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Pain Management

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Book cover Handbook of Prescriptive Treatments for Adults

Abstract

There is no greater source of stress and human suffering than the experience of chronic pain. Defined most simply as an experience of pain of at least 6 months duration, chronic pain affects millions of Americans and is a significant contributor to the increasing economic burden experienced by society as a function of growing healthcare costs. In a recent survey of subscribers to a large community health maintenance organization, Von Korff and his colleagues reported that 41% had suffered from low back pain in the prior 6 months. In the same sample, 26% had recurrent headaches, 18% reported abdominal pain, 12% had chest pain, and 12% had facial pain (Von Korff, Dworkin, LeResche, & Kruger, 1988). In a review of the literature, Steinberg (1982) found that in industrialized countries the lifetime prevalence of low back pain is between 50 and 80%. Evidence suggests that among those who experience significant back pain, 7% will have pain persisting beyond six months.

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References

  • Boden, S. D., Davis, D. O., Dina, T. S., Patronis, N. J., & Wiesel, S. W. (1990). Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. Journal of Bone and Joint Surgery, 77-A, 403–408.

    Google Scholar 

  • Bradley, L. A., Haile, J. M., & Jaworski, T. M. (1992). Assessment of psychological status: Using interviews and self-report instruments. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 193–213). New York: Guilford.

    Google Scholar 

  • Campbell, J. N., Raja, S. N., Cohen, R. H., Manning, D. C., Khan, A. A., & Meyer, R. A. (1989). Peripheral neural mechanisms of nociception. In P. D. Wall & R. Melzack (Eds.), Textbook of pain (pp. 22–45). New York: Churchill Livingstone.

    Google Scholar 

  • Dworkin, R. H., Handlin, D. S., Richlin, D. M., Brand, L, & Vannucci, C. (1985). Unraveling the effects of compensation, litigation, employment on treatment response in chronic pain. Pain, 23, 49–59.

    Article  PubMed  Google Scholar 

  • Endicott, J., & Spitzer, R. (1979). Use of the research diagnostic criteria and the schedule for affective disorders and schizophrenia to study affective disorders. American Journal of Psychiatry, 136, 52–56.

    PubMed  Google Scholar 

  • Flor, H., Birbaumer, N., & Turk, D. C. (1990). The psychobiology of chronic pain. Advances in Behavior Research and Therapy, 12, 47–84.

    Article  Google Scholar 

  • Flor, H., Fydrich, T., & Turk, D. C. (1992). Efficacy of multidisciplinary pain treatment centers: A metaanalytic review. Pain, 49, 221–230.

    Article  PubMed  Google Scholar 

  • Flor, H., Miltner, W, & Birbaumer, N. (1992). Psychophysiological recording methods. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 169–190). New York: Guilford.

    Google Scholar 

  • Flor, H., & Turk, D. C. (1984). Etiological theories and treatments for chronic low back pain. I: Somatic models and interventions. Pain, 19, 105–121.

    Article  PubMed  Google Scholar 

  • Flor, H., & Turk, D. C. (1989). Psychophysiology of chronic pain: Do chronic pain patients exhibit symptom-specific psychophysiological responses? Psychological Bulletin, 105, 215–259.

    Article  PubMed  Google Scholar 

  • Fordyce, W. E. (1976). Behavioral methods for chronic pain and illness. St. Louis: Mosby.

    Google Scholar 

  • Fordyce, W. E., Fowler, R. S., & DeLateur, B. (1968). An application of behavior modification technique to a problem of chronic pain. Behaviour Research and Therapy, 6, 105–107.

    Article  PubMed  Google Scholar 

  • Fordyce, W. F., Fowler, R. S., Lehmann, J. F., DeLateur, B. J., Sand, P. L., & Trieschmann, R. B. (1973). Operant conditioning in the treatment of chronic pain. Archives of Physical Medicine and Rehabilitation, 54, 399–408.

    PubMed  Google Scholar 

  • Hanson, R. W., & Gerber, K. E. (1990). Coping with chronic pain: A guide to patient self-management. New York: Guilford.

    Google Scholar 

  • Haythornthwaite, J. A., Sieber, W. J., & Kerns, R. D. (1991). Depression and the chronic pain experience. Pain, 46, 177–184.

    Article  PubMed  Google Scholar 

  • Heinrich, R. L., Cohen, M. J., Naliboflf, B. D., Collins, G. A., & Bonnebakker, A. D. (1985). Comparing physical and behavior therapy for chronic low back pain on physical abilities, psychological distress, and patient perceptions. Journal of Behavioral Medicine, 8, 61–78.

    Article  PubMed  Google Scholar 

  • Jacobson, N. S., & Margolin, G. (1979). Marital therapy: Strategies based on social learning and behavior exchange principles. New York: Brunner/Mazel.

    Google Scholar 

  • Jensen, M. P., Turner, J. A., Romano, J. M., & Karoly, P. (1991). Coping with chronic pain: A critical review of the literature. Pain, 47, 249–284.

