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. Spatola, Stefania Paola Corti, Margherita Novelli, Valentina Villa, Andrea Cottini, Carlo Lai, Francesco Pagnini, Lorys Castelli, M. Tavola, Riccardo Torta, M. ArreghiniLoredana Zanini, Amelia Brunani, Paolo Capodaglio, Guido E. D'Aniello, Federica Scarpina, Andrea Brioschi, Lorenzo Priano, Alessandro Mauro, Giuseppe Riva, Claudia Repetto, Camillo Regalia, Enrico Molinari, P. Notaro, Stefano Paolucci, Giorgio Sandrini, Susan Simpson, Brenda K. Wiederhold, Stefano Tamburin, Michela Agostini, Enrico Alfonsi, Anna Maria Aloisi, Elena Alvisi, Irene Giovanna Aprile, Michela Armando, Micol Avenali, Eva Azicnuda, Francesco Barale, Michelangelo Bartolo, Roberto Bergamaschi, Mariangela Berlangieri, Vanna Berlincioni, Laura Berliocchi, Eliana Berra, Giulia Berto, Silvia Bonadiman, Sara Bonazza, Federica Bressi, Annalisa Brugnera, Stefano Brunelli, Maria Gabriella Buzzi, Carlo Cacciatori, Andrea Calvo, Cristina Cantarella, Augusto Tommaso Caraceni, Roberto Carone, Elena Carraro, Roberto Casale, Paola Castellazzi, Adele Castino, Rosanna Cerbo, Adriano Chiò, Cristina Ciotti, Carlo Cisari, Daniele Coraci, Elena Dalla Toffola, Giovanni Defazio, Roberto De Icco, Ubaldo Del Carro, Andrea Dell'Isola, Antonio De Tanti, Mariagrazia D'Ippolito, E. Fazzi, Adriano Ferrari, Sergio Ferrari, Francesco Ferraro, Fabio Formaglio, Rita Formisano, Simone Franzoni, Francesca Gajofatto, Marialuisa Gandolfi, Barbara Gardella, Pierangelo Geppetti, Alessandro Giammò, Raffaele Gimigliano, Elena Greco, Valentina Ieraci, Marco Invernizzi, Marco Jacopetti, Silvia La Cesa, Davide Lobba, Francesca Magrinelli, S. Mandrini, Umberto Manera, Paolo Marchettini, Enrico Marchioni, Sara Mariotto, Andrea Martinuzzi, Marella Masciullo, Susanna Mezzarobba, Danilo Miotti, Angela Modenese, Marco Molinari, Salvatore Monaco, Giovanni Morone, Rossella Nappi, Stefano Negrini, Andrea Pace, Luca Padua, Emanuela Pagliano, Valerio Palmerini, Costanza Pazzaglia, Cristiano Pecchioli, Alessandro Picelli, Carlo A. Porro, Daniele Porru, Marcello Romano, Laura Roncari, Riccardo Rosa, Marsilio Saccavini, Paola Sacerdote, Angelo Schenone, Vittorio Schweiger, Giorgio Scivoletto, N. Smania, Claudio Solaro, Vincenza Spallone, Isabella Springhetti, Cristina Tassorelli, Michele Tinazzi, Rossella Togni, Monica Torre, Marco Traballesi, Marco Tramontano, A. Truini, Valeria Tugnoli, Andrea Turolla, Gabriella Vallies, Elisabetta Verzini, Mario Vottero, Paolo Zerbinati

