Psychological treatments and psychotherapies in the neurorehabilitation of pain: Evidences 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 journalReview article

34 Citations (Scopus)

Abstract

Background: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. Objectives: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. Methods: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. Results: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. Conclusions: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the paper.

Original languageEnglish
Article number115
JournalFrontiers in Psychology
Volume7
Issue numberFEB
DOIs
Publication statusPublished - 2016

Fingerprint

Psychotherapy
Consensus
Psychology
Pain
Therapeutics
Virtual Reality Exposure Therapy
Acceptance and Commitment Therapy
Neurological Rehabilitation
Databases
Complex Regional Pain Syndromes
Phantom Limb
Pathology
Mindfulness
Musculoskeletal Pain
Foster Home Care
Hypnosis
Fibromyalgia
Diabetic Neuropathies
Cognitive Therapy
Nervous System Diseases

Keywords

  • Chronic pain
  • Clinical psychology
  • Health psychology
  • Neurological rehabilitation
  • Pain
  • Psychological treatments
  • Psychotherapy

ASJC Scopus subject areas

  • Psychology(all)

Cite this

@article{63644079d6c646698afc0f95cc7f9638,
title = "Psychological treatments and psychotherapies in the neurorehabilitation of pain: Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation",
abstract = "Background: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. Objectives: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. Methods: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. Results: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. Conclusions: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the paper.",
keywords = "Chronic pain, Clinical psychology, Health psychology, Neurological rehabilitation, Pain, Psychological treatments, Psychotherapy",
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.2016.00115",
language = "English",
volume = "7",
journal = "Frontiers in Psychology",
issn = "1664-1078",
publisher = "Frontiers Media S.A.",
number = "FEB",

}

TY - JOUR

T1 - Psychological treatments and psychotherapies in the neurorehabilitation of pain

T2 - Evidences 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: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. Objectives: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. Methods: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. Results: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. Conclusions: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the paper.

AB - Background: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. Objectives: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. Methods: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. Results: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. Conclusions: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the paper.

KW - Chronic pain

KW - Clinical psychology

KW - Health psychology

KW - Neurological rehabilitation

KW - Pain

KW - Psychological treatments

KW - Psychotherapy

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DO - 10.3389/fpsyg.2016.00115

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