Chronic Pain Psychology in Neurology Practice.

Q1 Medicine CONTINUUM Lifelong Learning in Neurology Pub Date : 2024-10-01 DOI:10.1212/CON.0000000000001471

Mirsad Serdarevic

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Abstract

Objective: This article reviews the latest literature regarding chronic pain epidemiology and describes pain-specific psychological factors associated with the development and maintenance of chronic pain, mental health conditions that co-occur with chronic pain, and advances in the psychobehavioral treatment of chronic pain, including established treatments (ie, cognitive behavioral therapy [CBT], acceptance and commitment therapy, and mindfulness-based stress reduction) and emerging treatments (ie, pain reprocessing therapy).

Latest developments: In addition to CBT and acceptance and commitment therapy for pain, numerous other psychological treatment modalities have been integrated into chronic pain management, including mindfulness-based stress reduction, mindfulness meditation, chronic pain self-management, relaxation response, pain neuroscience education, biofeedback, hypnosis, and, more recently, integrative psychological treatment for centralized pain. This article gives an overview of these methods and contextualizes their use within the standard psychological treatment of chronic pain.

Essential points: Guided by the biopsychosocial treatment model, pain psychologists use numerous evidence-based psychological methods to treat patients with chronic pain conditions. Familiarity with the psychological tools available for pain management will aid neurologists and their patients in navigating the psychological aspects of living with chronic pain.

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神经病学实践中的慢性疼痛心理学。

目的：本文回顾了有关慢性疼痛流行病学的最新文献，介绍了与慢性疼痛的发展和维持相关的疼痛特异性心理因素、与慢性疼痛并发的心理健康问题，以及慢性疼痛心理行为治疗的进展，包括成熟的治疗方法（即认知行为疗法[CBT]、接受和承诺疗法、正念减压疗法）和新兴的治疗方法（即疼痛再处理疗法）：除了针对疼痛的认知行为疗法（CBT）和接受与承诺疗法（acceptance and commitment therapy）外，许多其他心理治疗模式也被整合到慢性疼痛管理中，包括正念减压法、正念冥想、慢性疼痛自我管理、放松反应、疼痛神经科学教育、生物反馈、催眠，以及最近出现的针对集中性疼痛的综合心理治疗。本文概述了这些方法，并将其应用于慢性疼痛的标准心理治疗中：在生物-心理-社会治疗模式的指导下，疼痛心理学家使用多种循证心理方法治疗慢性疼痛患者。熟悉可用于疼痛治疗的心理工具将有助于神经科医生及其患者了解慢性疼痛患者的心理问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

CONTINUUM Lifelong Learning in Neurology Medicine-Medicine (all)

CiteScore

5.80

自引率

0.00%

发文量

175

期刊介绍： Continue your professional development on your own schedule with Continuum: Lifelong Learning in Neurology®, the American Academy of Neurology" self-study continuing medical education publication. Six times a year you"ll learn from neurology"s experts in a convenient format for home or office. Each issue includes diagnostic and treatment outlines, clinical case studies, a topic-relevant ethics case, detailed patient management problem, and a multiple-choice self-assessment examination.

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