Research output: Contribution to journalArticle

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

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 Maria; Manzoni, Gian Mauro; Saviola, Donatella; Gatti, Arianna; Gabrielli, Samantha; Lacerenza, Marco; Pietrabissa, Giada; Cattivelli, Roberto; Spatola, Chiara A.; Corti, Stefania Paola; Novelli, Margherita; Villa, Valentina; Cottini, Andrea; Lai, Carlo; Pagnini, Francesco; Castelli, Lorys; Tavola, M.; Torta, Riccardo; Arreghini, M.; Zanini, Loredana; Brunani, Amelia; Capodaglio, Paolo; D'Aniello, Guido E.; Scarpina, Federica; Brioschi, Andrea; Priano, Lorenzo; Mauro, Alessandro; Riva, Giuseppe; Repetto, Claudia; Regalia, Camillo; Molinari, Enrico; Notaro, P.; Paolucci, Stefano; Sandrini, Giorgio; Simpson, Susan; Wiederhold, Brenda K.; Tamburin, Stefano; Agostini, Michela; Alfonsi, Enrico; Aloisi, Anna Maria; Alvisi, Elena; Aprile, Irene Giovanna; Armando, Michela; Avenali, Micol; Azicnuda, Eva; Barale, Francesco; Bartolo, Michelangelo; Bergamaschi, Roberto; Berlangieri, Mariangela; Berlincioni, Vanna; Berliocchi, Laura; Berra, Eliana; Berto, Giulia; Bonadiman, Silvia; Bonazza, Sara; Bressi, Federica; Brugnera, Annalisa; Brunelli, Stefano; Buzzi, Maria Gabriella; Cacciatori, Carlo; Calvo, Andrea; Cantarella, Cristina; Caraceni, Augusto Tommaso; Carone, Roberto; Carraro, Elena; Casale, Roberto; Castellazzi, Paola; Castino, Adele; Cerbo, Rosanna; Chiò, Adriano; Ciotti, Cristina; Cisari, Carlo; Coraci, Daniele; Toffola, Elena Dalla; Defazio, Giovanni; De Icco, Roberto; Del Carro, Ubaldo; Dell'Isola, Andrea; De Tanti, Antonio; D'Ippolito, Mariagrazia; Fazzi, E.; Ferrari, Adriano; Ferrari, Sergio; Ferraro, Francesco; Formaglio, Fabio; Formisano, Rita; Franzoni, Simone; Gajofatto, Francesca; Gandolfi, Marialuisa; Gardella, Barbara; Geppetti, Pierangelo; Giammò, Alessandro; Gimigliano, Raffaele; Greco, Elena; Ieraci, Valentina; Invernizzi, Marco; Jacopetti, Marco; La Cesa, Silvia; Lobba, Davide; Magrinelli, Francesca; Mandrini, S.; Manera, Umberto; Marchettini, Paolo; Marchioni, Enrico; Mariotto, Sara; Martinuzzi, Andrea; Masciullo, Marella; Mezzarobba, Susanna; Miotti, Danilo; Modenese, Angela; Molinari, Marco; Monaco, Salvatore; Morone, Giovanni; Nappi, Rossella; Negrini, Stefano; Pace, Andrea; Padua, Luca; Pagliano, Emanuela; Palmerini, Valerio; Pazzaglia, Costanza; Pecchioli, Cristiano; Picelli, Alessandro; Porro, Carlo A.; Porru, Daniele; Romano, Marcello; Roncari, Laura; Rosa, Riccardo; Saccavini, Marsilio; Sacerdote, Paola; Schenone, Angelo; Schweiger, Vittorio; Scivoletto, Giorgio; Smania, N.; Solaro, Claudio; Spallone, Vincenza; Springhetti, Isabella; Tassorelli, Cristina; Tinazzi, Michele; Togni, Rossella; Torre, Monica; Traballesi, Marco; Tramontano, Marco; Truini, A.; Tugnoli, Valeria; Turolla, Andrea; Vallies, Gabriella; Verzini, Elisabetta; Vottero, Mario; Zerbinati, Paolo.

In: Frontiers in Psychology, Vol. 7, No. APR, 00468, 2016.

