Psychoeducation and Self-management Group Therapy for Chronic Pain

Treatment

DIAGNOSIS: Chronic Pain

TREATMENT: Psychoeducation and Self-management Group Therapy for Chronic Pain

BRIEF SUMMARY

Basic premise: Self-management and psychoeducation groups help provide patients with an understanding of cognitive and behavioral strategies to maximize function and reduce pain as well as how to build support systems, modify responsibilities, manage emotions, maintaining a healthy lifestyle, and using resources. The educational process typically includes social, cognitive, and behavioral theories that target aspects such as improved confidence, acceptance of limitations, and cultivating more positivity. These types of groups are typically run by a psychologist in a clinical setting or on an interdisciplinary team. The group dynamic is utilized for role modeling and to encourage problem solving.

TREATMENT RESOURCES

TREATMENT MANUALS

Pain Self-Management Training Group Manual (Ersek et al., 2008 - email lead author for resource)

Brief Pain Self-Management (BPSM) Program Facilitator’s Guide (Nicholas et al., 2017)

CDC Self-management Education Workshops (CDC)

Chronic Pain Self-Management Program (CPSMP) (Self-management Resource Center)

PAIN Self Management Program Tool Kit (For purchase)

Stanford Pain Medicine Pain Science Lecture Series (Video)

Self-management education for chronic pain presentation (Lefort)

ADDITIONAL RESOURCES

Living a healthy life with chronic pain (LeFort et al., 2015)

The chronic pain management sourcebook (Drum, 2020)

Stanford Chronic Pain Self-Management Program Workbook Handout (Karayannis)

Resource Gide to Chronic Pain Management (American Chronic Pain Association and Stanford University)

Self Management Resource Center Trainings (Self Management Resource Center)

Arthritis Lifestyle Management Guide (Arthritis Research Canada)

Promoting Chronic Pain Self-management Education Fact Sheet (International Association for the Study of Pain)

Self Management for Chronic Pain (Mirgain and Singles, 2016)

Pain Self-management Strategies Handout (Wanlass and Fishman)

SUPPORTING STUDIES

Damush, T. M., Weinberger, M., Perkins, S. M., Rao, J. K., Tierney, W. M., Qi, R., & Clark, D. O. (2003). The long-term effects of a self-management program for inner-city primary care patients with acute low back pain. Archives of internal medicine, 163(21), 2632–2638.

https://doi.org/10.1001/archinte.163.21.2632

Ersek, M., Turner, J. A., Cain, K. C., & Kemp, C. A. (2008). Results of a randomized controlled trial to examine the efficacy of a chronic pain self-management group for older adults [ISRCTN11899548]. Pain, 138(1), 29-40.

https://doi.org/10.1016/j.pain.2007.11.003

Gustavsson, C., Denison, E., & von Koch, L. (2009). Self-management of persistent neck pain: A randomized controlled trial of a multi-component group intervention in primary health care. European Journal of Pain, 14(6), 630.e1–630.e11.

https://doi.org/10.1016/j.ejpain.2009.10.004

Haas, M., Groupp, E., Muench, J., Kraemer, D., Brummel-Smith, K., Sharma, R., Ganger, B., Attwood, M., & Fairweather, A. (2004). Chronic disease self-management program for low back pain in the elderly. Journal of Manipulative and Physiological Therapeutics, 28, 228-237.

https://doi.org/10.1016/j.jmpt.2005.03.010

Hammond, A., & Freeman, K. (2004). The long-term outcomes from a randomized controlled trial of an educational-behavioural joint protection programme for people with rheumatoid arthritis. Clinical Rehabilitation, 18(5), 520-528.

https://doi.org/10.1191/0269215504cr766oa

Hammond, A., Bryan, J., & Hardy, A. (2008). Effects of a modular behavioural arthritis education programme: a pragmatic parallel-group randomized controlled trial. Rheumatology, 47, 1712-1718.

https://doi.org/10.1093/rheumatology/ken380

Haugli, L., Steen, E., Lærum, E., Nygard, R., & Finset, A. (2001). Learning to have less pain–is it possible? A one-year follow-up study of the effects of a personal construct group learning programme on patients with chronic musculoskeletal pain. Patient Education and Counseling, 45(2), 111-118.

https://doi.org/10.1016/S0738-3991(00)00200-7

Keefe, F. J., Caldwell, D. S., Williams, D. A., Gil, K. M., Mitchell, D., Robertson, C., Martinez, S., Nunley, J., Beckham, J. C., Crisson, J. E., & Helms, M. (1990). Pain coping skills training in the management of osteoarthritic knee pain: A comparative study. Behavior Therapy, 21(1), 49-62.

https://doi.org/10.1016/S0005-7894(05)80188-1

Masiero, S., Boniolo, A., Wassermann, L., Machiedo, H., Volante, D., & Punzi, L. (2007). Effects of an educational–behavioral joint protection program on people with moderate to severe rheumatoid arthritis: A randomized controlled trial. Clinical Rheumatology, 26, 2043-2050.

https://doi.org/10.1007/s10067-007-0615-0

Potts, S. G., Lewin, R., Fox, K. A., & Johnstone, E. C. (1999). Group psychological treatment for chest pain with normal coronary arteries. QJM: Monthly Journal of the Association of Physicians, 92(2), 81–86.

https://doi.org/10.1093/qjmed/92.2.81

Somers, T. J., Blumenthal, J. A., Guilak, F., Kraus, V. B., Schmitt, D. O., Babyak, M. A., Craighead, L. W., Caldwell, D. S., Rice, J. R., McKee, D. C., Shelby, R. A., Campbell, L. C., Pells, J. J., Sims, E. L., Queen, R., Carson, J. W., Connelly, M., Dixon, K. E., LaCaille, L. J., . . . Keefe, F. J. (2012). Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study. Pain, 153(6), 1199-1209.

https://doi.org/10.1016/j.pain.2012.02.023

Thorn, B. E., Day, M. A., Burns, J., Kuhajda, M. C., Gaskins, S. W., Sweeney, K., McConley, R., Ward, L. C., & Cabbil, C. (2011). Randomized trial of group cognitive behavioral therapy compared with a pain education control for low-literacy rural people with chronic pain. Pain, 152(12), 2710-2720.

https://doi.org/10.1016/j.pain.2011.07.007

Thorn, B. E., Eyer, J. C., Van Dyke, B. P., Torres, C. A., Burns, J. W., Kim, M., Newman, A. K., Campbell, L. C., Anderson, B., Block, P. R., Bobrow, B. J., Brooks, R., Burton, T. T., Cheavens, J. S., DeMonte, C. M., DeMonte, W. D., Edwards, C. S., Jeong, M., Mulla, M. M., . . . Tucker, D. H. (2018). Literacy-adapted cognitive behavioral therapy versus education for chronic pain at low-income clinics. Annals of Internal Medicine, 2018, 471-480.

https://doi.org/10.7326/M17-0972

Vlaeyen, J. W., Teeken-Gruben, N. J., Goossens, M. E., Rutten-van Mölken, M. P., Pelt, R. A., van Eek, H., & Heuts, P. H. (1996). Cognitive-educational treatment of fibromyalgia: A randomized clinical trial. I. Clinical effects. The Journal of Rheumatology, 23(7), 1237–1245.