Psychological Approaches to Pain Management

Third Edition
A Practitioner's Handbook

Edited by Dennis C. Turk and Robert J. Gatchel

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July 3, 2018
ISBN 9781462528530
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586 Pages
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This authoritative handbook—now significantly revised with more than 50% new material—introduces practitioners and students to the state of the art in psychological interventions for managing pain. Leading experts review the most effective treatment approaches for enhancing patients' coping and self-efficacy and reducing pain-related disability, including cognitive-behavioral therapy, biofeedback, clinical hypnosis, group therapy, and more. Strategies for integrating psychosocial and medical treatments for specific populations are described, with chapters on back pain, headache, cancer, and other prevalent chronic pain disorders. Attention is given to customizing intervention for individual patients, maximizing treatment adherence, and preventing overuse of opioids and other medications.

New to This Edition

“The field of pain management will need a stronger relationship with the biopsychosocial perspective if pain care is to improve. This book is foundational in strengthening such a relationship. The third edition embodies the wisdom of many respected clinicians and scholars who discuss psychological/behavioral aspects of pain and provide direct, evidence-based recommendations on both the 'what' and 'how' of clinical practice. Existing chapters have been updated and new chapters added on cutting-edge topics as mobile health pain technologies, psychological resilience, and the management of comorbid substance use disorder. I highly recommend this handbook to students, clinicians, researchers, and policymakers. It continues to be a mainstay on my bookshelf.”

—David A. Williams, PhD, Department of Anesthesiology and Associate Director, Chronic Pain and Fatigue Research Center, University of Michigan


“Turk and Gatchel have assembled an all-star cast of distinguished clinician-scientists to review the theories, research, and applications that have generated the exciting contemporary field of pain psychology. The writing is clear and the story well told—there is something for everyone interested in pain. For psychology students, the entire volume is 'must' reading. For behavioral clinicians, each chapter provides very practical clinical instructions, illustrated with sample dialogues and helpful tables and figures, and updates the latest evidence supporting different therapies. There is also much here for pain medicine specialists, who should familiarize themselves with this book to help them work effectively with their behavioral team members. The chapter on enhancing motivation to change is particularly pertinent.”

—Rollin M. Gallagher, MD, MPH, Editor-in-Chief, Pain Medicine; Director for Pain Policy Research and Primary Care, Penn Pain Medicine, University of Pennsylvania


“This handbook continues to be the foremost reference for anyone interested in treating pain from a cognitive-behavioral perspective. The third edition profits from the wealth of new research that has facilitated mechanism-based psychological interventions for both acute and chronic pain. It covers established and novel pain management approaches and presents detailed treatment suggestions for prevalent pain syndromes. New and exciting approaches include methods to enhance resilience and interventions based on advanced technologies; the book also addresses the growing number of patients with comorbid psychological disorders. Combining scientific rigor with very clear instruction for clinical practice, this book meets the needs of clinicians, scientists, and students alike.”

—Herta Flor, PhD, Professor of Neuropsychology and Clinical Psychology, Medical Faculty Mannheim, Heidelberg University, Germany


“This is the most comprehensive handbook detailing psychological approaches to pain management available today. Readers will appreciate the well-organized, integrated presentations of conceptual issues; the diversity of approaches; and the applications to treatment of various pain populations. The third edition is greatly enhanced with new additions addressing areas of increasing interest. This is a 'must-have' resource for clinicians and researchers in pain medicine. It is also an effective teaching tool for trainees in any pain-related discipline.”

—Akiko Okifuji, PhD, Division of Pain Medicine, Department of Anesthesiology, University of Utah

Table of Contents

I. Conceptual, Diagnostic, and Methodological Issues

1. Biopsychosocial Perspective on Chronic Pain, Dennis C. Turk & Elena S. Monarch

2. Psychological Disorders and Chronic Pain: Are There Cause-and-Effect Relationships?, Eric Salas, Nancy Kishino, Jeffrey Dersh, & Robert J. Gatchel

3. Conducting and Evaluating Treatment Outcome Studies, Amanda C. de C. Williams & Stephen Morley

II. Treatment Approaches and Methods

4. Enhancing Motivation to Change in Pain Treatment, Mark P. Jensen

5. Operant and Related Conditioning with Chronic Pain: Back to Basics, Steven H. Sanders

6. A Cognitive-Behavioral Perspective on the Treatment of Individuals Experiencing Chronic Pain, Dennis C. Turk

7. Introduction to Biofeedback Training for Chronic Pain Disorders, John G. Arena & James D. Tankersley

8. Clinical Hypnosis in the Treatment of Chronic and Acute Pain, Lindsey C. McKernan, Michael R. Nash, & David R. Patterson

9. Exposure In Vivo for Pain-Related Fear, Johan W. S. Vlaeyen, Marlies den Hollander, Jeroen de Jong, & Laura Simons

10. Group Therapy for Patients with Chronic Pain, Francis J. Keefe, Pat M. Beaupre, Meredith E. Rumble, Sarah A. Kelleher, & Alyssa N. Van Denburg

11. Treating Adults with Chronic Pain and Their Families: Application of an Enhanced Cognitive-Behavioral Transactional Model, Hallie Tankha, Robert D. Kerns, & AnnMarie Cano

12. Facilitating Patient Resilience: Mindfulness-Based Stress Reduction, Acceptance, and Positive Social and Emotional Interventions, John A. Sturgeon & Beth D. Darnall

13. Integration of Pharmacotherapy with Psychological Treatment of Chronic Pain, Peter B. Polatin, Noor M. Gajraj, & Howard Cohen

14. Using Advanced Technologies to Improve Access to Treatment, to Improve Treatment, and to Directly Alter Experience, Christopher Eccleston, Abby Tabor, & Edmund Keogh

III. Specific Syndromes and Populations

15. Evaluating Patients for Neuromodulation Procedures, Daniel M. Doleys & Leanne R. Cianfrini

16. Strengthening Self-Management of Low Back Pain in Primary Care: An Evolving Paradigm, Ben H. Balderson, Sherri D. Pruitt, & Michael Von Korff

17. A Cognitive-Behavioral Approach to Early Interventions to Prevent Chronic Pain-Related Disability, Steven James Linton

18. Occupational Musculoskeletal Pain and Disability, Christopher T. Ray, Robert J. Gatchel, Ryan Hulla, & Ann Wright Stowell

19. Recurrent Headache Disorders, Todd A. Smitherman, Alexander J. Kuka, Dawn C. Buse, & Donald B. Penzien

20. Treatment of Patients with Fibromyalgia, Dennis C. Turk

21. Treatment of Patients with Whiplash-Associated Disorders, Michelle Sterling

22. Treatment of Patients with Temporomandibular Disorders, Angela Liegey Dougall, Lynette Watts, & Robert J. Gatchel

23. Treating the Patient with Genito-Pelvic Pain, Sophie Bergeron, Natalie O. Rosen, & Serena Corsini-Munt

24. Treating Patients with Functional Gastrointestinal Pain Disorders, Miranda A. L. van Tilburg & William E. Whitehead

25. Treating Cancer Patients with Persistent Pain, Chelsea Ratcliff & Diane Novy

26. Treating Patients with Somatic Symptom and Related Disorders, Don McGeary, Cindy McGeary, & Paul Nabity

27. Treating Patients with Posttraumatic Stress Disorder and Chronic Pain, Laurie D. Wolf & John D. Otis

28. Management of Chronic Pain in Patients with Comorbid Substance Use Disorder, Benjamin J. Morasco, Travis I. Lovejoy, & Mark A. Ilgen

29. Treating Children and Adolescents with Chronic Pain, Emma Fisher, Rachel Aaron, & Tonya M. Palermo

30. Treating Older Patients with Persistent Pain, Thomas Hadjistavropoulos


About the Editors

Dennis C. Turk, PhD, is the John and Emma Bonica Professor of Anesthesiology and Pain Research and Director of the Center for Pain Research on Impact, Measurement, and Effectiveness at the University of Washington School of Medicine. He is Editor-in-Chief of the Clinical Journal of Pain and a past president of the American Pain Society. Dr. Turk's research focuses on assessment and treatment of patients with a range of chronic pain conditions, coping with and adaptation to chronic illness, clinical decision making, and clinical trial methodology. Widely published, Dr. Turk is the recipient of honors including the John C. Liebeskind Award for Career Contribution to Pain Research from the American Academy of Pain Management and the Wilbert E. Fordyce Clinical Investigator Award and the John and Emma Bonica Public Service Award, both from the American Pain Society.

Robert J. Gatchel, PhD, ABPP, is Distinguished Professor of Psychology and Nancy P. and John G. Penson Endowed Professor of Clinical Health Psychology at The University of Texas at Arlington, where he is also Director of the Center of Excellence for the Study of Health and Chronic Illnesses. In addition, he is Clinical Professor at the Eugene McDermott Center for Pain Management at The University of Texas Southwestern Medical Center at Dallas. Dr. Gatchel's research and clinical work have focused on the biopsychosocial approach to the etiology, assessment, treatment, and prevention of chronic stress and pain behavior; the comorbidity of physical and mental health disorders; and clinical health psychology. Widely published, Dr. Gatchel is the recipient of honors including the Senior Scientist Award from the National Institutes of Health and the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation.

Contributors

Rachel V. Aaron, PhD, Seattle Children’s Hospital Research Institute, Seattle, Washington

John G. Arena, PhD, Charlie Norwood VA Medical Center and Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia

Benjamin H. Balderson, PhD, Kaiser Permanente Washington Health Research Institute, Seattle, Washington

Pat M. Beaupre, PhD, private practice, Redlands, California

Sophie Bergeron, PhD, Department of Psychology, University of Montreal, Montreal, Quebec, Canada

Dawn C. Buse, PhD, Department of Neurology, Montefiore Medical Center, Bronx, New York

Annmarie Cano, PhD, Department of Psychology, Wayne State University, Detroit, Michigan

Leanne R. Cianfrini, PhD, The Doleys Clinic, Birmingham, Alabama

Howard Cohen, MD, Progressive Pain and Psychiatry Clinic, Dallas, Texas

Serena Corsini-Munt, PhD, Department of Psychology and Neuroscience, University of Halifax, Halifax, Nova Scotia, Canada

Beth D. Darnall, PhD, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California

Jeroen de Jong, PhD, Department of Rehabilitation, Maastricht University Medical Centre, Maastricht, The Netherlands

Marlies den Hollander, MSc, Department of Rehabilitation, Maastricht University Medical Centre, Maastricht, The Netherlands

Jeffrey Dersh, PhD, South Texas Veterans Health Care System, San Antonio, Texas

Daniel M. Doleys, PhD, The Doleys Clinic, Birmingham, Alabama

Angela Liegey Dougall, PhD, Department of Psychology, University of Texas at Arlington, Arlington, Texas

Christopher Eccleston, PhD, Department for Health, University of Bath, Bath, United Kingdom; Department of Clinical and Health Psychology, Ghent University, Ghent, Belgium

Emma Fisher, PhD, Seattle Children’s Hospital Research Institute, Seattle, Washington

Noor M. Gajraj, MD, North Texas Center for Pain Management, Plano, Texas

Robert J. Gatchel, PhD, ABPP, Department of Psychology, University of Texas at Arlington, Arlington, Texas

Thomas Hadjistavropoulos, PhD, ABPP, Department of Psychology and Centre on Aging and Health, University of Regina, Regina, Saskatchewan, Canada

Ryan Hulla, BA, BS, Department of Psychology, University of Texas at Arlington, Arlington, Texas

Mark A. Ilgen, PhD, VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, and Department of Psychiatry, University of Michigan, Ann Arbor, Michigan

Mark P. Jensen, PhD, Department of Rehabilitation Medicine, University of Washington, Seattle, Washington

Francis J. Keefe, PhD, Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina

Sarah A. Kelleher, PhD, Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina

Edmund Keogh, PhD, Department for Health, University of Bath, Bath, United Kingdom

Robert D. Kerns, PhD, Departments of Psychiatry, Neurology, and Psychology,

Yale University, New Haven, Connecticut; Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, Connecticut

Nancy Kishino, OTR/L, West Coast Spine Rehabilitation Center, Riverside, California

Alexander J. Kuka, MA, Department of Psychology, University of Mississippi, Oxford, Mississippi