    Article  PubMed  Google Scholar 

  • Keefe, F. J., & Block, A. R. (1982). Development of an observational method for assessing pain behavior in chronic low back pain patients. Behavior Therapy, 13, 363–375.

    Article  Google Scholar 

  • Keefe, F. J., Caldwell, D. S., Williams, D. A., Gil, K. M., Mitchell, D., Robertson, D., Robertson, C., Martinez, S., Nunley, J., Beckham, J. C., & Helms, M. (1990a). Pain coping skills training in the management of osteoarthritic knee pain: A comparative study. Behavior Therapy, 21, 49–62.

    Article  Google Scholar 

  • Keefe, F. J., Caldwell, D. S., Williams, D. A., Gil, K. M., Mitchell, D., Robertson, D., Robertson, C., Martinez, S., Nunley, J., Beckham, J. C., & Helms, M. (1990a). Pain coping skills training in the management of osteoarthritic knee pain. II: Follow-up results. Behavior Therapy, 21, 435–447.

    Article  Google Scholar 

  • Kerns, R. D., Finn, P., & Haythornthwaite, J. (1988). Self-monitored pain intensity: Psychometric properties and clinical utility. Journal of Behavioral Medicine, 11, 71–82.

    Article  PubMed  Google Scholar 

  • Kerns, R. D., & Haythornthwaite, J. (1988). Depression among chronic pain patients: Cognitive-behavioral analysis and effect on rehabilitation outcome. Journal of Consulting and Clinical Psychology, 56, 870–876.

    Article  PubMed  Google Scholar 

  • Kerns, R. D., Haythornthwaite, J., Rosenberg, R., Southwick, S., Giller, E. L., & Jacob, M. C. (1991). The Pain Behavior Check List (PBCL): Factor structure and psychometric properties. Journal of Behavioral Medicine, 14, 155–167.

    Article  PubMed  Google Scholar 

  • Kerns, R. D., Haythornthwaite, J., Southwick, S., & Giller, E. L., Jr. (1990). The role of marital interaction in chronic pain and depressive symptom severity. Journal of Psychosomatic Research, 34, 401–408.

    Article  PubMed  Google Scholar 

  • Kerns, R. D., & Jacob, M. C. (1992). Assessment of the psychosocial context of the experience of chronic pain. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 235–253). New York: Guilford.

    Google Scholar 

  • Kerns, R. D., & Jacob, M. C. (1993). Psychological aspects of back pain. In S. Newman & M. Shipley (Eds.), Psychological aspects of rheumatic disease (pp. 337–356). London: Bailliere Tindall.

    Google Scholar 

  • Kerns, R. D., & Jacob, M. C. (in press). Toward an integrative diathesis-stress model of chronic pin. In A. J. Goreczny & M. Hersen (Eds.), Handbook of health and rehabilitation psychology. New York: Plenum.

    Google Scholar 

  • Kerns, R. D., Southwick, S., Giller, E. L., Jr., Haythornthwaite, J. A., Jacob, M. C., & Rosenberg, R. (1991). The relationship between reports of pain-related social interactions and expressions of pain and affective distress. Behavior Therapy, 22, 101–111.

    Article  Google Scholar 

  • Kerns, R. D., Turk, D. C., Holzman, A. D., & Rudy, T. E. (1986). Comparison of cognitive-behavioral and behavioral approaches to the outpatient treatment of chronic pain. Clinical Journal of Pain, 1, 195–203.

    Google Scholar 

  • Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985). The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain, 23, 345–356.

    Article  PubMed  Google Scholar 

  • Letham, J., Slade, P. D., Troup, J. D. G., & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception. I. Behaviour Research and Therapy, 21, 401–408.

    Article  Google Scholar 

  • McCaul, K. D., & Malott, J. M. (1984). Distraction and coping with pain. Psychological Bulletin, 95, 516–533.

    Article  PubMed  Google Scholar 

  • McCracken, L. M., Zayfert, C., & Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: Development and validation of a scale to measure fear of pain. Pain, 50, 379–381.

    Article  Google Scholar 

  • Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1, 277–299.

    Article  PubMed  Google Scholar 

  • Melzack, R., & Wall, P. (1965). Pain mechanisms: A new theory. Science, 50, 971–979.

    Article  Google Scholar 

  • Moore, J. E., & Chaney, E. F. (1985). Outpatient group treatment of chronic pain: Effects of spouse involvement. Journal of Consulting and Clinical Psychology, 53, 326–334.

    Article  PubMed  Google Scholar 

  • Nicholas, M. K., Wilson, P. H., & Goyen, J. (1991). Comparison of operant-behavioural and cognitive-behavioural group treatment with and without relaxation training, for chronic low back pain. Behaviour Research and Therapy, 29, 225–238.

    Article  PubMed  Google Scholar 

  • Onghena, P., & Van Houdenhove, B. (1992). Antidepressant-induced analgesia in chronic non-malignant pain: A meta-analysis of 39 placebo-controlled studies. Pain, 49, 205–221.

