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Chronic Pain

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Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings

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Abstract

Pain is experienced by almost everyone at some point over the course of a life. Pain is the most common symptom presentation in the emergency room and primary care physician’s office, and pain is now recognized as the fifth vital sign in hospital settings. For most persons, the experience of pain is brief and uncomplicated, with pain remitting fully in the absence of medical intervention, but for a significant proportion of the population, the experience of pain will result in a significant impact and precipitate contact with a healthcare provider. Approximately 56% of the American adult population will have some level of pain within a 3-month sampling period (Nahin, 2015). Pain is also expensive, as denoted by the 2010 total cost estimates (i.e., healthcare cost and work loss productivity) that range from 262 to 300 billion dollars, a cost that is greater than the total annual cost for heart disease, cancer, and diabetes (Gaskin & Richard, 2012).

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References

  • Alperstein, D., & Sharpe, L. (2016). The efficacy of motivational interviewing in adults with chronic pain: A meta-analysis and systematic review. Journal of Pain, 17, 393–403.

    Article  PubMed  Google Scholar 

  • Andrews, N. E., Strong, J., & Meredith, P. J. (2012). Activity pacing, avoidance, endurance, and associations with patient functioning in chronic pain: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(11), 2109–2121.

    Article  PubMed  Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). The Beck depression inventory-II. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Broderick, J. E., Keefe, F. J., Schneider, S., Junghaenel, D. U., Bruckental, P., Schwartz, J. E., … Gould, E. (2016). Cognitive behavioral therapy for chronic pain is effective, but for whom? Pain, 157, 2115–2123.

    Article  PubMed  Google Scholar 

  • Brown, K. S., & Folen, R. A. (2005). Psychologists as leaders of multidisciplinary chronic pain management teams: A model for health care delivery. Professional Psychology: Research and Practice, 36, 587–594.

    Article  Google Scholar 

  • Cegala, D. J., McClure, L., Marinelli, T. M., & Post, D. M. (2000). The effects of communication skills training on patients’ participation during medical interviews. Patient Education and Counseling, 41(2), 209–222.

    Article  PubMed  Google Scholar 

  • Chiesa, A., & Serretti, A. (2011). Mindfulness-based interventions for chronic pain: A systematic review of the evidence. Journal of Alternative and Complementary Medicine, 17, 83–93.

    Article  PubMed  Google Scholar 

  • Dansie, E. J., & Turk, D. C. (2013). Assessment of patients with chronic pain. British Journal of Anaesthesia, 111, 19–25.

    Google Scholar 

  • Dobscha, S. K., Corson, K., Perrin, N. A., Hanson, G. C., Leibowitz, R. Q., Doak, M. N., … Gerrity, M. S. (2009). Collaborative care for chronic pain in primary care. Journal of the American Medical Association, 301, 1242–1252.

    Article  PubMed  Google Scholar 

  • Duckworth, M. P., & Iezzi, T. (2010). Physical injuries, pain, and psychological trauma: Pathways to disability. Psychological Injury and Law, 3, 241–253.

    Article  Google Scholar 

  • Duckworth, M. P., Iezzi, T., & Lewandowski, M. (2008). Managing MVC-related sequelae in the primary care setting: Normalizing experiences of emotional distress. In M. P. Duckworth, T. Iezzi, & W. T. O’Donohue (Eds.), Motor vehicle collisions: Medical, psychosocial, and legal consequences (pp. 167–180). New York: Academic Press.

    Chapter  Google Scholar 

  • Duckworth, M. P., Iezzi, T., & Sewell, T. (2009). Assessing and managing chronic pain in the primary care setting. In L. James & W. T. O’Donohue (Eds.), The primary care consultant toolkit: Tools for behavioral medicine (pp. 183–197). New York, NY: Springer.

    Google Scholar 

  • Duckworth, M. P., Iezzi, T., & Shearer, E. (2011). Retraumatization associated with disabling physical injuries. In M. P. Duckworth & V. Follette (Eds.), Retraumatization: Assessment, treatment, and prevention (pp. 377–421). New York, NY: Routledge Press.

    Google Scholar 

  • Gaskin, D. J., & Richard, P. (2012). The economic cost of pain in the United States. Journal of Pain, 13, 715–724.

    Article  PubMed  Google Scholar 

  • Gatchel, R. J., & Okifuji, A. (2006). Evidence-based scientific data documenting the treatment and the cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain. Journal of Pain, 7, 779–793.

    Article  PubMed  Google Scholar 

  • Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin, 133(4), 581–624.

