Psychological interventions influence patients' attitudes and beliefs about their chronic pain

Background: Patients' changing attitudes and beliefs about pain are considered as improvements in the treatment of chronic pain. Multidisciplinary approaches to pain allow modifications of coping strategies of patients, from passive to active. Methods: We investigate how two therapeutic treatme...

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Main Authors: Audrey Vanhaudenhuyse, Aline Gillet, Nicole Malaise, Irène Salamun, Stéphanie Grosdent, Didier Maquet, Anne-Sophie Nyssen, Marie-Elisabeth Faymonville
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Journal of Traditional and Complementary Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2225411016302656
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author Audrey Vanhaudenhuyse
Aline Gillet
Nicole Malaise
Irène Salamun
Stéphanie Grosdent
Didier Maquet
Anne-Sophie Nyssen
Marie-Elisabeth Faymonville
author_facet Audrey Vanhaudenhuyse
Aline Gillet
Nicole Malaise
Irène Salamun
Stéphanie Grosdent
Didier Maquet
Anne-Sophie Nyssen
Marie-Elisabeth Faymonville
author_sort Audrey Vanhaudenhuyse
collection DOAJ
description Background: Patients' changing attitudes and beliefs about pain are considered as improvements in the treatment of chronic pain. Multidisciplinary approaches to pain allow modifications of coping strategies of patients, from passive to active. Methods: We investigate how two therapeutic treatments impact patients' attitudes and beliefs regarding pain, as measured with the Survey of Pain Attitudes (SOPA). We allocated 415 patients with chronic pain either to psychoeducation combined with physiotherapy, self-hypnosis combined with self-care learning, or to control groups. Pain intensity, global impression of change, and beliefs and attitudes regarding pain were assessed before and after treatment. Results: Our main results showed a significant effect of psychoeducation/physiotherapy on control, harm, and medical cure SOPA subscales; and a significant effect of self-hypnosis/self-care on control, disability and medical cure subscales. Correlation results showed that pain perception was negatively associated with control, while positively associated with disability, and a belief that hurt signifies harm. Patients' impression of improvement was associated with greater control, lower disability, and lower belief that hurt signifies harm. Conclusions: The present study showed that self-hypnosis/self-care and psychoeducation/physiotherapy were associated with patients' evolution of coping strategies from passive to active, allowing them to reduce pain perception and improve their global impression of treatment effectiveness. Keywords: Chronic pain, Hypnosis, Psychoeducation, Coping, Pain beliefs
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spelling doaj.art-ec7a07fe3059447088b6ec9f7f5701b12022-12-22T03:21:12ZengElsevierJournal of Traditional and Complementary Medicine2225-41102018-04-0182296302Psychological interventions influence patients' attitudes and beliefs about their chronic painAudrey Vanhaudenhuyse0Aline Gillet1Nicole Malaise2Irène Salamun3Stéphanie Grosdent4Didier Maquet5Anne-Sophie Nyssen6Marie-Elisabeth Faymonville7Algology-Palliative Care Department, University Hospital of Liège, University of Liège, Belgium; GIGA (ULg) B34, Quartier Hôpital, Sart-Tilman, Belgium; Corresponding author. Department of Algology and Palliative Care, University Hospital of Liège, University of Liège, Domaine Universitaire du Sart Tilman B35, B – 4000 Liège 1, Belgium. Fax: +32 4 366 70 13.Department of Work Psychology, University of Liège, BelgiumAlgology-Palliative Care Department, University Hospital of Liège, University of Liège, BelgiumAlgology-Palliative Care Department, University Hospital of Liège, University of Liège, BelgiumDepartment of Motricity Sciences, University Hospital of Liège, University of Liège, BelgiumDepartment of Motricity Sciences, University Hospital of Liège, University of Liège, BelgiumDepartment of Work Psychology, University of Liège, BelgiumAlgology-Palliative Care Department, University Hospital of Liège, University of Liège, BelgiumBackground: Patients' changing attitudes and beliefs about pain are considered as improvements in the treatment of chronic pain. Multidisciplinary approaches to pain allow modifications of coping strategies of patients, from passive to active. Methods: We investigate how two therapeutic treatments impact patients' attitudes and beliefs regarding pain, as measured with the Survey of Pain Attitudes (SOPA). We allocated 415 patients with chronic pain either to psychoeducation combined with physiotherapy, self-hypnosis combined with self-care learning, or to control groups. Pain intensity, global impression of change, and beliefs and attitudes regarding pain were assessed before and after treatment. Results: Our main results showed a significant effect of psychoeducation/physiotherapy on control, harm, and medical cure SOPA subscales; and a significant effect of self-hypnosis/self-care on control, disability and medical cure subscales. Correlation results showed that pain perception was negatively associated with control, while positively associated with disability, and a belief that hurt signifies harm. Patients' impression of improvement was associated with greater control, lower disability, and lower belief that hurt signifies harm. Conclusions: The present study showed that self-hypnosis/self-care and psychoeducation/physiotherapy were associated with patients' evolution of coping strategies from passive to active, allowing them to reduce pain perception and improve their global impression of treatment effectiveness. Keywords: Chronic pain, Hypnosis, Psychoeducation, Coping, Pain beliefshttp://www.sciencedirect.com/science/article/pii/S2225411016302656
spellingShingle Audrey Vanhaudenhuyse
Aline Gillet
Nicole Malaise
Irène Salamun
Stéphanie Grosdent
Didier Maquet
Anne-Sophie Nyssen
Marie-Elisabeth Faymonville
Psychological interventions influence patients' attitudes and beliefs about their chronic pain
Journal of Traditional and Complementary Medicine
title Psychological interventions influence patients' attitudes and beliefs about their chronic pain
title_full Psychological interventions influence patients' attitudes and beliefs about their chronic pain
title_fullStr Psychological interventions influence patients' attitudes and beliefs about their chronic pain
title_full_unstemmed Psychological interventions influence patients' attitudes and beliefs about their chronic pain
title_short Psychological interventions influence patients' attitudes and beliefs about their chronic pain
title_sort psychological interventions influence patients attitudes and beliefs about their chronic pain
url http://www.sciencedirect.com/science/article/pii/S2225411016302656
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