Steven James Linton, PhD, Center for Health and Medical Psychology, Örebro University, Örebro, Sweden

Travis I. Lovejoy, PhD, MPH, Center to Improve Veteran Involvement in Care, VA Portland Health Care System, and Department of Psychiatry, Oregon Health & Science University, Portland, Oregon

Cindy McGeary, PhD, ABPP, Department of Psychiatry, University of Texas Health Science Center, San Antonio, Texas

Don McGeary, PhD, ABPP, Department of Psychiatry, University of Texas Health Science Center, San Antonio, Texas

Lindsey C. McKernan, PhD, Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee

Elena S. Monarch, PhD, Lyme and PANS Treatment Center, Cohasset, Massachusetts

Benjamin J. Morasco, PhD, Center to Improve Veteran Involvement in Care,

VA Portland Health Care System, and Department of Psychiatry, Oregon Health & Science University, Portland, Oregon

Stephen Morley, PhD (deceased), Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom

Paul Nabity, PhD, Department of Psychiatry, University of Texas Health Science Center, San Antonio, Texas

Michael R. Nash, PhD, ABPP, Department of Psychology, University of Tennessee, Knoxville, Tennessee

Diane Novy, PhD, Department of Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas

John D. Otis, PhD, Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Tonya M. Palermo, PhD, Seattle Children’s Hospital Research Institute, Seattle, Washington

David R. Patterson, PhD, ABPP, Department of Rehabilitation Medicine, University of Washington, Seattle, Washington

Donald B. Penzien, PhD, Departments of Anesthesiology, Neurology, and Psychiatry, Wake Forest School of Medicine, Winston-Salem, North Carolina

Peter B. Polatin, MD, private practice, Dallas, Texas

Sheri D. Pruitt, PhD, private practice, Sacramento, California

Chelsea Ratcliff, PhD, Department of Psychology and Philosophy, Sam Houston State University, Huntsville, Texas

Christopher T. Ray, PhD, College of Nursing and Health Innovations, University of Texas at Arlington, Arlington, Texas

Natalie O. Rosen, PhD, Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada

Meredith E. Rumble, PhD, Department of Psychiatry and Psychology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Eric Salas, MA, Department of Psychology, University of Texas at Arlington, Arlington, Texas

Steven H. Sanders, PhD, Chronic Headache Management Program, James A. Haley VA Hospital, Tampa, Florida

Laura Simons, PhD, Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California

Todd A. Smitherman, PhD, Departments of Anesthesiology, Neurology, and Psychiatry, University of Mississippi, Oxford, Mississippi

Michele Sterling, PhD, Recovery Injury Research Centre, University of Queensland, Herston, Australia

Anna Wright Stowell, PhD, private practice, Dallas, Texas

John A. Sturgeon, PhD, Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington

Abby Tabor, PhD, Department for Health, University of Bath, Bath, United Kingdom

James D. Tankersley, MS, Charlie Norwood VA Medical Center, Augusta, Georgia

Hallie Tankha, MEd, Department of Psychology, Wayne State University, Detroit, Michigan

Dennis C. Turk, PhD, Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington

Alyssa N. Van Denburg, MA, Department of Psychology and Neuroscience, Duke University, Durham, North Carolina

Miranda A. L. van Tilburg, PhD, Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Johan W. S. Vlaeyen, PhD, Department of Health Psychology, KU Leuven University, Leuven, Belgium

Michael Von Korff, ScD, Kaiser Permanente Washington Health Research Institute, Seattle, Washington

Lynette Watts, BS, Department of Psychology, University of Texas at Arlington, Arlington, Texas

William E. Whitehead, PhD, Center for Functional Gastroenterological and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Amanda C. de C. Williams, PhD, Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom

Laurie D. Wolf, PhD, Orlando VA Medical Center, Orlando, Florida

Audience

Clinical psychologists, counselors, social workers, and psychiatrists; also of interest to nurses, physicians, and allied health professionals.

Course Use

Serves as a supplemental text in graduate-level courses in health psychology, primary care psychology, hospital social work, behavioral medicine, and psychological intervention in healthcare.
Previous editions published by Guilford:

Second Edition, © 2002
ISBN: 9781572306424

First Edition, © 1996
ISBN: 9780898622928
New to this edition: