Författare: Lidbeck Jan
Titel: Mycket att vinna på KBT i smärtrehabilitering [summary] (serie: Tema psykoterapi) 2006 nr 42 sid 3182-6
Ämnesord:
Kognitiv terapi
Smärta
Sök liknande artiklar
Summary:
The use of cognitive behavioural therapy (CBT) at multidisciplinary pain rehabilitation set-tings has been documented with positive results such as reduced pain, a better quality of life, improved physical activity and return to work. This article describes cognitive and behav-ioural theory in the treatment of chronic pain. In this context CBT encompasses a broad spec-trum of approaches. Cognitive restructuring primarily requires a pedagogical framework that includes providing the chronic pain sufferer with a ‘pain diagnosis’ i.e. an explanation of the causal pain mechanisms. This includes information of how cognitive-emotional factors affect dysfunctional central pain modulation. The patient’s understanding of chronic pain as a bi-opsychosocial disorder is fundamental for the initiation of a life adjustment process and the awareness of responsibility. However, CBT may also include more specific approaches such as individual cognitive psychotherapy or cognitive group therapy. Outlines of the practical use of both the pedagogical and psychotherapeutic approaches are presented. In the future small sized pain rehabilitation teams with CBT should be organized in primary care.
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