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Translational Behavioral Medicine

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01.03.2012 | Essay/Opinion Piece

Interventional pain medicine: retreat from the biopsychosocial model of pain

verfasst von: Randy S Roth, PhD, Michael E Geisser, PhD, David A Williams, PhD

Erschienen in: Translational Behavioral Medicine | Ausgabe 1/2012

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ABSTRACT

The field of pain medicine has shifted from multidisciplinary rehabilitation to procedure-focused interventional pain medicine (IPM). Considerable controversy exists regarding the efficacy of IPM and its more narrow focus on nociception as an exclusive target of pain treatment. This topical review aims to examine pain research and treatment outcome studies that support a biopsychosocial model of pain, and to critique the clinical practice of IPM given its departure from the premises of a biopsychosocial model. A modern definition of pain and findings from clinical and basic science studies indicate that pain-related psychological factors are integral to pain perception. The clinical viability of IPM is challenged based upon its biomedical view of peripheral nociception as a primary source of pain and the potential of this viewpoint to foster maladaptive pain attributions and discourage the use of pain coping strategies among chronic pain patients. IPM should adopt a biopsychosocial perspective on pain and operate within a framework of multidisciplinary pain rehabilitation to improve its effectiveness.

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Titel: Interventional pain medicine: retreat from the biopsychosocial model of pain
verfasst von: Randy S Roth, PhD
Michael E Geisser, PhD
David A Williams, PhD
Publikationsdatum: 01.03.2012
Verlag: Springer-Verlag
Erschienen in: Translational Behavioral Medicine / Ausgabe 1/2012
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-011-0090-7

Springer Medizin

ABSTRACT

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