Pain Management: Psychological & Non-pharmacological Approaches
Fulfills: Michigan requirement for pain management
Pain is a complex phenomenon that presents significant challenges to multiple aspects of physical, psychological and occupational functioning. As medical intervention frequently cannot resolve pain completely, there is a need for complimentary approaches to management of chronic pain, including psychological intervention.
This introductory level course, comprised of 2 published articles, begins with an overview of 4 modalities of psychological interventions for persons experiencing chronic pain. The article discusses both appropriate uses as well as efficacy. The second article explores the concept of “self-healing” in the context of musculoskeletal pain. A review of traditional versus complementary/alternative approaches is presented, along with a description of variables contributing to chronic pain. This is followed by a discussion of what constitutes self-healing, various proposed mechanisms, and specific psychological and other complementary approaches to pain management that have been shown to result in positive outcomes.
Educational Objectives
- Describe medical and psychological impact of maladaptive pain coping strategies
- Compare and contrast four types of psychological therapies for pain
- Discuss the concept of self-healing along with associated mechanisms and interventions
Syllabus
- Psychological reactions to pain
- Adaptive and maladaptive coping styles
- Psychological interventions
- Operant behavioral approaches
- Cognitive behavioral therapies
- Mindfulness stress reduction
- Acceptance and commitment therapy
- Safety and tolerability of psychological therapies
- Factors affecting outcome
- Musculoskeletal pain triggers
- Age
- Posture
- Activity
- Psychological factors
- An integrative medical approach
- Concept of self-healing
- Body mechanism of self-healing-mode of action
- Muscular
- Microcirculation
- Immune system activation
- Nervous system
- Psychological aspects
- Integrative medicine within the self-healing concept
- Lifestyle variables
- Psychological approaches
