Effects of a psychoeducational program for chronic pain management

Salvetti, Marina de Góes; Cobelo, Andrea; Vernalha, Patricia de Moura; Vianna, Carmen Ilca de Almeida; Canarezi, Luciana Cristina Carvalho Costa Campos; Calegare, Renata Gomes Lacerda

doi:10.1590/s0104-11692012000500011

Cited by 15 publications

(14 citation statements)

References 22 publications

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“…Unlike other studies 13 , it has not been identified that patients with a higher anxiety trait were less likely to benefit from the intervention since, in our results, patients with anxiety symptoms were able to benefit from the psychoeducational program, significantly reducing the anxiety score. Still, about mood, several studies 5,14 reported statistically significant reductions both in the anxiety and depressive symptoms, whereas in the present study, no statistically relevant reduction was not found in the depression traits. The variation in the intensity of pain before and after the intervention of the psychoeducational program was of 3.57.…”

Section: Discussioncontrasting

confidence: 86%

“…Several studies showed that psychoeducational programs can lead to satisfactory results in the control of chronic pain. Among the benefits are: 1) reduction of patients' anxiety and depression; 2) decrease in the intensity of pain and its expression; 3) reduction of catastrophic thoughts; 4) changes in the stage of change, resulting in more active atittudes 5,6,9,[12][13][14][15][16][17][18] . One of the studies highlighted that patients with high scores for anxiety were less prone to benefit from psychoeducation 13 .…”

Section: Introductionmentioning

confidence: 99%

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How interdisciplinary psychoeducational programs with a psychodrama approach can help the chronic pain treatment compliance

Loduca¹,

Müller

Focosi

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Psychoeducational programs with a cognitive behavioral approach are pointed out in the literature as effective tools in the management of chronic pain. The objective of this study was to evaluate if a psychodrama approach of the program has similar effects, as well as identifying if there are benefits in developing them at the beginning multidisciplinary treatments to foster the compliance to the proposed treatments. METHODS: The study was a quasi-experimental one, with a non-probabilistic sample, for convenience. Ninety patients with chronic pain of several etiologies who started treatment in a tertiary hospital in the city of São Paulo in the period from 2015 to 2017, were invited. Among them, 81 concluded one of the 6 programs. Patients were evaluated with several resources before and at the end of the program. RESULTS: The results obtained are similar to the ones in the literature: reduction of anxious and depressive traits, and intensity of pain; increase in active strategies of confrontation and alteration in the period of the change stage. Moreover, to deal with pain as a chronic process interferes with the patients' identity, which can be observed by the change in the pattern of living with the pain, that can contribute or disturb the compliance to the proposed multidisciplinary treatments. CONCLUSION: The development of psychoeducational programs with a different approach (Psychodrama) for people who suffer from chronic pain can have beneficial effects, similar to the groups described in the literature.

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Section: Discussioncontrasting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

How interdisciplinary psychoeducational programs with a psychodrama approach can help the chronic pain treatment compliance

Loduca¹,

Müller

Focosi

et al. 2018

Brazilian Journal of Pain

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“…The individual education group showed larger decreases in pain and disability than the control group. A similar program was implemented in Brazil, where patients ( n = 79) received one hour of stretching alongside a physiotherapist and one hour of CBT-focused psychoeducation with a nurse and psychologist, weekly for eight weeks [56]. Over the eight weeks, patients’ pain intensity and disability levels significantly decreased.…”

Section: Overview Of Pain Neuroscience Educationmentioning

confidence: 99%

Pain Neuroscience Education: State of the Art and Application in Pediatrics

et al. 2016

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Chronic pain is a widespread problem in the field of pediatrics. Many interventions to ameliorate pain-related dysfunction have a biobehavioral focus. As treatments for chronic pain (e.g., increased movement) often stand in stark contrast to treatments for an acute injury (e.g., rest), providing a solid rationale for treatment is necessary to gain patient and parent buy-in. Most pain treatment interventions incorporate psychoeducation, or pain neuroscience education (PNE), as an essential component, and in some cases, as a stand-alone approach. The current topical review focuses on the state of pain neuroscience education and its application to pediatric chronic pain. As very little research has examined pain neuroscience education in pediatrics, we aim to describe this emerging area and catalyze further work on this important topic. As the present literature has generally focused on adults with chronic pain, pain neuroscience education merits further attention in the realm of pediatric pain in order to be tailored and implemented in this population.

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“…Psychological treatment is often integrated to multi-and interdisciplinary programs which gather the action of different health professionals, among them: physiotherapists, occupational therapists, physicians and others 5 . With regard to intervention programs objectives, it was observed that, among selected studies, two have evaluated the efficacy of sequentially applied GCBT and physiotherapy 20,21 ; one has evaluated the effect of a single intervention by physician, occupational therapist, physiotherapist, psychologist and social worker, where some GCBT techniques were inserted 22 ; one has compared the effects of pharmacological treatment versus GCBT 23 ; and two have evaluated the effect of GCBT alone. Table 1 shows major data characterizing studies, especially with regard to evaluation, intervention and results.…”

Section: Contentsmentioning

confidence: 99%

Group cognitive-behavioral therapy for chronic pain adults: review of Brazilian trials

Kirchner¹,

Jorge²,

Reis³

2015

Revista Dor

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BACKGROUND AND OBJECTIVES:Group cognitive--behavioral therapy has shown to be effective for chronic pain management in the international literature. However, the need to bring evidence-based practices to health services requires that therapies like this are implemented and evaluated in Brazil. This study has not intended to evaluate the efficacy of group cognitive-behavioral therapy for chronic pain adult patients, but rather to identify how studies in this area are being performed by Brazilian investigators. CONTENTS: A search was carried out about Brazilian studies published in the last two decades , evaluating the efficacy of group cognitive-behavioral therapy for adults with non-malignant chronic pain. Health Virtual Library databases were used and search terms were: Chronic pain "and" Psychology "or" Cognitive-Behavioral Therapy. Evaluated variables were clinical and socio-demographic characteristics, pre and post-intervention evaluation tools, sessions' structure (sessions number and duration), primary results, and evaluation of the quality of studies by means of the PEDro scale. CONCLUSION: Six out of 816 articles available were selected for analysis, because they were the only ones to meet chosen search criteria. One should stress the scarcity of Brazilian studies in the area, the use of exclusively subjective evaluations aimed at unidimensional pain aspects, and the concern with the methodological quality of studies, especially with regard to internal validity. Keywords: Chronic pain, Group cognitive-behavioral therapy, Psychology. Group cognitive-behavioral therapy for chronic pain adults: review of Brazilian trials* RESUMO JUSTIFICATIVA E OBJETIVOS:A terapia cognitivo-comportamental em grupo tem se mostrado eficiente no tratamento para dor crônica, na literatura internacional. Entretanto, a necessidade de trazer práticas baseadas em evidências para os serviços de saúde exige que tratamentos como este sejam implantados e avaliados no Brasil. O presente estudo não pretendeu analisar a eficácia da terapia cognitivo-comportamental em grupo para adultos com dor crônica, mas identificar como os estudos nessa área têm sido conduzidos por pesquisadores brasileiros. CONTEÚDO: Realizou-se uma busca de estudos brasileiros publicados nos últimos 20 anos , que avaliaram a eficá-cia da terapia cognitivo-comportamental em grupo para adultos com dor crônica não maligna. Utilizaram-se as bases de dados da Biblioteca Virtual em Saúde, e os termos de busca foram: Dor Crônica "and" Psicologia "or" Terapia Cognitivo-Comportamental. As variáveis avaliadas foram características clinicas e sócio-demográficas dos participantes, instrumentos de avaliação pré e pós-intervenção, estrutura das sessões (quantidade e duração das sessões), principais resultados, eanálise da qualidade dos estudos realizada por meio da escala PEDro. CONCLUSÃO: Seis dos 816 artigos disponibilizados foram selecionados para análise, pois foram os únicos a atingir os critérios de busca escolhidos. Destaca-se a escassez de estudos brasileiros na ...

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Effects of a psychoeducational program for chronic pain management

Abstract: the psychoeducational program was effective in reducing pain intensity, reducing disability and in controlling depressive symptoms in this sample.

Cited by 15 publications

References 22 publications

How interdisciplinary psychoeducational programs with a psychodrama approach can help the chronic pain treatment compliance

How interdisciplinary psychoeducational programs with a psychodrama approach can help the chronic pain treatment compliance

Pain Neuroscience Education: State of the Art and Application in Pediatrics

Group cognitive-behavioral therapy for chronic pain adults: review of Brazilian trials

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