Psychological treatment of chronic pain.

Psychological treatment has emerged as a common component of a multidimensional and interdisciplinary plan of pain care for many persons with persistent pain. Treatments are informed by a biopsychosocial model of pain and a long history of psychological research that has identified the central role of behavioral, cognitive, and emotional factors that are believed to contribute to the perpetuation, if not the development, of chronic pain and pain-related disability and emotional distress. Empirically supported self-regulatory, behavioral, cognitive-behavioral, and acceptance and commitment interventions are reviewed, and current and future interventions are highlighted. Important issues related to individual differences and disparities in the experience of pain and pain treatment are discussed. In particular, race and ethnicity are considered, and special considerations for the management of pain in children and older adults are discussed.

[1]  Patrick J. McGrath,et al.  Measurement of Pain in Infants and Children , 1998 .

[2]  P. Grossman,et al.  Mindfulness-based stress reduction and health benefits. A meta-analysis. , 2004, Journal of psychosomatic research.

[3]  L. Campbell,et al.  The unequal burden of pain: confronting racial and ethnic disparities in pain. , 2003, Pain medicine.

[4]  L. Cohen.  Introduction to the Special Issue on Pediatric Pain: Contextual Issues in Children's Pain Management , 2007 .

[5]  M. Jensen,et al.  Hypnotherapy for the Management of Chronic Pain , 2007, The International journal of clinical and experimental hypnosis.

[6]  R. Fillingim,et al.  Ethnic differences in responses to multiple experimental pain stimuli , 2005, Pain.

[7]  Yuan Bo Peng,et al.  The biopsychosocial approach to chronic pain: scientific advances and future directions. , 2007, Psychological bulletin.

[8]  T. Baker,et al.  The effect of race in older adults presenting for chronic pain management: a comparative study of black and white Americans. , 2003, The journal of pain : official journal of the American Pain Society.

[9]  J. Strong,et al.  The Effectiveness of Relaxation Techniques with Patients Who Have Chronic Low Back Pain , 1989 .

[10]  D. Turk,et al.  American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force. , 2005, Archives of internal medicine.

[11]  P. Mcgrath,et al.  Pain in children , 2009 .

[12]  S. Powers,et al.  Empirically supported treatments in pediatric psychology: procedure-related pain. , 1999, Journal of pediatric psychology.

[13]  D. Dunlop,et al.  Population impact of arthritis on disability in older adults. , 2006, Arthritis and rheumatism.

[14]  M. Lumley,et al.  The relationships of cognitive coping and pain control beliefs to pain and adjustment among African-American and Caucasian women with rheumatoid arthritis. , 1998, Arthritis care and research : the official journal of the Arthritis Health Professions Association.

[15]  I. Molton,et al.  Current psychological approaches to the management of chronic pain , 2007, Current opinion in anaesthesiology.

[16]  M. Nicholas,et al.  Investigating acceptance in adjustment to chronic pain: Is acceptance broader than we thought? , 2006, Pain.

[17]  Lance M. McCracken,et al.  Psychological Flexibility and Traditional Pain Management Strategies in Relation to Patient Functioning With Chronic Pain: An Examination of a Revised Instrument , 2007, The Journal of Pain.

[18]  D. Amtmann,et al.  Development and psychometric analysis of the PROMIS pain behavior item bank , 2009, PAIN.

[19]  F. Keefe.  Cognitive Behavioral Therapy for Managing Pain , 1996 .

[20]  K. Weiss,et al.  Effects of videogame distraction using a virtual reality type head-mounted display helmet on cold pressor pain in children. , 2009, Journal of pediatric psychology.

[21]  Amy F. Sato,et al.  Cognitive-Behavioral Interventions Via Telehealth: Applications to Pediatric Functional Abdominal Pain , 2009 .

[22]  W. P. Chapman,et al.  VARIATIONS IN CUTANEOUS AND VISCERAL PAIN SENSITIVITY IN NORMAL SUBJECTS. , 1944, The Journal of clinical investigation.

[23]  T. Wagner,et al.  Low back pain in VA users. , 2009, Archives of internal medicine.

[24]  M. Jensen,et al.  Ethnicity, control appraisal, coping, and adjustment to chronic pain among black and white Americans. , 2005, Pain medicine.

[25]  J. L. Dahl,et al.  The new JCAHO pain standards: implications for pain management nurses. , 2000, Pain management nursing : official journal of the American Society of Pain Management Nurses.

[26]  B. Katz.  Pharmacological Management of Pain in Older People , 2007 .

[27]  M. Jensen,et al.  Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. , 2001, Journal of consulting and clinical psychology.

