Psychology Of Pain

Question 1

acceptance and commitment therapy

Answer 1

6 key principles
ultimate goal of gaining psychological flexibility
acceptance has good evidence
as does mindfulness and values
underlying reason for purposeful movement
different from CBT in that it avoid viewing the patient’s struggle as a maladaptive thought process
gain help with pain intensity reduction

Question 2

a patient does not recognize that their behavior is problematic.
which stage?

Answer 2

precontemplation

Question 3

what isthe contemplation stage

Answer 3

patient begins to recognize their behavior is problematic and starts weighting the risks/benefits of their continued actions

Question 4

preparation stage

Answer 4

patients intend to take action in the immediate future

Question 5

how long to reach maintenance phase

Answer 5

6 months

they are also working to prevent relapse

Question 6

patient get stuck during the change process

what can you use to help them

Answer 6

motivational interviewing

Question 7

motivation interviewing has been shown effective in which population

Answer 7

drug abuse

Question 8

expressing empathy
developing discrepancy
avoiding argumentation
rolling with resistance
supporting self efficacy

what is this?

Answer 8

motivational interviewing

useful when patients are stuck in the change process

Question 9

CBT is effective for

Answer 9

depression
anxiety
PTSD
substance abuse
chronic pain

Question 10

goal setting
cognitive restructuring
activity pacing
relaxation training

what is this?

Answer 10

CBT

Question 11

does pain catastrophizing scale measure pain intensity

Answer 11

no

Question 12

minnesota multiphasic personality inventory 2

Answer 12

T/F questionnaire
good for SCS evaluation
depression, anxiety, psychosis, mania, somatic symptoms, and maladaptive personality patterns
provides scales that assess validity

Question 13

factors that predict poor outcomes from spine surgery or SCS implant

Answer 13

poor outcomes - depression, anxiety, somatization, poor coping skills, also older age and longer pain duration

pre-surgery physical findings, activity interference, and presurgical pain intensity were not predictive of poor outcomes

Question 14

graded motor imagery

Answer 14

mirror therapy with contralateral limb to reconfigure a new body map
effective for CRPS

Question 15

what is mental filter?

Answer 15

picking out a single negative detail and dwelling on it exclusively

Question 16

best supplements for fibro

Answer 16

vitamin D
omega 3 fatty acids
antiinflammatory diet

Question 17

helps individuals learn to control bodily functions normally controlled by autnomic nervous system

Answer 17

biofeedback

Question 18

in the treatment of DPN, biofeedback has been shown to directly reduce

Answer 18

A1c

and increase blood flow to extremities

Question 19

functions targeted by biofeedback

Answer 19

HR
BP
temperature and blood flow to extremities
oxygen saturation
muscle activity

Question 20

remove a phobic or fear response and substitute a relaxation response to a conditional stimulus

Answer 20

systematic desensitization

three phases

CBT is more for addressing the addressing the cognitions involved in the fear process

Question 21

is self actualization a coping skill

Answer 21

no

Question 22

is mediction use a coping skill

Answer 22

yes