Details

Autor(en) / Beteiligte

• Connolly, Megan E.
• Hardy, Steven J.
• Duncan, Christina L

Titel

Clinical Considerations for Behavioral Pain Management in Co-Occurring Acute and Chronic Pain Presentations

Ist Teil von

• Clinical practice in pediatric psychology, 2023-06, Vol.11 (2), p.121-133

Ort / Verlag

Educational Publishing Foundation

Erscheinungsjahr

2023

Link zum Volltext

Quelle

PsycARTICLES

Beschreibungen/Notizen

• Objective: Behavioral pain management treatments are typically provided after a multidisciplinary assessment determining whether the nature of pain is expected to be short-term (i.e., acute) or whether the pain is persistent (i.e., chronic). However, many of the standard ways clinicians approach pain management are challenged by the presentation of co-occurring acute and chronic pain experiences, such as can be the case in sickle cell disease (SCD), headache management (migraines and daily persisting headaches), chronic musculoskeletal pain with reinjury, and juvenile idiopathic arthritis, among others. Such overlapping pain presentations can involve conflicting treatment approaches for pain management. Currently, there is burgeoning, yet still limited, understanding of the complexity of co-occurring acute and chronic pain presentations. Methods: Given the unique pain presentation common in SCD, among other conditions, we review how behavioral pain management strategies can utilize complementary approaches to address the experience of co-occurring acute and chronic pain. Results: This commentary provides a brief historical review of the evolution of our understanding of pain perception and psychological treatments for pain. We propose an innovative clinical framework for behavioral pain management of co-occurring acute and chronic pain. Conclusions: We hope to enhance the current dialogue around pain perception and pain burden to address the unique needs of co-occurring acute and chronic pain presentations. Ongoing areas for research and clinical considerations are also discussed. Implications for Impact Statement There is increasing awareness of the heterogeneity of pain conditions involving both acute and chronic pain. This commentary proposes a new care model for behavioral pain management for individuals experiencing co-occurring acute and chronic pain. Behavioral pain management strategies should consider complementary and flexible approaches that address the cumulative experience of both acute and chronic pain.