    Article  PubMed  Google Scholar 

  • Geneen, L. J., Martin, D. J., Adams, N., Clarke, C., Dunbar, M., Jones, D., … Smith, B. H. (2015). Effects of education to facilitate knowledge about chronic pain for adults: A systematic review with meta-analysis. Systematic Reviews, 4, 1–21.

    Article  Google Scholar 

  • Glajchen, M. (2001). Chronic pain: Treatment barriers and strategies for clinical practice. The Journal of the American Board of Family Practice, 14(3), 211–218.

    PubMed  Google Scholar 

  • Gureje, O., Simon, G. E., & Von Korff, M. (2001). A cross-national study of the course of persistent pain in primary care. Pain, 92, 195–200.

    Article  PubMed  Google Scholar 

  • Iezzi, T. (2008). Medicolegal issues associated with motor vehicle collisions: A psychological perspective. In M. P. Duckworth, T. Iezzi, & W. T. O’Donohue (Eds.), Motor vehicle collisions: Medical, psychosocial, and legal consequences (pp. 503–539). New York: Elsevier.

    Chapter  Google Scholar 

  • Jackson, T., Wang, Y., & Fan, H. (2014). Self-efficacy and chronic pain outcomes: A meta-analytic review. Journal of Pain, 15, 800–814.

    Article  PubMed  Google Scholar 

  • Jia, X., & Jackson, T. (2016). Pain beliefs and problems in functioning among people with arthritis: A meta-analytic review. Journal of Behavioral Medicine., 39, 735. https://doi.org/10.1007/s10865-016-9777-z

    Article  PubMed  Google Scholar 

  • Johnston, M., Foster, M., Shennan, J., Starkey, N. J., & Johnson, A. (2010). The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. The Clinical Journal of Pain, 26(5), 393–402.

    Article  PubMed  Google Scholar 

  • Kamper, S. J., Maher, C. G., Costa, L. D. C. M., McAuley, J. H., Hush, J. M., & Sterling, M. (2012). Does fear of movement mediate the relationship between pain intensity and disability in patients following whiplash injury? A prospective longitudinal study. Pain, 153(1), 113–119.

    Article  PubMed  Google Scholar 

  • Keefe, F. J., Crisson, J., Urban, B. J., & Williams, D. (1990). Analyzing chronic low back pain: The relative contribution of pain coping strategies. Pain, 40, 293–301.

    Google Scholar 

  • Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985). The West Haven-Yale multidimensional pain inventory. Pain, 23, 345–356.

    Article  PubMed  Google Scholar 

  • Lalloo, C., Jibb, L. A., Rivera, J., Agarwal, A., & Stinson, J. N. (2015). “There’s a pain App for that:” review of patient-targeted smartphone applications for pain management. The Clinical Journal of Pain, 31(6), 557–563.

    Article  PubMed  Google Scholar 

  • LeFort, S. M., Gray-Donald, K., Rowat, K. M., & Jeans, M. E. (1998). Randomized controlled trial of a community-based psychoeducation program for the self-management of chronic pain. Pain, 74(2), 297–306.

    Article  PubMed  Google Scholar 

  • Linton, S. J. (2000). A review of psychological risk factors in back and neck pain. Spine, 25, 1148–1156.

    Article  PubMed  Google Scholar 

  • Macea, D. D., Gajos, K., Calil, Y. A. D., & Fregni, F. (2010). The efficacy of web-based cognitive behavioral interventions for chronic pain: A systematic review and meta-analysis. The Journal of Pain, 11(10), 917–929.

    Article  PubMed  Google Scholar 

  • Malmivaara, A., Kakkinen, U., Aro, T., Heinrichs, M. L., Koskenniemi, L., Kuosma, E., … Vaaranen, V. (1995). The treatment of acute low back pain—Bed rest, exercises, or ordinary activity? New England Journal of Medicine, 332, 351–355.

    Article  PubMed  Google Scholar 

  • Manchikanti, L., Abdi, S., Atluri, S., Balog, C. C., Benyamin, R. M., Boswell, M. V., … Burton, A. W. (2012). American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing in chronic non-cancer pain: Part I—Evidence assessment. Pain Physician, 15(3 Suppl), S1–65.

    PubMed  Google Scholar 

  • McClune, T., Burton, A. K., & Waddell, G. (2007). Whiplash associated disorders: A review of the literature to guide patient information and advice. Emergency Medicine Journal, 19, 499–506.

