Cited by 70Musculoskeletal pain and rehabilitationPain Management and Placebo EffectPain Management and Treatment

Psychological interventions influence patients' attitudes and beliefs about their chronic pain

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Vanhaudenhuyse, Audrey, Gillet, Aline, Malaise, Nicole, Salamun, Irène, Grosdent, Stéphanie, Maquet, Didier, Nyssen, Anne-Sophie, Faymonville, Marie-Elisabeth·2018·Journal of Traditional and Complementary Medicine

Abstract

BACKGROUND: Patients' changing attitudes and beliefs about pain are considered as improvements in the treatment of chronic pain. Multidisciplinary approaches to pain allow modifications of coping strategies of patients, from passive to active. METHODS: We investigate how two therapeutic treatments impact patients' attitudes and beliefs regarding pain, as measured with the Survey of Pain Attitudes (SOPA). We allocated 415 patients with chronic pain either to psychoeducation combined with physiotherapy, self-hypnosis combined with self-care learning, or to control groups. Pain intensity, global impression of change, and beliefs and attitudes regarding pain were assessed before and after treatment. RESULTS: Our main results showed a significant effect of psychoeducation/physiotherapy on control, harm, and medical cure SOPA subscales; and a significant effect of self-hypnosis/self-care on control, disability and medical cure subscales. Correlation results showed that pain perception was negatively associated with control, while positively associated with disability, and a belief that hurt signifies harm. Patients' impression of improvement was associated with greater control, lower disability, and lower belief that hurt signifies harm. CONCLUSIONS: The present study showed that self-hypnosis/self-care and psychoeducation/physiotherapy were associated with patients' evolution of coping strategies from passive to active, allowing them to reduce pain perception and improve their global impression of treatment effectiveness.

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  • Education about pain and the modulation of pain in the brain improves the effectiveness of physical therapy, therapy engagement, pain perception, coping skills, fear of movement and catastrophizing.

    “Education about pain and the modulation of pain in the brain improves the effectiveness of physical therapy, therapy engagement, pain perception, coping skills, fear of movement and catastrophizing.43–46”

    From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [43]

    The Methods (Design) describe education about pain mechanisms delivered alongside physiotherapy, and the Conclusions report improved coping strategies and reduced pain perception in the studied chronic-pain patients. The paper does not establish that education improves the effectiveness of physiotherapy itself, nor does it report improvements in therapy engagement, fear of movement, or catastrophizing; it also does not specifically describe education about pain modulation in the brain. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • CBT and ACT have good evidence for use with GAD and MDD.

    “which have good evidence for use with GAD and MDD.43,44,47,48”

    From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [43]

    The Conclusions (page unavailable) report outcomes for self-hypnosis/self-care and psychoeducation/physiotherapy in patients with chronic pain. Searches for CBT, ACT, GAD, and MDD found no passage in our copy assessing those therapies for generalized anxiety disorder or major depressive disorder. (LLM, conf=0.76)

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Authors
Vanhaudenhuyse, A., Gillet, A., Malaise, N., Salamun, I., Grosdent, S., Maquet, D., Nyssen, A.-S., & Faymonville, M.-E.
Affiliations
University of Liège (BE)
Corresponding author
Vanhaudenhuyse, Audrey
Venue
Journal of Traditional and Complementary Medicine
Publisher
Elsevier BV
Published
2018-04
Volume
8
Issue
2
Pages
296-302
ISSN
2225-4110 (ISSN-L)
OpenAlex
W2612026852
Cited by
70
References
30
Citations by year
2026: 2 · 2025: 8 · 2024: 13 · 2023: 11 · 2022: 9 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 4
FWCI
3.25
Type
journal article
Language
en
Open access
Locations
  • Journal of Traditional and Complementary Medicine (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Open Repository and Bibliography (University of Liège) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
chronic pain, pain attitudes, pain beliefs, psychoeducation, physiotherapy, self-hypnosis, self-care, coping strategies, multidisciplinary pain management, pain perception, disability, perceived treatment effectiveness

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