Role of psychology in pain management

Eccleston, C.

doi:10.1093/bja/87.1.144

Cited by 235Musculoskeletal pain and rehabilitationPain Management and TreatmentPain Management and Placebo Effect

Role of psychology in pain management

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Eccleston, C.·2001·British Journal of Anaesthesia

DOI 10.1093/bja/87.1.144

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Abstract

Psychological factors are central to the experience of pain, the delivery of effective analgesia and for the specific treatment of chronic pain and disability. Improvement in pain management can often be brought about by very simple, if subtle, changes in clinical practice. Although simple, these changes can have significant effects in the experience of pain, distress and use of health-care resources. For the chronic pain patient, the presentation is much more complex and the treatment interdisciplinary and programmatic. The evidence for the effectiveness of cognitive behaviour therapy for adults with chronic pain is now well established. This treatment should be available as a core part of any chronic pain service.

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Although functionally important in acute pain, these behaviours are normally ineffective for chronic pain and may result in reduced functioning and quality of life.
“Although functionally important in acute pain, these behaviours are normally ineffective for chronic pain and may result in reduced functioning and quality of life (QoL) (Eccleston, 2001;McCracken & Morley, 2014;Melzack, 1999;Vlaeyen et al., 2016;Zimmerman, 2004).”
From Internet-delivered acceptance and commitment therapy as microlearning for chronic pain: A randomized controlled trial with 1-year follow-up (2021) · cites this paper as Eccleston, 2001
The 'Catastrophizing and worry' section (page unavailable) describes avoidance of pain-inducing activity as a normal survival mechanism, but says that in chronic pain, people with marked fear may avoid activity to the point of disability. The 'Indirect positive reinforcement of pain behaviour' section (page unavailable) says avoidance can promote further pain and a decline in activity. The source supports the contrast and reduced functioning, but limits the disability finding to those with marked fear and does not explicitly link these behaviours to reduced quality of life. (LLM, conf=0.83)
Experimental — accuracy not yet measured
People with chronic pain often develop additional problems over time, such as emotional disturbance, cognitive difficulties, fear and fatigue.
“People with chronic pain often develop additional problems over time, such as emotional disturbance, cognitive difficulties, fear and fatigue 4 .”
From The Effectiveness of an Acceptance and Commitment Therapy Self-help Intervention for Chronic Pain. (2010) · cites this paper as [4]

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Authors: Eccleston, C.
Affiliations: University of Bath (GB)
Corresponding author: Eccleston, C.
ORCID: Eccleston, C.
Venue: British Journal of Anaesthesia
Publisher: Elsevier BV
Published: 2001-07
Volume: 87
Issue: 1
Pages: 144-152
ISSN: 0007-0912 (ISSN-L)
DOI: 10.1093/bja/87.1.144
OpenAlex: W2119351869
Cited by: 235
References: 73
Citations by year: 2026: 5 · 2025: 3 · 2024: 6 · 2023: 15 · 2022: 4 · 2021: 9 · 2020: 15 · 2019: 9 · 2018: 14 · 2017: 11 · 2016: 12 · 2015: 14 · 2014: 13 · 2013: 16 · 2012: 13
FWCI: 0.40
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6000 d)
Locations: British Journal of Anaesthesia (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords: chronic pain, pain management, psychological factors in pain, psychosocial environment, pain beliefs, pain-related disability, pain catastrophizing, pain-related hopelessness, pain-related helplessness, pain-related guilt, pain-related shame, pain-related depression, pain-related anxiety
MeSH terms: Chronic Disease, Humans, Pain, Cognitive Behavioral Therapy, Evidence-Based Medicine, Pain Management

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