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Psychologic interventions for chronic pain.

Travis L Osborne1, Katherine A Raichle, Mark P Jensen

  • 1Department of Rehabilitation Medicine, Box 356490, University of Washington School of Medicine, Seattle, WA 98195-6490, USA. osbornet@u.washington.edu

Physical Medicine and Rehabilitation Clinics of North America
|April 18, 2006
PubMed
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Psychologically based pain management strategies, including cognitive-behavioral therapy, can improve quality of life for chronic pain patients. Rehabilitation providers can integrate these effective pain coping techniques into their practice.

Area of Science:

  • Psychology
  • Rehabilitation Medicine
  • Pain Management

Background:

  • Chronic pain management has evolved with a sophisticated biopsychosocial understanding.
  • Numerous psychologically based treatments have been developed and validated for pain management.
  • These approaches enhance quality of life, coping, and reduce disability in individuals with chronic pain.

Purpose of the Study:

  • To highlight the benefits of psychologically based pain management approaches.
  • To emphasize the integration of these strategies into rehabilitation settings.
  • To encourage rehabilitation providers to adopt evidence-based psychological interventions for pain.

Main Methods:

  • Review of empirically validated psychological treatment approaches for chronic pain.

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  • Discussion of principles from operant behavioral therapy, cognitive-behavioral therapy, and motivational interviewing.
  • Emphasis on the applicability of these methods in rehabilitation settings.
  • Main Results:

    • Psychologically based treatments offer significant benefits for chronic pain sufferers.
    • Key principles from therapies like cognitive-behavioral therapy can be readily integrated into rehabilitation.
    • Specialized treatments may require referral, but core concepts are broadly applicable.

    Conclusions:

    • Psychologically based interventions are effective for managing chronic pain and improving function.
    • Rehabilitation providers can enhance patient care by incorporating these evidence-based strategies.
    • Further training and resources are recommended for providers new to these pain management techniques.