In adults with chronic pain (excluding headache), what are the benefits and harms of psychological therapies?

2014 ◽  
Author(s):  
Adarsh Gupta
Keyword(s):  
Chronic Pain ◽  
Psychological Therapies

Interdisciplinary Teams in Endometriosis Care

2020 ◽  
Vol 38 (02/03) ◽  
pp. 227-234
Author(s):  
Catherine Allaire ◽  
Alicia Jean Long ◽  
Mohamed A. Bedaiwy ◽  
Paul J. Yong
Keyword(s):  
Chronic Pain ◽  
Interdisciplinary Team ◽  
Multidisciplinary Care ◽  
Complex Problem ◽  
Interdisciplinary Teams ◽  
Team Approach ◽  
Team Care ◽  
Psychological Therapies ◽  
Published Evidence ◽  
Chronic Pain Conditions

AbstractEndometriosis-associated chronic pelvic pain can at times be a complex problem that is resistant to standard medical and surgical therapies. Multiple comorbidities and central sensitization may be at play and must be recognized with the help of a thorough history and physical examination. If a complex pain problem is identified, most endometriosis expert reviews and guidelines recommend multidisciplinary care. However, there are no specific recommendations about what should be the components of this approach and how that type of team care should be delivered. There is evidence showing the effectiveness of specific interventions such as pain education, physical therapy, psychological therapies, and pharmacotherapies for the treatment of chronic pain. Interdisciplinary team models have been well studied and validated in other chronic pain conditions such as low back pain. The published evidence in support of interdisciplinary teams for endometriosis-associated chronic pain is more limited but appears promising. Based on the available evidence, a model for an interdisciplinary team approach for endometriosis care is outlined.

Pain treatment and prevention in pediatric palliative care

2021 ◽  
pp. 292-311
Author(s):  
Stefan J. Friedrichsdorf
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Visceral Pain ◽  
Pain Treatment ◽  
Symptom Control ◽  
Pediatric Palliative Care ◽  
Serious Illness ◽  
Psychological Therapies ◽  
Total Pain ◽  
The Usa

Annually, at least 21 million children could benefit from pediatric palliative care (PPC) and 8 million would need specialized PPC services. In the USA alone, more than 40,000 children aged 0–19 years die annually; 55% of them are infants younger than 1 year of age. Pain is common, under-recognized, and under-treated, especially in children with progressive neurodegenerative and chromosomal conditions with central nervous system impairment. Unrelieved pain is also common in children with advanced serious illness during the end-of-life period, and, when treated, the therapy is commonly ineffective. Treating pain in children with serious illness is not profoundly different than advanced pain management for children with complex acute conditions or diseases such as major trauma, burns, cancer, or those with sickle cell disease in vaso-occlusive crisis. It is important to appreciate that children with serious illness are more likely to simultaneously suffer from acute pain, neuropathic pain, visceral pain, total pain, and chronic pain. As such, multimodal analgesic (i.e., multiple agents, interventions, rehabilitation, psychological modalities, and integrative (“nonpharmacologic,” e.g., behavioral, physiological, and psychological) therapies that act synergistically for more effective pediatric pain and symptom control with fewer side effects than a single analgesic or modality must be employed. Opioids, such as morphine, fentanyl, hydromorphone, oxycodone, and methadone, remain the mainstay medications to effectively treat pain in children with serious illness. However, medications alone are often insufficient for optimal pain control. In fact, the paradigm shift away from “medications only” toward offering “multimodal analgesia” to children with serious illness experiencing pain, including addressing chronic pain/primary pain disorders and total pain has become a “game changer” in advancing PPC to ensure that patients can live as long as possible, as well as possible.

Neuroimaging Correlates for Psychological and Chronic Pain Experiences

2020 ◽  
pp. 121-134
Author(s):  
John A. Sturgeon ◽  
Katherine T. Martucci
Keyword(s):  
Chronic Pain ◽  
Behavioral Therapy ◽  
Structure And Function ◽  
Neural Structure ◽  
Psychological Therapies ◽  
Acceptance And Commitment ◽  
Physical Dysfunction ◽  
Brain Structure And Function ◽  
Pain Experiences ◽  
And Function

