Psychological treatments and psychotherapies in the neurorehabilitation of pain

Evidences 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. Arreghini & 130 others Loredana 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 journalReview article

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

Psychological treatments and psychotherapies in the neurorehabilitation of pain : Evidences 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. FEB, 115, 2016.

Research output: Contribution to journalReview article

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 treatments and psychotherapies in the neurorehabilitation of pain: Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation', Frontiers in Psychology, vol. 7, no. FEB, 115. https://doi.org/10.3389/fpsyg.2016.00115
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 treatments and psychotherapies in the neurorehabilitation of pain : Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation. In: Frontiers in Psychology. 2016 ; Vol. 7, No. FEB.
@article{2f36b74d237f45d8bf83d04c84db626a,
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 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.2016.00115",
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 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: 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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U2 - 10.3389/fpsyg.2016.00115

DO - 10.3389/fpsyg.2016.00115

M3 - Review article

VL - 7

JO - Frontiers in Psychology

JF - Frontiers in Psychology

SN - 1664-1078

IS - FEB

M1 - 115

ER -