Psychological support of patients with chronic pain on multidisciplinary management

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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.

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About the authors

Vladimir V. Khinovker

Federal Siberian Research Clinical Centre FMBA of Russia

Author for correspondence.
Email: vhinov@hotmail.com
ORCID iD: 0000-0002-3162-6298

MD, PhD, the Head of the Department of Anesthesiology and Intensive Care, Federal Siberian Research Clinical Centre FMBA of Russia

Russian Federation, 660037, Krasnoyarsk, 26 Kolomenskaya Street, PO Box 6213

M. V. Alkina

Federal Siberian Research Clinical Centre FMBA of Russia

Email: vhinov@hotmail.com
ORCID iD: 0000-0001-9168-5823
Russian Federation, 660037, Krasnoyarsk, 26 Kolomenskaya Street, PO Box 6213

P. A. Chernomurova

Federal Siberian Research Clinical Centre FMBA of Russia

Email: vhinov@hotmail.com
ORCID iD: 0000-0001-7592-2390
Russian Federation, 660037, Krasnoyarsk, 26 Kolomenskaya Street, PO Box 6213

A. A. Gazenkampf

2Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky

Email: vhinov@hotmail.com
ORCID iD: 0000-0001-8515-2991
Russian Federation, 660022, Krasnoyarsk

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Supplementary files

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2. Fig. 1. Anxiety level in the primary study (control and study groups)

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3. Fig. 2. Level of quality of life (physical component) in the primary study (control and study groups)

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4. Fig. 3. Quality of life (psychological component) in the primary study (control and study groups)

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5. Fig. 4. Depression level in the primary study (control and study groups)

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6. Fig. 5. Pain level assessed by VAS in the primary study (study and control groups)

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7. Fig. 6. Anxiety level in the repeated study (control and study groups)

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8. Fig. 7. Quality of life (physical component) the repeated study (control and study groups)

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9. Fig. 8. Quality of life level, psychological component the repeated study (control and study groups)

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10. Fig. 9. Depression level in the repeated study (control and study groups)

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11. Fig. 10. Pain level in the repeated (control and study groups)

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