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  4. Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Frontiers in Psychology, 2016 · DOI: 10.3389/fpsyg.2016.00115 · Published: February 19, 2016

Mental HealthNeurorehabilitation

Simple Explanation

Treating pain is crucial for effective care within neurological rehabilitation. Psychological treatments are valuable tools within a multidisciplinary approach for fostering a reduction in pain intensity. There is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. Psychological therapies play an important role in the multidisciplinary treatment of pain in the neurorehabilitation setting because of their efficacy and the general absence of side effects.

Study Duration
Not specified
Participants
400 articles
Evidence Level
Systematic review

Key Findings

  • 1
    Cognitive—Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction.
  • 2
    Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain.
  • 3
    The different interventions can be specifically selected depending on the disease being treated.

Research Summary

The Italian Consensus Conference on Pain in Neurorehabilitation aimed to identify best practices for treating pain in neurological rehabilitation, recognizing the importance of psychological treatments alongside drug therapies and physical interventions. A systematic review of studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed, outlining recommendations based on the level of evidence for different conditions. Psychological interventions and psychotherapies are safe and effective treatments that can be integrated into neurological rehabilitation for pain, with specific interventions tailored to the treated disease.

Practical Implications

Integrated Pain Management

Psychological interventions should be integrated into comprehensive pain management programs for patients undergoing neurological rehabilitation.

Tailored Treatment Selection

Specific psychotherapeutic approaches should be selected based on the patient's specific neurological condition and individual needs.

Further Research

More research is needed to validate the effects of different forms of psychotherapy, particularly for conditions where evidence is limited.

Study Limitations

  • 1
    The overall strength of the recommendations was medium/low.
  • 2
    The methodological quality of the studies addressing this issue is often insufficient
  • 3
    Heterogeneity of the results may be due to differences in the methodological quality of the studies and in the interventions examined.

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