[28]  D. Turk,et al.  Pain and Behavioral Medicine: A Cognitive-Behavioral Perspective , 1983 .

[29]  K. Craig,et al.  An Interdisciplinary Expert Consensus Statement on Assessment of Pain in Older Persons , 2007, The Clinical journal of pain.

[30]  Christopher Eccleston,et al.  Acceptance of chronic pain: component analysis and a revised assessment method , 2004, Pain.

[31]  W. Gentry,et al.  Chronic Low Back Pain: A Psychological Profile , 1974 .

[32]  J. Kabat-Zinn,et al.  The clinical use of mindfulness meditation for the self-regulation of chronic pain , 1985, Journal of Behavioral Medicine.

[33]  J. Chibnall,et al.  Racial and ethnic disparities in the evaluation and treatment of pain : Psychological perspectives , 2005 .

[34]  Sandra E. Ward,et al.  Quality Improvement Guidelines for the Treatment of Acute Pain and Cancer Pain , 1995 .

[35]  Brandi C. Fink,et al.  Comparison Between an Acceptance-Based and a Cognitive-Control-Based Protocol for Coping With Pain , 2004 .

[36]  P. White,et al.  Randomized clinical trial of local anesthetic versus a combination of local anesthetic with self-hypnosis in the management of pediatric procedure-related pain. , 2006, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[37]  David R. Patterson,et al.  Hypnotic Treatment of Chronic Pain , 2006, Journal of Behavioral Medicine.

[38]  R. Melzack.  Evolution of the Neuromatrix Theory of Pain. The Prithvi Raj Lecture: Presented at the Third World Congress of World Institute of Pain, Barcelona 2004 , 2005, Pain practice : the official journal of World Institute of Pain.

[39]  R. Fillingim,et al.  Race, ethnicity and pain , 2001, PAIN.

[40]  P. Croft,et al.  The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP) , 2004, Pain.

[41]  N. Crichton,et al.  Clinical validation of the paediatric pain profile. , 2004 .

[42]  C. Eccleston,et al.  Systematic review of randomised controlled trials of psychological therapy for chronic pain in children and adolescents, with a subset meta-analysis of pain relief , 2002, PAIN.

[43]  D. Turk,et al.  Psychological factors in chronic pain: evolution and revolution. , 2002, Journal of consulting and clinical psychology.

[44]  Sarah E Lamb,et al.  Group cognitive behavioural treatment for low-back pain in primary care: a randomised controlled trial and cost-effectiveness analysis , 2010, The Lancet.

[45]  B. Brigidi,et al.  Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention , 2008, PAIN.

[46]  S. Hayes,et al.  Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change , 1999 .

[47]  L. McCracken,et al.  The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability , 2007, Pain.

[48]  F. Bond,et al.  Avoidance and cognitive fusion – Central components in pain related disability? Development and preliminary validation of the Psychological Inflexibility in Pain Scale (PIPS) , 2008, European journal of pain.

[49]  L. McCracken,et al.  Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process. , 2008, Journal of consulting and clinical psychology.

[50]  T. Lundgren,et al.  Acceptance and Commitment Therapy (ACT) in the Treatment of Chronic Pain , 2006 .

[51]  J. Knottnerus,et al.  Disuse and deconditioning in chronic low back pain: concepts and hypotheses on contributing mechanisms , 2003, European journal of pain.

[52]  Su-Yin Yang,et al.  The role of values in a contextual cognitive-behavioral approach to chronic pain , 2006, Pain.

[53]  J D Troup,et al.  Outline of a Fear-Avoidance Model of exaggerated pain perception--I. , 1983, Behaviour research and therapy.

[54]  W. Hooten,et al.  The role of mental health professionals in multidisciplinary pain rehabilitation programs. , 2006, Journal of clinical psychology.

[55]  C. Greenberg,et al.  Pain assessment in infants and children. , 2000, Pediatric clinics of North America.

[56]  D. Turk,et al.  Comparison of Cognitive‐Behavioral and Behavioral Approaches to the Outpatient Treatment of Chronic Pain , 1985 .

[57]  David R. Williams,et al.  Racial Differences in Physical and Mental Health , 1997, Journal of health psychology.

[58]  J. Riley,et al.  Racial/ethnic differences in the experience of chronic pain , 2002, Pain.

[59]  L. McCracken,et al.  Psychological flexibility in adults with chronic pain: A study of acceptance, mindfulness, and values-based action in primary care , 2010, PAIN.

[60]  J. Vlaeyen,et al.  More is not always better: Cost‐effectiveness analysis of combined, single behavioral and single physical rehabilitation programs for chronic low back pain , 2009, European journal of pain.

[61]  McCauley Jd,et al.  Hypnosis compared to relaxation in the outpatient management of chronic low back pain. , 1983 .

