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Psychological Challenges in Treating Chronic Hip Pain

  • Timothy S. Clark
Chapter

Abstract

Pain is a summary subjective experience of physical pathology, social setting, and a patient’s unique pattern of thoughts, memories, values, and emotions. This chapter proposes that treatment outcomes can be enhanced by a comprehensive assessment of these factors. Since little research has been done on the unique impact of these factors on posterior hip disorders, a review is provided of related research on the impact of psychosocial factors on back pain, spine surgery, and orthopedic surgery including joint replacement. A model for assessment with psychological testing and treatment is proposed.

Keywords

Orthopedics Treatment outcome Chronic pain Pain perception Patient outcome assessment Psychological tests 

References

  1. 1.
    Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving pain in America: a blueprint for transforming prevention, care, education, and research [Internet]. Washington (DC): National Academies; 2011. [cited 2015 Nov 9]. http://www.ncbi.nlm.nih.gov/books/NBK91497/.Google Scholar
  2. 2.
    McGrath PA. Psychological aspects of pain perception. Arch Oral Biol. 1994;39(Suppl):55S–62S.CrossRefPubMedGoogle Scholar
  3. 3.
    Linton SJ, Shaw WS. Impact of psychological factors in the experience of pain. Phys Ther. 2011;91(5):700–11.CrossRefPubMedGoogle Scholar
  4. 4.
    Hashmi JA, Baliki MN, Huang L, Baria AT, Torbey S, Hermann KM, et al. Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain. 2013;136(9):2751–68.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27(5):E109–20.CrossRefPubMedGoogle Scholar
  6. 6.
    Campbell P, Bishop A, Dunn KM, Main CJ, Thomas E, Foster NE. Conceptual overlap of psychological constructs in low back pain. Pain. 2013;154(9):1783–91.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    den Boer JJ, Oostendorp RAB, Beems T, Munneke M, Oerlemans M, Evers AWM. A systematic review of bio-psychosocial risk factors for an unfavourable outcome after lumbar disc surgery. Eur Spine J. 2006;15(5):527–36.CrossRefGoogle Scholar
  8. 8.
    Block AR, Ben-Porath YS, Marek RJ. Psychological risk factors for poor outcome of spine surgery and spinal cord stimulator implant: a review of the literature and their assessment with the MMPI-2-RF. Clin Neuropsychol. 2013;27(1):81–107.CrossRefPubMedGoogle Scholar
  9. 9.
    Rolfson O, Dahlberg LE, Nilsson J-A, Malchau H, Garellick G. Variables determining outcome in total hip replacement surgery. J Bone Joint Surg Br. 2009;91(2):157–61.CrossRefPubMedGoogle Scholar
  10. 10.
    Vissers MM, Bussmann JB, Verhaar JAN, Busschbach JJV, Bierma-Zeinstra SMA, Reijman M. Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review. Semin Arthritis Rheum. 2012;41(4):576–88.CrossRefPubMedGoogle Scholar
  11. 11.
    Duivenvoorden T, Vissers MM, Verhaar JAN, Busschbach JJV, Gosens T, Bloem RM, et al. Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. Osteoarthr Cartil. 2013;21(12):1834–40.CrossRefPubMedGoogle Scholar
  12. 12.
    Pinto PR, McIntyre T, Ferrero R, Almeida A, Araújo-Soares V. Risk factors for moderate and severe persistent pain in patients undergoing total knee and hip arthroplasty: a prospective predictive study. PLoS One. 2013;8(9):e73917.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Thomas FM, Yeoman CAW. The effect of psychological status on pain and surgical outcome in patients requiring arthroscopic subacromial decompression. Int J Surg. 2011;9(5):1–5.Google Scholar
  14. 14.
    Hartley SM, Vance DE, Elliott TR, Cuckler JM, Berry JW. Hope, self-efficacy, and functional recovery after knee and hip replacement surgery. Rehabil Psychol. 2008;53(4):521–9.CrossRefGoogle Scholar
  15. 15.
    Mahomed NN, Liang MH, Cook EF, Daltroy LH, Fortin PR, Fossel AH, et al. The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. J Rheumatol. 2002;29(6):1273–9.PubMedGoogle Scholar
  16. 16.
    Judge A, Cooper C, Arden NK, Williams S, Hobbs N, Dixon D, et al. Pre-operative expectation predicts 12-month post-operative outcome among patients undergoing primary total hip replacement in European orthopaedic centres. Osteoarthr Cartil. 2011;19(6):659–67.CrossRefPubMedGoogle Scholar
  17. 17.
    Sullivan M, Tanzer M, Reardon G, Amirault D, Dunbar M, Stanish W. The role of presurgical expectancies in predicting pain and function one year following total knee arthroplasty. Pain. 2011;152(10):2287–93.CrossRefPubMedGoogle Scholar
  18. 18.
    Brand E, Nyland J. Patient outcomes following anterior cruciate ligament reconstruction: the influence of psychological factors. Orthopedics. 2009;32(5):335.CrossRefPubMedGoogle Scholar
  19. 19.
