Evidence and future view of cognitive behavioral therapy for chronic pain

• Yoshino Atsuo

  Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences, Hiroshima University

• Okamoto Yasumasa

  Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences, Hiroshima University

• Jinnin Ran

  Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences, Hiroshima University

• Mori Asako

  Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences, Hiroshima University

• Yamawaki Shigeto

  Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences, Hiroshima University

Bibliographic Information

Other Title

• 慢性疼痛に対する認知行動療法のエビデンスと将来への展望について

Abstract

Chronic pain affects many people and decreases their physical or emotional functioning and their quality of life, and impairs their ability to work. Psychological factors such as depression and less activities lead to chronicity of pain, and multidimensional treatments including psychotherapy for chronic pain patients are required. Cognitive behavioral therapy (CBT) is one of the psychotherapy treatments, and is required positive attitude that patients objectively monitor one’s own emotion, sensation, and social environments and that they continuously modify these maladaptive behavior and cognition, rather than negative attitude. By using acquired skills, they can learn to be able to control their symptoms by themselves. Many meta–analyses show that CBT is more useful for pain experiences, mental health, and social functioning than only drug medication. We have also developed a CBT program for patients with chronic pain since 2011 and have confirmed the improvement of subjective pain perception, depression, anxiety, and QOL after CBT. In this manuscript, we report the concrete program. Furthermore, clinical effects of our program were variable, and lastly, psychosocial or neuroscientific considerations were given to make this program more effective in the near future.

Journal

• PAIN RESEARCH

  PAIN RESEARCH 32 (4), 260-266, 2017-12-20

  JAPANESE ASSOCIATION FOR STUDY OF PAIN

Keywords

• Chronic pain
• Cognitive behavioral therapy
• Neuroimaging

Details

• CRID: 1390001288035579904
• NII Article ID: 130007378647
• DOI: 10.11154/pain.32.260
• ISSN: 21874697
• ISSN: 09158588
• Web Site: https://www.jstage.jst.go.jp/article/pain/32/4/32_04/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018108856
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed