Psychological considerations in the assessment and treatment of pain in neurorehabilitation and psychological factors predictive of therapeutic response: Evidence and recommendations from the Italian consensus conference on pain in neurorehabilitation
Gianluca Castelnuovo,Emanuele Maria Giusti,Gian Mauro Manzoni,Donatella Saviola,Arianna Gatti,Samantha Gabrielli,Marco Lacerenza,Giada Pietrabissa,Roberto Cattivelli,Chiara A. M. Spatola,Stefania Corti,Margherita Novelli,Valentina Villa,Andrea Pietro Cottini,Carlo Lai,Francesco Pagnini,Francesco Pagnini,Lorys Castelli,Mario Tavola,Riccardo Torta,Marco Arreghini,Loredana Zanini,Amelia Brunani,Paolo Capodaglio,Guido Edoardo D’Aniello,Federica Scarpina,Andrea Brioschi,Lorenzo Priano,Alessandro Mauro,Giuseppe Riva,Claudia Repetto,Camillo Regalia,Enrico Molinari,Paolo Notaro,Stefano Paolucci,Giorgio Sandrini,Susan Simpson,Brenda K. Wiederhold,Stefano Tamburin +38 more
Reads0
Chats0
TLDR
Several psychological factors are associated with pain secondary to neurological conditions and should be acknowledged and addressed in order to effectively treat this condition.Abstract:
Background In order to provide effective care to patients suffering from chronic pain secondary to neurological diseases, health professionals must appraise the role of the psychosocial factors in the genesis and maintenance of this condition whilst considering how emotions and cognitions influence the course of treatment. Furthermore, it is important not only to recognize the psychological reactions to pain that are common to the various conditions, but also to evaluate how these syndromes differ with regards to the psychological factors that may be involved. As an extensive evaluation of these factors is still lacking, the Italian Consensus Conference on Pain in Neurorehabilitation aimed to collate the evidence available across these topics. Objectives To determine the psychological factors which are associated with or predictive of pain secondary to neurological conditions and to assess the influence of these aspects on the outcome of neurorehabilitation. Methods Two reviews were performed. In the first, a PUBMED search of the studies assessing the association between psychological factors and pain or the predictive value of these aspects with respect to chronic pain was conducted. The included papers were then rated with regards to their methodological quality and recommendations were made accordingly. In the second study, the same methodology was used to collect the available evidence on the predictive role of psychological factors on the therapeutic response to pain treatments in the setting of neurorehabilitation. Results The first literature search identified 1170 results and the final database included 189 articles. Factors such as depression, anxiety, pain catastrophizing, coping strategies and cognitive functions were found to be associated with pain across the various conditions. However, there are differences between chronic musculoskeletal pain, migraine, neuropathy and conditions associated with complex disability with regards to the psychological aspects that are involved. The second PUBMED search yielded 252 studies, which were all evaluated. Anxiety, depression, pain catastrophizing, coping strategies and pain beliefs were found to be associated to different degrees with the outcomes of multidisciplinary programs, surgery, physical therapies and psychological interventions. Conclusions Several psychological factors are associated with pain secondary to neurological conditions and should be acknowledged and addressed.read more
Citations
More filters
Journal ArticleDOI
Online-specific fear of missing out and Internet-use expectancies contribute to symptoms of Internet-communication disorder.
TL;DR: The results suggest that psychopathological symptoms predict higher fear of missing out on the individual's Internet-communication applications and higher expectancies to use these applications as a helpful tool to escape from negative feelings.
Journal ArticleDOI
Emotional Expression: Advances in Basic Emotion Theory.
TL;DR: Recent findings in the study of emotional expression within a basic emotion framework are reviewed and extended to questions about emotion-related physiology and the mammalian precursors of human emotion.
