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 (ICCPN) 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. Finally, sense of presence was found to be related to the effectiveness of virtual reality as a distraction tool. Conclusions: Several psychological factors are associated with pain secondary to neurological conditions and should be acknowledged and addressed in order to effectively treat this condition. These factors also predict the therapeutic response to the neurorehabilitative interventions.
| Original language | English |
|---|---|
| Article number | 00468 |
| Journal | Frontiers in Psychology |
| Volume | 7 |
| Issue number | APR |
| DOIs | |
| Publication status | Published - 2016 |
Fingerprint
Keywords
- Chronic pain
- Clinical psychology
- Health psychology
- Neurorehabilitation
- Pain management
ASJC Scopus subject areas
- Psychology(all)
Cite this
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. / Castelnuovo, Gianluca; Giusti, Emanuele M.; Manzoni, Gian Mauro; Saviola, Donatella; Gatti, Arianna; Gabrielli, Samantha; Lacerenza, Marco; Corti, Stefania; Villa, Valentina; Brunani, Amelia; Capodaglio, Paolo; Priano, Lorenzo; Mauro, Alessandro; Riva, Giuseppe; Molinari, Enrico; Paolucci, Stefano; Sandrini, Giorgio; Agostini, Michela; Alfonsi, Enrico; Alvisi, Elena; Aprile, Irene; Bartolo, Michelangelo; Bergamaschi, Roberto; Berra, Eliana; Brunelli, Stefano; Buzzi, Maria Gabriella; Caraceni, Augusto; Carraro, Elena; Casale, Roberto; Del Carro, Ubaldo; Formisano, Rita; Gardella, Barbara; Marchioni, Enrico; Martinuzzi, Andrea; Miotti, Danilo; Molinari, Marco; Morone, Giovanni; Nappi, Rossella; Negrini, Stefano; Pace, Andrea; Padua, Luca; Pagliano, Emanuela; Pazzaglia, Costanza; Scivoletto, Giorgio; Springhetti, Isabella; Tassorelli, Cristina; Traballesi, Marco; Tramontano, Marco; Turolla, Andrea; Zerbinati, Paolo; Italian Consensus Conference on Pain in Neurorehabilitation.
In: Frontiers in Psychology, Vol. 7, No. APR, 00468, 2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Psychological considerations in the assessment and treatment of pain in neurorehabilitation and psychological factors predictive of therapeutic response
T2 - Evidence and recommendations from the Italian consensus conference on pain in neurorehabilitation
AU - Castelnuovo, Gianluca
AU - Giusti, Emanuele M.
AU - Manzoni, Gian Mauro
AU - Saviola, Donatella
AU - Gatti, Arianna
AU - Gabrielli, Samantha
AU - Lacerenza, Marco
AU - Corti, Stefania
AU - Villa, Valentina
AU - Brunani, Amelia
AU - Capodaglio, Paolo
AU - Priano, Lorenzo
AU - Mauro, Alessandro
AU - Riva, Giuseppe
AU - Molinari, Enrico
AU - Paolucci, Stefano
AU - Sandrini, Giorgio
AU - Agostini, Michela
AU - Alfonsi, Enrico
AU - Alvisi, Elena
AU - Aprile, Irene
AU - Bartolo, Michelangelo
AU - Bergamaschi, Roberto
AU - Berra, Eliana
AU - Brunelli, Stefano
AU - Buzzi, Maria Gabriella
AU - Caraceni, Augusto
AU - Carraro, Elena
AU - Casale, Roberto
AU - Del Carro, Ubaldo
AU - Formisano, Rita
AU - Gardella, Barbara
AU - Marchioni, Enrico
AU - Martinuzzi, Andrea
AU - Miotti, Danilo
AU - Molinari, Marco
AU - Morone, Giovanni
AU - Nappi, Rossella
AU - Negrini, Stefano
AU - Pace, Andrea
AU - Padua, Luca
AU - Pagliano, Emanuela
AU - Pazzaglia, Costanza
AU - Scivoletto, Giorgio
AU - Springhetti, Isabella
AU - Tassorelli, Cristina
AU - Traballesi, Marco
AU - Tramontano, Marco
AU - Turolla, Andrea
AU - Zerbinati, Paolo
AU - Italian Consensus Conference on Pain in Neurorehabilitation
PY - 2016
Y1 - 2016
N2 - 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 (ICCPN) 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. Finally, sense of presence was found to be related to the effectiveness of virtual reality as a distraction tool. Conclusions: Several psychological factors are associated with pain secondary to neurological conditions and should be acknowledged and addressed in order to effectively treat this condition. These factors also predict the therapeutic response to the neurorehabilitative interventions.
AB - 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 (ICCPN) 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. Finally, sense of presence was found to be related to the effectiveness of virtual reality as a distraction tool. Conclusions: Several psychological factors are associated with pain secondary to neurological conditions and should be acknowledged and addressed in order to effectively treat this condition. These factors also predict the therapeutic response to the neurorehabilitative interventions.
KW - Chronic pain
KW - Clinical psychology
KW - Health psychology
KW - Neurorehabilitation
KW - Pain management
UR - http://www.scopus.com/inward/record.url?scp=84971498984&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84971498984&partnerID=8YFLogxK
U2 - 10.3389/fpsyg.2016.00468
DO - 10.3389/fpsyg.2016.00468
M3 - Article
AN - SCOPUS:84971498984
VL - 7
JO - Frontiers in Psychology
JF - Frontiers in Psychology
SN - 1664-1078
IS - APR
M1 - 00468
ER -