[62]  L. McCracken,et al.  A Comparison of Blacks and Whites Seeking Treatment for Chronic Pain , 2001, The Clinical journal of pain.

[63]  S. Cole,et al.  A review of empirically supported psychosocial interventions for pain and adherence outcomes in sickle cell disease. , 2004, Journal of pediatric psychology.

[64]  R. Deyo,et al.  United States Trends in Lumbar Fusion Surgery for Degenerative Conditions , 2005, Spine.

[65]  G. Montgomery,et al.  Forging Ahead: The 2003 APA Division 30 Definition of Hypnosis , 2005 .

[66]  C. Kwoh,et al.  Differences in expectations of outcome mediate African American/white patient differences in "willingness" to consider joint replacement. , 2002, Arthritis and rheumatism.

[67]  O. Ivankovich,et al.  Ethnic similarities and differences in the chronic pain experience: a comparison of african american, Hispanic, and white patients. , 2005, Pain medicine.

[68]  T. Cavalieri.  Pain management in the elderly , 2002, The Journal of the American Osteopathic Association.

[69]  P. Lindberg,et al.  Individually tailored treatment targeting activity, motor behavior, and cognition reduces pain-related disability: a randomized controlled trial in patients with musculoskeletal pain. , 2005, The journal of pain : official journal of the American Pain Society.

[70]  C. Cleeland,et al.  Cancer pain management among underserved minority outpatients , 2002, Cancer.

[71]  Francis J. Keefe,et al.  The Management of Persistent Pain in Older Persons , 2002 .

[72]  C. Cleeland,et al.  Pain and Treatment of Pain in Minority Patients with Cancer: The Eastern Cooperative Oncology Group Minority Outpatient Pain Study , 1997, Annals of Internal Medicine.

[73]  Wanzhu Tu,et al.  Effect of telecare management on pain and depression in patients with cancer: a randomized trial. , 2010, JAMA.

[74]  J. Turner,et al.  Short- and long-term efficacy of brief cognitive-behavioral therapy for patients with chronic temporomandibular disorder pain: A randomized, controlled trial , 2006, Pain.

[75]  M. Litt.  Self-efficacy and perceived control: cognitive mediators of pain tolerance , 1988 .

[76]  Winfried Rief,et al.  Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. , 2008, Journal of consulting and clinical psychology.

[77]  J. Turner,et al.  Mediators, moderators, and predictors of therapeutic change in cognitive–behavioral therapy for chronic pain , 2007, PAIN.

[78]  G. Macfarlane,et al.  Epidemiology of Pain in Older Persons , 2005 .

[79]  L. Kazis,et al.  Racial Differences in the Use of Lumbar Spine Radiographs: Results From the Veterans Health Study , 2001, Spine.

[80]  H. Flor,et al.  Efficacy of multidisciplinary pain treatment centers: a meta-analytic review , 1992, Pain.

[81]  Gerhard Andersson,et al.  Controlled trial of Internet-based treatment with telephone support for chronic back pain , 2004, Pain.

[82]  R. Harden,et al.  Biofeedback-assisted relaxation training for the aging chronic pain patient , 1991, Biofeedback and self-regulation.

[83]  R. Fillingim,et al.  Age-related differences in endogenous pain modulation: a comparison of diffuse noxious inhibitory controls in healthy older and younger adults , 2003, Pain.

[84]  J. Turner,et al.  Pain-Related Catastrophizing: What Is It? , 2001, The Clinical journal of pain.

[85]  K. Anderson,et al.  Racial and ethnic disparities in pain: causes and consequences of unequal care. , 2009, The journal of pain : official journal of the American Pain Society.

[86]  Reshma Kaushik,et al.  Biofeedback assisted diaphragmatic breathing and systematic relaxation versus propranolol in long term prophylaxis of migraine. , 2005, Complementary therapies in medicine.

[87]  Alexandra Martín,et al.  Efficacy of biofeedback for migraine: A meta-analysis , 2007, Pain.

[88]  J. Turner,et al.  Efficacy of a Self-Management Group Intervention for Elderly Persons With Chronic Pain , 2003, The Clinical journal of pain.

[89]  R. Melzack.  Behavioral methods for chronic pain and illness W.E. Fordyce, C.V. Mosby Company, St. Louis, Mo., 1976, ix + 236 pp , 1977, Pain.

[90]  Patrick D. Wall,et al.  Pain mechanisms: A new theory , 1996 .

[91]  C. L. Mandle,et al.  Self efficacy as a mediator of the relationship between pain intensity, disability and depression in chronic pain patients , 1999, Pain.