Research output: Contribution to journalArticle

Castelnuovo, G, Giusti, EM, Manzoni, GM, Saviola, D, Gatti, A, Gabrielli, S, Lacerenza, M, Pietrabissa, G, Cattivelli, R, Spatola, CA, Corti, SP, Novelli, M, Villa, V, Cottini, A, Lai, C, Pagnini, F, Castelli, L, Tavola, M, Torta, R, Arreghini, M, Zanini, L, Brunani, A, Capodaglio, P, D'Aniello, GE, Scarpina, F, Brioschi, A, Priano, L, Mauro, A, Riva, G, Repetto, C, Regalia, C, Molinari, E, Notaro, P, Paolucci, S, Sandrini, G, Simpson, S, Wiederhold, BK, Tamburin, S, Agostini, M, Alfonsi, E, Aloisi, AM, Alvisi, E, Aprile, IG, Armando, M, Avenali, M, Azicnuda, E, Barale, F, Bartolo, M, Bergamaschi, R, Berlangieri, M, Berlincioni, V, Berliocchi, L, Berra, E, Berto, G, Bonadiman, S, Bonazza, S, Bressi, F, Brugnera, A, Brunelli, S, Buzzi, MG, Cacciatori, C, Calvo, A, Cantarella, C, Caraceni, AT, Carone, R, Carraro, E, Casale, R, Castellazzi, P, Castino, A, Cerbo, R, Chiò, A, Ciotti, C, Cisari, C, Coraci, D, Toffola, ED, Defazio, G, De Icco, R, Del Carro, U, Dell'Isola, A, De Tanti, A, D'Ippolito, M, Fazzi, E, Ferrari, A, Ferrari, S, Ferraro, F, Formaglio, F, Formisano, R, Franzoni, S, Gajofatto, F, Gandolfi, M, Gardella, B, Geppetti, P, Giammò, A, Gimigliano, R, Greco, E, Ieraci, V, Invernizzi, M, Jacopetti, M, La Cesa, S, Lobba, D, Magrinelli, F, Mandrini, S, Manera, U, Marchettini, P, Marchioni, E, Mariotto, S, Martinuzzi, A, Masciullo, M, Mezzarobba, S, Miotti, D, Modenese, A, Molinari, M, Monaco, S, Morone, G, Nappi, R, Negrini, S, Pace, A, Padua, L, Pagliano, E, Palmerini, V, Pazzaglia, C, Pecchioli, C, Picelli, A, Porro, CA, Porru, D, Romano, M, Roncari, L, Rosa, R, Saccavini, M, Sacerdote, P, Schenone, A, Schweiger, V, Scivoletto, G, Smania, N, Solaro, C, Spallone, V, Springhetti, I, Tassorelli, C, Tinazzi, M, Togni, R, Torre, M, Traballesi, M, Tramontano, M, Truini, A, Tugnoli, V, Turolla, A, Vallies, G, Verzini, E, Vottero, M & Zerbinati, P 2016, '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', Frontiers in Psychology, vol. 7, no. APR, 00468. https://doi.org/10.3389/fpsyg.2016.00468
Castelnuovo, Gianluca ; Giusti, Emanuele Maria ; Manzoni, Gian Mauro ; Saviola, Donatella ; Gatti, Arianna ; Gabrielli, Samantha ; Lacerenza, Marco ; Pietrabissa, Giada ; Cattivelli, Roberto ; Spatola, Chiara A. ; Corti, Stefania Paola ; Novelli, Margherita ; Villa, Valentina ; Cottini, Andrea ; Lai, Carlo ; Pagnini, Francesco ; Castelli, Lorys ; Tavola, M. ; Torta, Riccardo ; Arreghini, M. ; Zanini, Loredana ; Brunani, Amelia ; Capodaglio, Paolo ; D'Aniello, Guido E. ; Scarpina, Federica ; Brioschi, Andrea ; Priano, Lorenzo ; Mauro, Alessandro ; Riva, Giuseppe ; Repetto, Claudia ; Regalia, Camillo ; Molinari, Enrico ; Notaro, P. ; Paolucci, Stefano ; Sandrini, Giorgio ; Simpson, Susan ; Wiederhold, Brenda K. ; Tamburin, Stefano ; Agostini, Michela ; Alfonsi, Enrico ; Aloisi, Anna Maria ; Alvisi, Elena ; Aprile, Irene Giovanna ; Armando, Michela ; Avenali, Micol ; Azicnuda, Eva ; Barale, Francesco ; Bartolo, Michelangelo ; Bergamaschi, Roberto ; Berlangieri, Mariangela ; Berlincioni, Vanna ; Berliocchi, Laura ; Berra, Eliana ; Berto, Giulia ; Bonadiman, Silvia ; Bonazza, Sara ; Bressi, Federica ; Brugnera, Annalisa ; Brunelli, Stefano ; Buzzi, Maria Gabriella ; Cacciatori, Carlo ; Calvo, Andrea ; Cantarella, Cristina ; Caraceni, Augusto Tommaso ; Carone, Roberto ; Carraro, Elena ; Casale, Roberto ; Castellazzi, Paola ; Castino, Adele ; Cerbo, Rosanna ; Chiò, Adriano ; Ciotti, Cristina ; Cisari, Carlo ; Coraci, Daniele ; Toffola, Elena Dalla ; Defazio, Giovanni ; De Icco, Roberto ; Del Carro, Ubaldo ; Dell'Isola, Andrea ; De Tanti, Antonio ; D'Ippolito, Mariagrazia ; Fazzi, E. ; Ferrari, Adriano ; Ferrari, Sergio ; Ferraro, Francesco ; Formaglio, Fabio ; Formisano, Rita ; Franzoni, Simone ; Gajofatto, Francesca ; Gandolfi, Marialuisa ; Gardella, Barbara ; Geppetti, Pierangelo ; Giammò, Alessandro ; Gimigliano, Raffaele ; Greco, Elena ; Ieraci, Valentina ; Invernizzi, Marco ; Jacopetti, Marco ; La Cesa, Silvia ; Lobba, Davide ; Magrinelli, Francesca ; Mandrini, S. ; Manera, Umberto ; Marchettini, Paolo ; Marchioni, Enrico ; Mariotto, Sara ; Martinuzzi, Andrea ; Masciullo, Marella ; Mezzarobba, Susanna ; Miotti, Danilo ; Modenese, Angela ; Molinari, Marco ; Monaco, Salvatore ; Morone, Giovanni ; Nappi, Rossella ; Negrini, Stefano ; Pace, Andrea ; Padua, Luca ; Pagliano, Emanuela ; Palmerini, Valerio ; Pazzaglia, Costanza ; Pecchioli, Cristiano ; Picelli, Alessandro ; Porro, Carlo A. ; Porru, Daniele ; Romano, Marcello ; Roncari, Laura ; Rosa, Riccardo ; Saccavini, Marsilio ; Sacerdote, Paola ; Schenone, Angelo ; Schweiger, Vittorio ; Scivoletto, Giorgio ; Smania, N. ; Solaro, Claudio ; Spallone, Vincenza ; Springhetti, Isabella ; Tassorelli, Cristina ; Tinazzi, Michele ; Togni, Rossella ; Torre, Monica ; Traballesi, Marco ; Tramontano, Marco ; Truini, A. ; Tugnoli, Valeria ; Turolla, Andrea ; Vallies, Gabriella ; Verzini, Elisabetta ; Vottero, Mario ; Zerbinati, Paolo. / 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. In: Frontiers in Psychology. 2016 ; Vol. 7, No. APR.
@article{cde1ac5a19c94d668eea60d363d6ba5a,