    Article  PubMed  Google Scholar 

  • Phillips, H. C. (1987). The effects of behavioural treatment on chronic pain. Behaviour Research and Therapy, 25, 365–377.

    Article  Google Scholar 

  • Pilowsky, I., & Barrow, C. G. (1990). A controlled study of psychotherapy and amitriptyline used individually and in combination in the treatment of chronic intractable, “psychogenic” pain. Pain, 40, 3–19.

    Article  PubMed  Google Scholar 

  • Romano, J., & Turner, J. (1985). Chronic pain and depression: Does the evidence support a relationship? Psychological Bulletin, 97, 18–34.

    Article  PubMed  Google Scholar 

  • Romano, J. M., Turner, J. A., Friedman, L. S., Bulcroft, R. A., Jensen, M. P., Hops, H., & Wright, S. F. (1992). Sequential criterion analysis of chronic pain behaviors and spouse responses. Journal of Consulting and Clinical Psychology, 60, 777–782.

    Article  PubMed  Google Scholar 

  • Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in low back pain patients: Relationship to patient characteristics and current adjustment. Pain, 17, 33–40.

    Article  PubMed  Google Scholar 

  • Rudy, T. E., Kerns, R. D., & Turk, D. C. (1988). Chronic pain and depression: Toward a cognitive-behavioral mediation model. Pain, 35, 129–140.

    Article  PubMed  Google Scholar 

  • Steinberg, G. G. (1982). Epidemiology of low back pain. In M. Stanton-Hicks & R. A. Bogs (Eds.), Chronic low back pain (pp. 1–13). New York: Raven Press.

    Google Scholar 

  • Stone, C. E. (1984). The lifetime economic costs of rheumatoid arthritis. Journal of Rheumatology, 11, 819–827.

    PubMed  Google Scholar 

  • Turk, D. C., & Kerns, R. D. (1983). Conceptual issues in the assessment of clinical pain. International Journal of Psychiatry in Medicine, 13, 52–68.

    Article  Google Scholar 

  • Turk, D. C., & Kerns, R. D. (1985). Assessment in health psychology: A cognitive-behavioral perspective. In P. Karoly (Ed.), Measurement strategies in health psychology (pp. 335–372). New York: Wiley.

    Google Scholar 

  • Turk, D. C., Kerns, R. D., & Rosenberg, R. (1992). Effects of marital interaction on chronic pain and disability: Examining the down side of social support. Rehabilitation Psychology, 37, 259–274.

    Article  Google Scholar 

  • Turk, D.C., & Melzack, R. (1992). Handbook of pain assessment. New York: Guilford.

    Google Scholar 

  • Turk, D. C., Meichenbaum, D. H., & Genest, M. (1983). Pain and behavioral medicine: A cognitive-behavioral perspective. New York: Guilford.

    Google Scholar 

  • Turk, D. C., & Rudy, T. E. (1991). Neglected topics in the treatment of chronic pain patients—relapse, noncompliance, and adherence enhancement. Pain, 44, 5–28.

    Article  PubMed  Google Scholar 

  • Turner, J. A. (1982). Comparison of group progressive-relaxation training and cognitive-behavioral group therapy for chronic low back pain. Journal of Consulting and Clinical Psychology, 50, 757–765.

    Article  PubMed  Google Scholar 

  • Turner, J. A., & Clancy, S. (1988). Comparison of operant-behavioral and cognitive-behavioral group treatment for chronic low back pain. Journal of Consulting and Clinical Psychology, 56, 261–266.

    Article  PubMed  Google Scholar 

  • Turner, J. A., Clancy, S., McQuade, K. J., & Cardenas, D. D. (1990). Effectiveness of behavior therapy for chronic low back pain: A component analysis. Journal of Consulting and Clinical Psychology, 58, 573–579.

    Article  PubMed  Google Scholar 

  • Von Korff, M., Dworkin, S. F., LeResche, L, & Kruger, A. (1988). An epidemiologic comparison of pain complaints. Pain, 32, 173–183.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Psychology Service, West Haven VA Medical Center, West Haven, CT, 06516, USA

    Robert D. Kerns

  2. Departments of Psychiatry, Neurology, and Psychology, Yale University, New Haven, CT, 06520, USA

    Robert D. Kerns

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  1. Robert D. Kerns
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Editor information

Editors and Affiliations

  1. Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida, 33314, USA

    Michel Hersen

  2. Western Pennsylvania School for Blind Children, Pittsburgh, Pennsylvania, 15213-1499, USA

    Robert T. Ammerman

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© 1994 Springer Science+Business Media New York

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Kerns, R.D. (1994). Pain Management. In: Hersen, M., Ammerman, R.T. (eds) Handbook of Prescriptive Treatments for Adults. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1456-9_21

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  • DOI: https://doi.org/10.1007/978-1-4899-1456-9_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1458-3

  • Online ISBN: 978-1-4899-1456-9

  • eBook Packages: Springer Book Archive

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