    Article  Google Scholar 

  • McCracken, L. M. (1998). Learning to live with pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74, 21–27.

    Article  PubMed  Google Scholar 

  • McCracken, L. M., & Vowles, K. E. (2006). Acceptance of chronic pain. Current Pain and Headache Reports, 10(2), 90–94.

    Article  PubMed  Google Scholar 

  • McGillion, M. H., Watt-Watson, J., Stevens, B., LeFort, S. M., Coyte, P., & Graham, A. (2008). Randomized controlled trial of a psychoeducation program for the self-management of chronic cardiac pain. Journal of Pain and Symptom Management, 36(2), 126–140.

    Article  PubMed  Google Scholar 

  • Merskey, H., & Bogduk, N. (1994). Classification of chronic pain: Descriptions of chronic pain syndromes and definitions of pain terms. Seattle, WA: IASP Press.

    Google Scholar 

  • Nahin, R. L. (2015). Estimates of pain prevalence and severity in adults: United States, 2012. Journal of Pain, 16, 769–780.

    Article  PubMed  PubMed Central  Google Scholar 

  • Otis, J. D., MacDonald, A., & Dobscha, S. K. (2006). Integration and coordination of pain management in primary care. Journal of Clinical Psychology, 62, 1333–1343.

    Article  PubMed  Google Scholar 

  • Plagge, J. M., Lu, M. W., Lovejoy, T. I., Karl, A. I., & Dobscha, S. K. (2013). Treatment of comorbid pain and PTSD in returning veterans: A collaborative approach utilizing behavioral activation. Pain Medicine, 14, 1164–1172.

    Article  PubMed  Google Scholar 

  • Pozek, J. P. J., Beausang, D., Baratta, J. L., & Viscusi, E. R. (2016). The acute to chronic pain transition: Can chronic pain be prevented? Medical Clinics of North America, 100(1), 17–30.

    Article  PubMed  Google Scholar 

  • Romano, M., & Peters, L. (2015). Evaluating the mechanisms of change in motivational interviewing in the treatment of mental health problems: A review and meta-analysis. Clinical Psychology Review, 38, 1–12.

    Article  PubMed  Google Scholar 

  • Ruehlman, L. S., Karoly, P., & Enders, C. (2012). A randomized controlled evaluation of an online chronic pain self management program. Pain, 153(2), 319–330.

    Article  PubMed  Google Scholar 

  • Sturgeon, J. A. (2014). Psychological therapies for the management of chronic pain. Psychology Research and Behavior Management, 7, 115–124.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thorn, B. E., Cross, T. H., & Walker, B. B. (2007). Meta-analyses and systematic reviews of psychological treatments for chronic pain: Relevance to an evidence-based practice. Health Psychology, 26, 10–12.

    Article  PubMed  Google Scholar 

  • Thorsell, J., Finnes, A., Dahl, J., Lundgren, T., Gybrant, M., Gordh, T., & Buhrman, M. (2011). A comparative study of 2 manual-based self-help interventions, acceptance and commitment therapy and applied relaxation, for persons with chronic pain. The Clinical Journal of Pain, 27(8), 716–723.

    Article  PubMed  Google Scholar 

  • Valentine, S. E., Gerber, M. W., Nobles, C. J., Shtasel, D. L., & Marques, L. (2016). Longitudinal study of mental health and pain-related functioning following a motor vehicle collision. Health Psychology, 35(7), 742–750. https://doi.org/10.1037/hea0000329

    Article  Google Scholar 

  • Veehof, M. M., Oskam, M. J., Schreurs, K. M. G., & Bohlmeijer, E. T. (2011). Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain, 152, 533–542.

    Article  PubMed  Google Scholar 

  • Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 health survey: Manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Center.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    Melanie P. Duckworth Ph.D. & Gwendolyn C. Carlson

  2. Behavioural Medicine Service, London Health Sciences Center, London, ON, Canada

    Tony Iezzi

Authors
  1. Melanie P. Duckworth Ph.D.
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  2. Tony Iezzi
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  3. Gwendolyn C. Carlson
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Corresponding author

Correspondence to Melanie P. Duckworth Ph.D. .

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Editors and Affiliations

  1. Eastern Michigan University, Ypsilanti, Michigan, USA

    Alexandros Maragakis

  2. Department of Clinical Psychology, University of Nevada, Reno, Nevada, USA

    William T. O'Donohue

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Duckworth, M.P., Iezzi, T., Carlson, G.C. (2018). Chronic Pain. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_12

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