[92]  J. Kabat-Zinn,et al.  An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. , 1982, General hospital psychiatry.

[93]  P. Fine.  Chronic pain management in older adults: special considerations. , 2009, Journal of pain and symptom management.

[94]  B. Roche,et al.  Relational frame theory : A post-Skinnerian account of human language and cognition , 2004 .

[95]  J. Vlaeyen,et al.  Cognitive-Behavioral Treatments for Chronic Pain: What Works for Whom? , 2005, The Clinical journal of pain.

[96]  J. Farrar,et al.  Core outcome measures for chronic pain clinical trials: IMMPACT recommendations , 2003, Pain.

[97]  A. Darkins,et al.  VA telemental health: suicide assessment. , 2008, Behavioral sciences & the law.

[98]  A. Snow,et al.  Principles of Pain Assessment and Treatment in Non-Communicative Demented Patients , 2001 .

[99]  W. Assendelft,et al.  Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Back Review Group. , 2000, Spine.

[100]  G. Allen Finley,et al.  Psychometric properties of the non-communicating children's pain checklist-revised , 2002, PAIN.

[101]  R. Kerns,et al.  Anxiety, depression, and anger: Core components of negative affect in medical populations , 2008 .

[102]  R. Kerns,et al.  Meta-analysis of psychological interventions for chronic low back pain. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[103]  S. Gibson,et al.  A Review of Age Differences in the Neurophysiology of Nociception and the Perceptual Experience of Pain , 2004, The Clinical journal of pain.

[104]  K. Steinhauser,et al.  Disparities in pain management between cognitively intact and cognitively impaired nursing home residents. , 2008, Journal of pain and symptom management.

[105]  L. McCracken,et al.  General psychological acceptance and chronic pain: There is more to accept than the pain itself , 2010, European journal of pain.

[106]  T. Brown,et al.  The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder , 2004 .

[107]  David R. Williams,et al.  Racism as a stressor for African Americans. A biopsychosocial model , 1999 .

[108]  D. Goldstein,et al.  The utility of videoconferencing to provide innovative delivery of psychological treatment for rural cancer patients: results of a pilot study. , 2006, Journal of pain and symptom management.

[109]  M. Woods,et al.  Evaluating the efficacy of graded in vivo exposure for the treatment of fear in patients with chronic back pain: A randomized controlled clinical trial , 2008, PAIN.

[110]  D B Carr,et al.  New clinical-practice guidelines for the management of pain in patients with cancer. , 1994, The New England journal of medicine.

[111]  G. Crombez,et al.  The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence , 2006, Journal of Behavioral Medicine.

[112]  S. Boris-Karpel.  Behavioral and Psychopharmacologic Pain Management: Policy and practice issues in pain management , 2010 .

[113]  C. Eccleston,et al.  Coping or acceptance: what to do about chronic pain? , 2003, Pain.

[114]  I. Katz,et al.  Pain Complaints and Cognitive Status among Elderly Institution Residents , 1993, Journal of the American Geriatrics Society.

[115]  Melinda F. Davis,et al.  Systematic review of treatments for recurrent abdominal pain. , 2003, Pediatrics.

[116]  C. Eccleston,et al.  Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache , 1999, Pain.

[117]  Tony N. Brown,et al.  Critical race theory speaks to the sociology of mental health: mental health problems produced by racial stratification. , 2003, Journal of health and social behavior.

[118]  J. Vlaeyen,et al.  Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art , 2000, Pain.

[119]  S. Gibson.  IASP global year against pain in older persons: highlighting the current status and future perspectives in geriatric pain , 2007, Expert review of neurotherapeutics.

[120]  M. Berger,et al.  Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools , 2006, BMC geriatrics.

[121]  D. Turk,et al.  Biopsychosocial perspective on chronic pain. , 1996 .

[122]  R. Lipton,et al.  Lost productive time and cost due to common pain conditions in the US workforce. , 2003, JAMA.

[123]  G. Olsson,et al.  ACT with Chronic Pain Patients , 2004 .

[124]  Michael W. Stroud,et al.  Tailoring cognitive-behavioral therapy for chronic pain: a case example. , 2006, Journal of clinical psychology.

[125]  D. Bott,et al.  Veterans Health Administration and Medicare outpatient health care utilization by older rural and urban New England veterans. , 2005, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[126]  W. Assendelft,et al.  Behavioral Treatment for Chronic Low Back Pain: A Systematic Review Within the Framework of the Cochrane Back Review Group , 2000, Spine.

[127]  L. McCracken.  Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain , 1998, Pain.

[128]  D. Blumer,et al.  Chronic Pain as a Variant of Depressive Disease The Pain‐Prone Disorder , 1982, The Journal of nervous and mental disease.