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 M. Giusti, Gian Mauro Manzoni, Donatella Saviola, Arianna Gatti, Samantha Gabrielli, Marco Lacerenza, Stefania Corti, Valentina Villa, Amelia Brunani, Paolo Capodaglio, Lorenzo Priano, Alessandro Mauro, Giuseppe Riva, Enrico Molinari, Stefano Paolucci, Giorgio Sandrini, Michela Agostini, Enrico Alfonsi, Elena AlvisiIrene Aprile, Michelangelo Bartolo, Roberto Bergamaschi, Eliana Berra, Stefano Brunelli, Maria Gabriella Buzzi, Augusto Caraceni, Elena Carraro, Roberto Casale, Ubaldo Del Carro, Rita Formisano, Barbara Gardella, Enrico Marchioni, Andrea Martinuzzi, Danilo Miotti, Marco Molinari, Giovanni Morone, Rossella Nappi, Stefano Negrini, Andrea Pace, Luca Padua, Emanuela Pagliano, Costanza Pazzaglia, Giorgio Scivoletto, Isabella Springhetti, Cristina Tassorelli, Marco Traballesi, Marco Tramontano, Andrea Turolla, Paolo Zerbinati, Italian Consensus Conference on Pain in Neurorehabilitation

Research output: Contribution to journalArticle

27 Citations (Scopus)

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 languageEnglish
Article number00468
JournalFrontiers in Psychology
Volume7
Issue numberAPR
DOIs
Publication statusPublished - 2016

Fingerprint

Pain Measurement
Consensus
Psychology
Pain
Chronic Pain
Catastrophization
Therapeutics
Cognition
Anxiety
Depression
Neurological Rehabilitation
Musculoskeletal Pain
Migraine Disorders
Patient Care
Emotions
Maintenance
Databases
Health

Keywords

  • Chronic pain
  • Clinical psychology
  • Health psychology
  • Neurorehabilitation
  • Pain management

ASJC Scopus subject areas

  • Psychology(all)

Cite this

@article{665ad1f183844d94891e7806cfdfddc7,
title = "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",
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.",
keywords = "Chronic pain, Clinical psychology, Health psychology, Neurorehabilitation, Pain management",
author = "Gianluca Castelnuovo and Giusti, {Emanuele M.} and Manzoni, {Gian Mauro} and Donatella Saviola and Arianna Gatti and Samantha Gabrielli and Marco Lacerenza and Stefania Corti and Valentina Villa and Amelia Brunani and Paolo Capodaglio and Lorenzo Priano and Alessandro Mauro and Giuseppe Riva and Enrico Molinari and Stefano Paolucci and Giorgio Sandrini and Michela Agostini and Enrico Alfonsi and Elena Alvisi and Irene Aprile and Michelangelo Bartolo and Roberto Bergamaschi and Eliana Berra and Stefano Brunelli and Buzzi, {Maria Gabriella} and Augusto Caraceni and Elena Carraro and Roberto Casale and {Del Carro}, Ubaldo and Rita Formisano and Barbara Gardella and Enrico Marchioni and Andrea Martinuzzi and Danilo Miotti and Marco Molinari and Giovanni Morone and Rossella Nappi and Stefano Negrini and Andrea Pace and Luca Padua and Emanuela Pagliano and Costanza Pazzaglia and Giorgio Scivoletto and Isabella Springhetti and Cristina Tassorelli and Marco Traballesi and Marco Tramontano and Andrea Turolla and Paolo Zerbinati and {Italian Consensus Conference on Pain in Neurorehabilitation}",
year = "2016",
doi = "10.3389/fpsyg.2016.00468",
language = "English",
volume = "7",
journal = "Frontiers in Psychology",
issn = "1664-1078",
publisher = "Frontiers Media S.A.",
number = "APR",

}

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 -