Details

Autor(en) / Beteiligte

• Tang, Nicole K.Y.

Titel

Cognitive behavioural therapy in pain and psychological disorders: Towards a hybrid future

Ist Teil von

• Progress in neuro-psychopharmacology & biological psychiatry, 2018-12, Vol.87 (Pt B), p.281-289

Ort / Verlag

England: Elsevier Inc

Erscheinungsjahr

2018

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Cognitive Behavioural Therapy (CBT) is a form of evidence-based talking therapy that emphasises the importance of behaviour and conscious thoughts in shaping our emotional experiences. As pain becomes increasingly accepted as not only a sensory but also an emotional experience, success in using CBT to treat emotional disorders has resulted in the incorporation of cognitive-behavioural principles into the management of chronic pain. Outcomes of CBT-informed interdisciplinary pain management programmes are modest at best, despite rapid methodological improvements in trial design and implementation. Whilst the field searches for new treatment directions, a hybrid CBT approach that seeks to simultaneously tackle pain and its comorbidities shows promise in optimising treatment effectiveness and flexibility. This article provides a brief description of the core characteristics of CBT and the transformation this therapeutic model has brought to our understanding and management of chronic pain. Current evidence on efficacy of CBT for chronic pain is then reviewed, followed by a critical consideration of the advantages and disadvantages of the new hybrid treatment approach that conceptualises and treats chronic pain in connection with its comorbidities. Recent progress made in the area of pain and insomnia is highlighted as an example to project therapeutic innovations in the near future. •CBT’s success in treating emotional disorders has led to its application in chronic pain, a sensory & emotional experience•Success in using CBT to treat emotional disorders has led to its application in chronic pain, a sensory and emotional experience.•Effects of interdisciplinary pain management programmes based on CBT principles are however modest…•…and relatively weak compared to the effects achieved by CBT for emotional disorders•A hybrid CBT that simultaneously tackles chronic pain and its comorbidities is an alternative treatment approach