Evidence-based approach for Chronic Pain
30/07/15 08:19 Filed in: Pain
AssessmentPsychological assessment for chronic pain focuses not only on pain, but also on the patient’s beliefs about pain, pain fearfulness, self-efficacy, pattern of activity, usual coping strategies, and co-morbid conditions.
It is important for patients to be examined by their medical practitioners to ensure there is no malignant disease underlying the pain they experience or that they are suitable for surgery.
TreatmentCognitive behaviour therapy (CBT) is the gold standard approach in the management of chronic pain and has the strongest evidence base. This approach includes a combination of:
- Psycho-education of chronic pain
- Graded goal setting (ie. pacing and exercises)
- Relaxation techniques
- Attentional strategies
- Cognitive restructuring
- Problem solving
Thus, CBT should be the first line of treatment for the management of chronic pain.
Evidence-Based Self-Help Books
- Explain pain
Butler, D. S., & Moseley, G. L. (2013). Adelaide: Noigroup Publications.
- Manage your pain: Practical and positive ways to adapt to chronic pain
Nicholas, M., Molloy, A., Tonkin, L., & Beeston., L. (2012). Sydney: Souvenir Press.
- The pain book: Finding hope when it hurts.
Siddal, P., McCabe, R., & Murray R. (2013). Sydney: Hammond Press.
- Ehde, D. M., Dillworth, T. M., & Turner, J. A. (2014). Cognitive-behavioral therapy for individuals with chronic pain: Efficacy, innovations, and directions for research. American Psychologist, 69(2), 153-166.
- Sharpe, L., Nicholas, M., & Nicholson Perry, K. (2015). A Clinician’s quick guide of evidence-based approaches: Chronic Pain. Clinical Psychologist, 19, 105-106.
Evidence-Based Treatment Manuals
- Flor, H., & Turk, D. C. (2011). Chronic pain: An integrated biobehavioral approach. Seattle, WA:IASP Press.