Psychological therapies for the management of chronic pain
Open accessAbstract
Pain is a complex stressor that presents a significant challenge to most aspects of functioning and contributes to substantial physical, psychological, occupational, and financial cost, particularly in its chronic form. As medical intervention frequently cannot resolve pain completely, there is a need for management approaches to chronic pain, including psychological intervention. Psychotherapy for chronic pain primarily targets improvements in physical, emotional, social, and occupational functioning rather than focusing on resolution of pain itself. However, psychological therapies for chronic pain differ in their scope, duration, and goals, and thus show distinct patterns of treatment efficacy. These therapies fall into four categories: operant-behavioral therapy, cognitive-behavioral therapy, mindfulness-based therapy, and acceptance and commitment therapy. The current article explores the theoretical distinctiveness, therapeutic targets, and effectiveness of these approaches as well as mechanisms and individual differences that factor into treatment response and pain-related dysfunction and distress. Implications for future research, dissemination of treatment, and the integration of psychological principles with other treatment modalities are also discussed.
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MBSR has been previously investigated as a treatment for pain in individuals with chronic lower back pain, headache, and fibromyalgia.
“MBSR has been previously investigated as a treatment for pain in individuals with chronic lower back pain, headache, and fibromyalgia [66].”
From Psychological interventions for individuals with Ehlers-Danlos syndrome and hypermobility spectrum disorder: a scoping review (2023) · cites this paper as [66]
MBSR promotes a non-judgemental approach to pain where the physical and psychological aspects of pain are uncoupled.
“MBSR promotes a non-judgemental approach to pain where the physical and psychological aspects of pain are uncoupled [66].”
From Psychological interventions for individuals with Ehlers-Danlos syndrome and hypermobility spectrum disorder: a scoping review (2023) · cites this paper as [66]
ACT appears equally effective as traditional cognitive behavior therapy for pain-related outcomes, according to several non-Cochrane reviews.
“The effectiveness of ACT for improving pain-related outcomes has been supported in several (non-Cochrane) reviews, with the consistent conclusion that ACT appears to be equally effective as traditional cognitive behavior therapy [33–36].”
From Acceptance and commitment therapy for chronic pain: Protocol of a systematic review and individual participant data meta-Analysis (2019) · cites this paper as [34]
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- Authors
- Sturgeon, J.
- Affiliations
- Stanford University (US)
- Corresponding author
- Sturgeon, John
- ORCID
- Sturgeon, John
- Venue
- Psychology Research and Behavior Management
- Publisher
- Informa UK Limited
- Published
- 2014-04
- Volume
- 7
- Pages
- 115
- ISSN
- 1179-1578 (ISSN-L)
- PMC
- PMC3986332
- OpenAlex
- W2069372726
- Cited by
- 259
- References
- 105
- Citations by year
- 2026: 18 · 2025: 24 · 2024: 18 · 2023: 19 · 2022: 14 · 2021: 12 · 2020: 73 · 2019: 21 · 2018: 18 · 2017: 12 · 2016: 13 · 2015: 12 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Psychology Research and Behavior Management (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic pain, psychotherapy, cognitive behavioral therapy, mindfulness-based interventions, acceptance and commitment therapy, treatment efficacy, therapeutic mechanisms, individual differences in treatment response, pain-related distress, treatment dissemination
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