Psychological factors play a key role in the pain experience. Clinical and experimental research has highlighted altered behavioral, cognitive, and emotional responses as endemic in chronic pain populations, which contribute to physical dysfunction and to depression, anxiety, and other psychiatric disorders. Neuroimaging research has complemented the knowledge in this domain by identifying how neural structure and function are altered in chronic pain. Brain processes related to mental illness, emotion, memory, and cognition are distributed throughout the brain and modulate pain processing in both the acute and chronic states. These processes can be targeted both behaviorally and neurophysiologically through noninvasive and nonpharmacological psychological therapies, including cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based stress reduction. Psychological therapies are further supported by emerging neuroimaging research that demonstrates changes in brain structure and function associated with positive changes in patients’ responses to pain and overall improved quality of life.

scholarly journals Psychological therapies for the management of chronic pain (excluding headache) in adults

2008 ◽  
Author(s):  
Christopher Eccleston ◽  
Stephen Morley ◽  
Amanda C de C Williams
Keyword(s):  
Chronic Pain ◽  
Psychological Therapies

Pain in sickle cell disease

2013 ◽  
pp. 248-256
Author(s):  
Carlton Dampier ◽  
Lamia Barakat
Keyword(s):  
Chronic Pain ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Opioid Analgesics ◽  
Cell Disease ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Sickle Erythrocytes ◽  
Alternative Medications ◽  
Multidisciplinary Pain Management

Sickle cell disease (SCD) presents a complex pain disorder to clinicians. Pain from vaso-occlusion of sickle erythrocytes can occur in multiple musculoskeletal locations, several internal viscera such as the spleen, as well as the penis. Such pain is typically intermittent in childhood, shares features of acute pain with other pain disorders, and often responds to non-steroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics. Adolescents with SCD often experience more frequent pain, and those with bone disease in spine, hips, or shoulders may experience chronic pain. Like other chronic pain disorders, this pain often responds poorly to opioids, but there is limited current clinical or research data to support alternative medications. Many cognitive-behavioural strategies are helpful as part of multidisciplinary pain management, particularly in adolescents, who may also benefit from psychological support to treat coexistent mood disorders, to increase coping skills, and to support appropriate school and family functioning. Future advances in pharmacological and psychological therapies are needed to ameliorate the substantial burden of pain in children and adolescents with SCD.

scholarly journals Systematic Review and Meta-Analysis of Psychological Therapies for Children With Chronic Pain

2014 ◽  
Vol 39 (8) ◽  
pp. 763-782 ◽  
Author(s):  
Emma Fisher ◽  
Lauren Heathcote ◽  
Tonya M. Palermo ◽  
Amanda C de C Williams ◽  
Jennifer Lau ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Pain ◽  
Meta Analysis ◽  
Psychological Therapies

scholarly journals Use of behavioural activation to manage pain: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e041036
Author(s):  
Sandra Walsh ◽  
Martin Jones ◽  
Richard John Gray ◽  
Marianne Gillam ◽  
Kate M Gunn ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Scoping Review ◽  
Data Extraction ◽  
Grey Literature ◽  
Empirical Support ◽  
Bibliographic Databases ◽  
Behavioural Activation ◽  
Clinician Training ◽  
Psychological Therapies ◽  
Clinical Trial Registries

IntroductionChronic pain is a distressing condition and often poorly treated and managed. Psychological therapies are considered first-line intervention for people with chronic pain. Common psychological therapies require extensive clinician training and specialist qualifications. One approach that does not need lengthy training nor specialist qualification, but has empirical support in other health domains, is behavioural activation (BA). BA seeks to increase engagement in behaviours that are valued by the person and progress through behaviours that can increase mood and develop skills that build satisfying routines. BA can help people to manage their condition through scheduling behaviours, promoting routine and mastery over their condition. The extent to which BA has been used to support people living with chronic pain is not clear.Methods and analysisThis scoping review aims to identify published studies describing the application of BA to support people living with chronic pain. To map the evidence regarding BA and chronic pain, including the study type and the associated evidence, a scoping review was adopted. The search will be conducted in bibliographic databases, clinical trial registries and grey literature. No date limits will be applied to the search strategy. Screening of titles and abstracts, and full-text screening, will be independently undertaken by two investigators using Covidence software. Any disagreement between investigators will be resolved by a third investigator. Data from included publications will be extracted using a customised data extraction tool.Ethics and disseminationThe scoping review is an analysis of existing data and therefore ethics approval is not required. The findings of this scoping review will further our understanding of how BA has been used to support people living with chronic pain and inform future training and education programmes in this area.

scholarly journals Psychological therapies (internet delivered) for the management of chronic pain in adults

2012 ◽  
Author(s):  
Christopher Eccleston ◽  
Emma Fisher ◽  
Lorraine Craig ◽  
Geoffrey B Duggan ◽  
Benjamin A Rosser ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Psychological Therapies
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