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Cognitive Behavioral Therapy (CBT) can be described as the "gold standard" psychological treatment for individuals with a wide range of pain problems. It can be used alone or in conjunction with medical or interdisciplinary rehabilitation treatments. Chronic pain stands out as the most common condition treated with CBT. But why? As Institute of Medicine (2011) explained, chronic pain is a condition influenced by biological, psychological, and social factors and optimally managed by treatments that address not only its biological causes but also its psychological and social influences and consequences.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title

As time goes by, patient develops behaviours, such as pain catastrophizing (magnification of the threat of, rumination about, and perceived inability to cope with pain), as well as fear-avoidance (activity avoidance due to fear of increased pain or bodily harm), which </span>have consistently been found to be associated with greater physical and psychosocial dysfunction, even after controlling for pain and depression levels (Edwards, Cahalan, Mensing, Smith, & Haythornthwaite, 2011; Quartana,Campbell, & Edwards, 2009; Gatchel et al., 2007; Leeuw et al., 2007). Many individuals with chronic pain have mood, anxiety, and sleep disorders (Alsaadi, McAuley, Hush, & Maher, 2011; Demyttenaere et al., 2007; Gore, Sadosky, Stacey, Tai, & Leslie, 2012; Tsang et al., 2008), and CBT is also used to treat these conditions.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title 


Cognitive Functional Therapy (CFT)[edit | edit source]

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Therapeutic Neuroscience Education (TNE)[edit | edit source]

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References[edit | edit source]