Psychological support of patients with chronic pain on multidisciplinary management

Abstract

Background. Although pain has been studied extensively, its treatment remains an urgent problem. Pain can be caused by various factors, both at the physiological and psychological levels. Patients with chronic pain develop specific psychological problems. Viewing pain through the prism of a psychosocial approach involves the use and development of new psychotechnologies.
 Objective. This study aimed to explore the possibilities of improving the emotional state and reducing pain intensity in patients with chronic back pain using mindfulness and cognitive behavioral therapy techniques.
 Materials and methods. The study sample consisted of 30 patients with chronic back pain (20 women, 10 men) who were on outpatient treatment at a pain management center.
 Results and discussion. Based on the results of the analysis and generalization of literature sources, we prepared a psychological support program, including cognitive behavioral and mindfulness techniques. The program consisted of three blocks: diagnostics, exercises, and repeat diagnostics. Experimental data have shown the possibility and confirmed the effectiveness of reducing levels of depression, anxiety, and pain.
 Conclusions. Patients with chronic pain often present with varying levels of depression and anxiety symptoms and a reduced quality of life.
 A medical and psychological support program using mindfulness techniques and cognitive behavioral therapy positively influenced the level of anxiety, depression, and pain intensity.
 A medical and psychological support program helped patients learned methods of self-regulation and self-relaxation.