    Burns LC, Ritvo SE, Ferguson MK, Clarke H, Seltzer Z, Katz J. Pain catastrophizing as a risk factor for chronic pain after total knee arthroplasty: a systematic review. J Pain Res. 2015;8:21–32.PubMedPubMedCentralGoogle Scholar
  20. 20.
    Zeidan F, Martucci KT, Kraft RA, Gordon NS, McHaffie JG, Coghill RC. Brain mechanisms supporting modulation of pain by mindfulness meditation. J Neurosci. 2011;31(14):5540–8.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Lee M, Silverman SM, Hansen H, Patel VB, Manchikanti L. A comprehensive review of opioid-induced hyperalgesia. Pain Physician. 2011;14(2):145–61.PubMedGoogle Scholar
  22. 22.
    Kroenke K, Spitzer RL, Williams JBW, Löwe B. The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. Gen Hosp Psychiatry. 2010;32(4):345–59.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Bruns D, Disorbio JM. The psychological evaluation of patients with chronic pain: a review of BHI 2 clinical and forensic interpretive considerations. Psychol Inj Law. 2014;7(4):335–61.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Siqueira JLD, Morete MC, Siqueira JLD, Morete MC. Psychological assessment of chronic pain patients: when, how and why refer? Rev Dor. 2014;15(1):51–4.Google Scholar
  25. 25.
    Presurgical psychological screening: understanding patients, improving outcomes [Internet]. http://www.apa.org. [cited 2016 Feb 7]. http://www.apa.org/pubs/books/4317298.aspx.
  26. 26.
    Young AK, Young BK, Riley LH, Skolasky RL. Assessment of presurgical psychological screening in patients undergoing spine surgery: use and clinical impact. J Spinal Disord Tech. 2014;27(2):76–9.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Block A, Ohnmeiss D, Ben-Porath Y, Burchett D. Presurgical psychological screening: A new algorithm, including the MMPI-2-RF, for predicting surgical results. The Spine Journal. 2011;11(10): S137–8.Google Scholar
  28. 28.
    Kerns RD, Turk DC, Rudy TE. The west haven-yale multidimensional pain inventory (WHYMPI). Pain. 1985;23(4):345–56.CrossRefPubMedGoogle Scholar
  29. 29.
    Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–71.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRefGoogle Scholar
  31. 31.
    Fydrich T, Dowdall D, Chambless DL. Reliability and validity of the beck anxiety inventory. J Anxiety Disord. 1992;6(1):55–61.CrossRefGoogle Scholar
  32. 32.
    Osman A, Barrios FX, Kopper BA, Hauptmann W, Jones J, O’Neill E. Factor structure, reliability, and validity of the pain catastrophizing scale. J Behav Med. 1997;20(6):589–605.CrossRefPubMedGoogle Scholar
  33. 33.
    Cohen S. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, editors. The social psychology of health. Thousand Oaks: Sage; 1988. p. 31–67.Google Scholar
  34. 34.
    The coping strategies questionnaire and chronic pain adjustment: a conceptual and empirical reanalysis. Clin J Pain [Internet]. LWW. [cited 2016 Feb 14]. http://journals.lww.com/clinicalpain/Fulltext/1994/06000/The_Coping_Strategies_Questionnaire_and_Chronic.3.aspx.
  35. 35.
    Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157–68.CrossRefPubMedGoogle Scholar
  36. 36.
    Fairbank JC, Pynsent PB. The oswestry disability index. Spine. 2000;25(22):2940–52. discussion 2952.CrossRefPubMedGoogle Scholar
  37. 37.
    Riley JF, Ahern DK, Follick MJ. Chronic pain and functional impairment: assessing beliefs about their relationship. Arch Phys Med Rehabil. 1988;69(8):579–82.PubMedGoogle Scholar
  38. 38.
    Butler SF, Budman SH, Fernandez K, Jamison RN. Validation of a screener and opioid assessment measure for patients with chronic pain. Pain. 2004;112(1–2):65–75.CrossRefPubMedGoogle Scholar
  39. 39.
    Tellegen A, Ben-Porath YS. The Minnesota multiphasic personality inventory-2 restructured form (MMPI-2-RF): technical manual. Minneapolis: University of Minnesota Press; 2008.Google Scholar
  40. 40.
    Marek RJ, Block AR, Ben-Porath YS. The Minnesota multiphasic personality inventory-2-restructured form (MMPI-2-RF): incremental validity in predicting early postoperative outcomes in spine surgery candidates. Psychol Assess. 2015;27(1):114–24.CrossRefPubMedGoogle Scholar
  41. 41.
    Block AR, Marek RJ, Ben-Porath YS, Kukal D. Associations between pre-implant psychosocial factors and spinal cord stimulation outcome: evaluation using the MMPI-2-RF. Assessment. 2017;24(1):60–70.CrossRefPubMedGoogle Scholar
  42. 42.
    Gatchel RJ, McGeary DD, McGeary CA, Lippe B. Interdisciplinary chronic pain management: past, present, and future. Am Psychol. 2014;69(2):119–30.CrossRefPubMedGoogle Scholar
  43. 43.
    Centor RM. To be a great physician, you must understand the whole story. MedGenMed. 2007;9(1):59.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Comprehensive Interdisciplinary Program, Baylor University Medical Center, Center for Pain ManagementDallasUSA

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