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Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Transition from acute to chronic pain: where cells, systems and society meet
Paul Glare1, Sarah Overton2, Karin Aubrey1,3
1Pain Management Research Institute, Faculty of Medicine & Health, University of Sydney, NSW, 2028, Australia.
Abstract:
Current treatments for chronic pain are often ineffective. At the same as searching for novel therapeutics, there is growing interest in preventing acute pain becoming chronic. While the field is still in its infancy, its knowledge base is increasingly expanding. Certainly, biomedical factors, for example, the type of tissue damage, are important but they are often not modifiable. Psychosocial risk factors (e.g., thoughts and beliefs about pain, mood, social support, workplace problems) are modifiable. There is an increasing body of research that cognitive behavioral therapy can prevent transition. Internet-based delivery of cognitive behavioral therapy improves access. Clinicians need to be aware that they may inadvertently promote pain chronification in their patients by what they say and do.
Insights
Preventing chronic pain is crucial as current treatments are often ineffective. Cognitive behavioral therapy, especially internet-based, shows promise in preventing acute pain from becoming chronic by addressing modifiable psychosocial factors.
Area of Science:
- Pain Management
- Psychology
- Digital Health
Background:
- Current chronic pain treatments have limited efficacy.
- Preventing the transition from acute to chronic pain is an emerging research area.
- Biomedical factors are important but often unmodifiable.
Purpose of the Study:
- To explore the role of modifiable psychosocial risk factors in pain chronification.
- To evaluate the potential of cognitive behavioral therapy (CBT) in preventing chronic pain.
- To highlight the importance of clinician awareness regarding pain management communication.
Main Methods:
- Review of current research on pain chronification.
- Analysis of the impact of psychosocial factors on pain transition.
- Examination of internet-based cognitive behavioral therapy (iCBT) delivery models.
Main Results:
- Psychosocial factors (thoughts, mood, social support, workplace issues) are modifiable contributors to chronic pain.
- Cognitive behavioral therapy demonstrates efficacy in preventing acute pain from becoming chronic.
- Internet-based CBT enhances accessibility to this therapeutic approach.
Conclusions:
- Modifiable psychosocial factors are key targets for preventing chronic pain.
- Cognitive behavioral therapy is a viable strategy for mitigating pain chronification.
- Clinicians must be mindful of their communication to avoid inadvertently worsening pain chronification.
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