Treatment
Modalities: Psychological Strategies
Though perhaps not
widely understood or considered, psychological strategies and techniques can
offer potential benefits to those suffering from pain disorders by aiding
patients in the development of better coping strategies and transforming
underlying pain beliefs.49
In a study of 138
participants with an IC diagnosis, patients were surveyed to determine the use
and effectiveness of psychological self-care strategies in the management of
symptoms.50 Following review of results, researchers concluded that
women suffering from IC engaged in a number of psychological self-care such as
downward comparison, self-validation, empowerment, information-seeking, connection
with others and taking personal responsibility for illness.50
Results demonstrated improved ability to cope depended upon the use of information-seeking, downward comparison,
empowerment, connection with others and self-validation.50 Of most
significance, researchers stated that involvement in a support group was
perhaps the most important strategy employed.50
A study of 108
subjects with pain-related distress and disability participated in several
acceptance-based strategies to determine effectiveness in dealing with pain.51
Treatment tools centered around increasing patient willingness to deal
with uncomfortable thoughts and feelings and instead focusing attention on
behaviors that encourage improved functioning in the long term rather than
caving to a momentary feeling.51 In addition, physical exercise,
health habits and meaningful life directions were addressed as components of
therapy.51 Researchers concluded that the pain and functional
ability of the patients improved significantly at post-treatment and at three
month follow-up when compared to pre-treatment.51 More specifically,
improvements across participants included 41.2% improvement in depression, 25%
improvement in physical disability, 39.9% improvement in psychosocial disability,
61.8% reduction in hours needed to rest as a result of pain during daytime
hours, and 48.2% improvement in the ability to repeatedly perform sit-to-stand
endeavors.51 Researchers
stated that psychological methods for dealing with chronic pain have significant
evidence to support their effectiveness yet confirmation of particular treatment modalities that lead to
improvement are lacking.51 Further, researchers stated that an
acceptance-based treatment approach challenges the pain experience overall and offers
a very promising avenue for further development in the management of pain.51
References
49. Atchley MD, Shah NM, Whitmore KE. Complementary and alternative medical therapies for interstitial cystitis: an update from the United States. Translational Andrology and Urology. 2015; 4(6): 662-667.
50. Webster DC, Brennan T. Use and effectiveness of psychological self-care strategies for interstitial cystitis. Healthcare for Women International. 1995; 16(5): 463-75.
51. McCrackena LM, Vowlesb KE, Eccleston C. Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behaviour Research and Therapy. 2005; 43: 1335–1346.
No comments:
Post a Comment