Journal ArticleDOI
Corporate Social Responsibility and Ethical Leadership: Investigating Their Interactive Effect on Employees’ Socially Responsible Behaviors
Kenneth De Roeck,Omer Farooq +1 more
TL;DR: In this article, the authors investigated the interlinkage between corporate social responsibility and ethical leadership in inducing employees' socially responsible behaviors (SRBs) by developing and testing an integrated moderated mediation framework in which employees' perception of ethical leadership moderates the mediating mechanism between their perceptions of CSR and organizational identification.
Journal ArticleDOI
Functional Near Infrared Spectroscopy: Enabling Routine Functional Brain Imaging.
Meryem A. Yücel,Juliette Selb,Juliette Selb,Theodore J. Huppert,Maria Angela Franceschini,David A. Boas,David A. Boas +6 more
TL;DR: Recent advances in signal processing and hardware that significantly improve the capabilities of fNIRS are reviewed by reducing the impact of confounding signals to improve statistical robustness of the brain signals and by enhancing the density, spatial coverage, and wearability of measuring devices respectively.
Journal ArticleDOI
Applying Modern Virtual and Augmented Reality Technologies to Medical Images and Models
Justin Sutherland,J Belec,Adnan Sheikh,Leonid L. Chepelev,Waleed Althobaity,Benjamin J.W. Chow,Dimitrios Mitsouras,Andy Christensen,Frank J. Rybicki,Daniel J. La Russa +9 more
TL;DR: A comprehensive conceptual framework for the viewing and manipulation of medical images in virtual and augmented reality is introduced, outlining considerations for placing these methods directly into a radiology-based workflow and showing how it can be applied to a variety of clinical scenarios.
References
More filters
Journal ArticleDOI
Human brain mechanisms of pain perception and regulation in health and disease.
TL;DR: A systematic review of the literature regarding how activity in diverse brain regions creates and modulates the experience of acute and chronic pain states, emphasizing the contribution of various imaging techniques to emerging concepts is presented in this paper.
Journal ArticleDOI
A new system for grading recommendations in evidence based guidelines
Robin Harbour,Juliet Miller +1 more
TL;DR: A revised system of determining levels of evidence and grades for guideline recommendations is published, based on the work of the US Agency for Healthcare Research and Quality and its applicability to the target population of the guideline.
Journal ArticleDOI
The effect of pain on cognitive function: a review of clinical and preclinical research.
TL;DR: The anatomical, neurochemical and molecular substrates common to both cognitive processing and supraspinal pain processing are described, and the evidence for their involvement in pain-related cognitive impairment is presented.
Journal ArticleDOI
Reduction of pain catastrophizing mediates the outcome of both physical and cognitive-behavioral treatment in chronic low back pain.
TL;DR: It is shown that treatment elements that do not deliberately target cognitive factors can reduce pain catastrophizing and internal control of pain, and reduces the improvement of functioning in patients with chronic low back pain.
Journal ArticleDOI
Mediators, moderators, and predictors of therapeutic change in cognitive-behavioral therapy for chronic pain.
TL;DR: The results provide further support for cognitive–behavioral models of chronic pain and point to the potential benefits of interventions to modify specific pain‐related beliefs in CBT and in other health care encounters.
Related Papers (5)
Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation
Gianluca Castelnuovo,Emanuele Maria Giusti,Gian Mauro Manzoni,Donatella Saviola,Arianna Gatti,Samantha Gabrielli,Marco Lacerenza,Giada Pietrabissa,Roberto Cattivelli,Chiara A. M. Spatola,Stefania Corti,Margherita Novelli,Valentina Villa,Andrea Pietro Cottini,Carlo Lai,Francesco Pagnini,Francesco Pagnini,Lorys Castelli,Mario Tavola,Riccardo Torta,Marco Arreghini,Loredana Zanini,Amelia Brunani,Paolo Capodaglio,Guido Edoardo D’Aniello,Federica Scarpina,Andrea Brioschi,Lorenzo Priano,Alessandro Mauro,Giuseppe Riva,Claudia Repetto,Camillo Regalia,Enrico Molinari,Paolo Notaro,Stefano Paolucci,Giorgio Sandrini,Susan Simpson,Brenda K. Wiederhold,Stefano Tamburin +38 more