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.

Pain Management
|October 28, 2020
PubMed

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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