What is one of the most researched variables of pain that influences pain intensity and physical / psychosocial disability?
What is the assumption of cognitive models of pain?
Why is it that certain patients when referred for psychological treatment (for a pain problem), may not attend the sessions or follow through with homework assignments or practice recommendations that are often a part of these psychological approaches?
What are the four psychologic factors of Mr. H’s pain?
According to Romano, what are the three specific goals of a psychological assessment?
How do the gate control theory and the biopsychosocial model of pain relate to cognitive-behavioral therapy?
A. coping and coping strategies.
B. (a) identify psychosocial factors that may affect pain perception and behavior as well as functional impairment, (b) identify specific treatment goals for each patient and (c) identify intervention strategies that may produce maximum patient improvement.
C. One reason for this apparent resistance may be the belief that seeing a psychologist for pain problems amounts to an admission that their pain is "in the head" and not real.
D. The assumption of cognitive models of pain is that cognitive activity and an individual’s emotional distress or behavioral difficulty is not a direct reaction to an untoward life event but rather a consequence of how that event is perceived.
E. The gate control theory explicitly acknowledges the roles of cognitive-evaluative and affective motivational processes, in addition to sensory- discriminative or nociceptive input, in determining an individual’s perception of pain. The biopsychosocial model provides a more general framework for explaining the interrelationship among biologic, psychological, and social influences on individual’s experience of illness.
F. (1) significant fear-avoidance, (2) does not pace his activities to adjust for his pain, (3) coping skills are passive and rely heavily on resting and taking analgesic medications, and (4) prior history of depression.
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