Multi/interdisc tx; CBT; CBT-chronic pain objectives

Question 1

Medical interventions when used alone lack efficacy in improving the patient’s health and quality of life…Cue the Deer quote:

Answer 1

• “For patients with more complex or refractory problems, a comprehensive multidisciplinary approach to pain management that is individualized, functionally oriented (not pain-oriented), and goal specific has been found to be the most effective treatment approach” (Deer, 2015)

Question 2

CBT theory and efficacy:

Answer 2

• Theory: A person’s beliefs about pain are associated with various levels of functioning and that changes in a person’s beliefs about pain are associated with changes in functioning
• Efficacy: Shown to decrease difficulties in mood, pain interference, and pain behaviors, and for increasing positive coping and activity levels

Question 3

CBT-Chronic pain: Objectives: Improve overall QOL by:

Answer 3

• Reduce negative impact of pain on daily life
• Improve physical and emotional functioning through increasing effective coping skills for managing pain
• Reduce pain intensity

Question 4

Goal of CBT treatment:

Answer 4

• Life gets bigger so pain feels smaller by comparison
• Teach patients to expand their lives and react to pain differently; even though pain intensity may stay the same, it feels less overwhelming

Question 5

Common components to CBT for Chronic Pain:

Answer 5

• Education & Goal Setting
• Relaxation (diaphragmatic breathing, PMR, visual imagery)
• Cognitive Restructuring
• Time-based pacing
• Activity Scheduling
• Anger Management
• Assertive Communication
• Sleep Hygiene