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 Maria} and Manzoni, {Gian Mauro} and Donatella Saviola and Arianna Gatti and Samantha Gabrielli and Marco Lacerenza and Giada Pietrabissa and Roberto Cattivelli and Spatola, {Chiara A.} and Corti, {Stefania Paola} and Margherita Novelli and Valentina Villa and Andrea Cottini and Carlo Lai and Francesco Pagnini and Lorys Castelli and M. Tavola and Riccardo Torta and M. Arreghini and Loredana Zanini and Amelia Brunani and Paolo Capodaglio and D'Aniello, {Guido E.} and Federica Scarpina and Andrea Brioschi and Lorenzo Priano and Alessandro Mauro and Giuseppe Riva and Claudia Repetto and Camillo Regalia and Enrico Molinari and P. Notaro and Stefano Paolucci and Giorgio Sandrini and Susan Simpson and Wiederhold, {Brenda K.} and Stefano Tamburin and Michela Agostini and Enrico Alfonsi and Aloisi, {Anna Maria} and Elena Alvisi and Aprile, {Irene Giovanna} and Michela Armando and Micol Avenali and Eva Azicnuda and Francesco Barale and Michelangelo Bartolo and Roberto Bergamaschi and Mariangela Berlangieri and Vanna Berlincioni and Laura Berliocchi and Eliana Berra and Giulia Berto and Silvia Bonadiman and Sara Bonazza and Federica Bressi and Annalisa Brugnera and Stefano Brunelli and Buzzi, {Maria Gabriella} and Carlo Cacciatori and Andrea Calvo and Cristina Cantarella and Caraceni, {Augusto Tommaso} and Roberto Carone and Elena Carraro and Roberto Casale and Paola Castellazzi and Adele Castino and Rosanna Cerbo and Adriano Chi{\`o} and Cristina Ciotti and Carlo Cisari and Daniele Coraci and Toffola, {Elena Dalla} and Giovanni Defazio and {De Icco}, Roberto and {Del Carro}, Ubaldo and Andrea Dell'Isola and {De Tanti}, Antonio and Mariagrazia D'Ippolito and E. Fazzi and Adriano Ferrari and Sergio Ferrari and Francesco Ferraro and Fabio Formaglio and Rita Formisano and Simone Franzoni and Francesca Gajofatto and Marialuisa Gandolfi and Barbara Gardella and Pierangelo Geppetti and Alessandro Giamm{\`o} and Raffaele Gimigliano and Elena Greco and Valentina Ieraci and Marco Invernizzi and Marco Jacopetti and {La Cesa}, Silvia and Davide Lobba and Francesca Magrinelli and S. Mandrini and Umberto Manera and Paolo Marchettini and Enrico Marchioni and Sara Mariotto and Andrea Martinuzzi and Marella Masciullo and Susanna Mezzarobba and Danilo Miotti and Angela Modenese and Marco Molinari and Salvatore Monaco and Giovanni Morone and Rossella Nappi and Stefano Negrini and Andrea Pace and Luca Padua and Emanuela Pagliano and Valerio Palmerini and Costanza Pazzaglia and Cristiano Pecchioli and Alessandro Picelli and Porro, {Carlo A.} and Daniele Porru and Marcello Romano and Laura Roncari and Riccardo Rosa and Marsilio Saccavini and Paola Sacerdote and Angelo Schenone and Vittorio Schweiger and Giorgio Scivoletto and N. Smania and Claudio Solaro and Vincenza Spallone and Isabella Springhetti and Cristina Tassorelli and Michele Tinazzi and Rossella Togni and Monica Torre and Marco Traballesi and Marco Tramontano and A. Truini and Valeria Tugnoli and Andrea Turolla and Gabriella Vallies and Elisabetta Verzini and Mario Vottero and Paolo Zerbinati",
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 Maria

AU - Manzoni, Gian Mauro

AU - Saviola, Donatella

AU - Gatti, Arianna

AU - Gabrielli, Samantha

AU - Lacerenza, Marco

AU - Pietrabissa, Giada

AU - Cattivelli, Roberto

AU - Spatola, Chiara A.

AU - Corti, Stefania Paola

AU - Novelli, Margherita

AU - Villa, Valentina

AU - Cottini, Andrea

AU - Lai, Carlo

AU - Pagnini, Francesco

AU - Castelli, Lorys

AU - Tavola, M.

AU - Torta, Riccardo

AU - Arreghini, M.

AU - Zanini, Loredana

AU - Brunani, Amelia

AU - Capodaglio, Paolo

AU - D'Aniello, Guido E.

AU - Scarpina, Federica

AU - Brioschi, Andrea

AU - Priano, Lorenzo

AU - Mauro, Alessandro

AU - Riva, Giuseppe

AU - Repetto, Claudia

AU - Regalia, Camillo

AU - Molinari, Enrico

AU - Notaro, P.

AU - Paolucci, Stefano

AU - Sandrini, Giorgio

AU - Simpson, Susan

AU - Wiederhold, Brenda K.

AU - Tamburin, Stefano

AU - Agostini, Michela

AU - Alfonsi, Enrico

AU - Aloisi, Anna Maria

AU - Alvisi, Elena

AU - Aprile, Irene Giovanna

AU - Armando, Michela

AU - Avenali, Micol

AU - Azicnuda, Eva

AU - Barale, Francesco

AU - Bartolo, Michelangelo

AU - Bergamaschi, Roberto

AU - Berlangieri, Mariangela

AU - Berlincioni, Vanna

AU - Berliocchi, Laura

AU - Berra, Eliana

AU - Berto, Giulia

AU - Bonadiman, Silvia

AU - Bonazza, Sara

AU - Bressi, Federica

AU - Brugnera, Annalisa

AU - Brunelli, Stefano

AU - Buzzi, Maria Gabriella

AU - Cacciatori, Carlo

AU - Calvo, Andrea

AU - Cantarella, Cristina

AU - Caraceni, Augusto Tommaso

AU - Carone, Roberto

AU - Carraro, Elena

AU - Casale, Roberto

AU - Castellazzi, Paola

AU - Castino, Adele

AU - Cerbo, Rosanna

AU - Chiò, Adriano

AU - Ciotti, Cristina

AU - Cisari, Carlo

AU - Coraci, Daniele

AU - Toffola, Elena Dalla

AU - Defazio, Giovanni

AU - De Icco, Roberto

AU - Del Carro, Ubaldo

AU - Dell'Isola, Andrea

AU - De Tanti, Antonio

AU - D'Ippolito, Mariagrazia

AU - Fazzi, E.

AU - Ferrari, Adriano

AU - Ferrari, Sergio

AU - Ferraro, Francesco

AU - Formaglio, Fabio

AU - Formisano, Rita

AU - Franzoni, Simone

AU - Gajofatto, Francesca

AU - Gandolfi, Marialuisa

AU - Gardella, Barbara

AU - Geppetti, Pierangelo

AU - Giammò, Alessandro

AU - Gimigliano, Raffaele

AU - Greco, Elena

AU - Ieraci, Valentina

AU - Invernizzi, Marco

AU - Jacopetti, Marco

AU - La Cesa, Silvia

AU - Lobba, Davide

AU - Magrinelli, Francesca

AU - Mandrini, S.

AU - Manera, Umberto

AU - Marchettini, Paolo

AU - Marchioni, Enrico

AU - Mariotto, Sara

AU - Martinuzzi, Andrea

AU - Masciullo, Marella

AU - Mezzarobba, Susanna

AU - Miotti, Danilo

AU - Modenese, Angela

AU - Molinari, Marco

AU - Monaco, Salvatore

AU - Morone, Giovanni

AU - Nappi, Rossella

AU - Negrini, Stefano

AU - Pace, Andrea

AU - Padua, Luca

AU - Pagliano, Emanuela

AU - Palmerini, Valerio

AU - Pazzaglia, Costanza

AU - Pecchioli, Cristiano

AU - Picelli, Alessandro

AU - Porro, Carlo A.

AU - Porru, Daniele

AU - Romano, Marcello

AU - Roncari, Laura

AU - Rosa, Riccardo

AU - Saccavini, Marsilio

AU - Sacerdote, Paola

AU - Schenone, Angelo

AU - Schweiger, Vittorio

AU - Scivoletto, Giorgio

AU - Smania, N.

AU - Solaro, Claudio

AU - Spallone, Vincenza

AU - Springhetti, Isabella

AU - Tassorelli, Cristina

AU - Tinazzi, Michele

AU - Togni, Rossella

AU - Torre, Monica

AU - Traballesi, Marco

AU - Tramontano, Marco

AU - Truini, A.

AU - Tugnoli, Valeria

AU - Turolla, Andrea

AU - Vallies, Gabriella

AU - Verzini, Elisabetta

AU - Vottero, Mario

AU - Zerbinati, Paolo

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

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U2 - 10.3389/fpsyg.2016.00468

DO - 10.3389/fpsyg.2016.00468

M3 - Article

VL - 7

JO - Frontiers in Psychology

JF - Frontiers in Psychology

SN - 1664-1078

IS - APR

M1 - 00468

ER -