Theories of pain in health psychology pdf

The field of health psychology includes two subfields. Desire theory subsumes hedonism when what we want is lots of pleasure and little pain. Everything you need to know to get started theories and models in psychology why we care about theories the goal of science is to develop and test theories. The four most influential theories of pain perception include the specificity or labeled line, intensity, pattern, and gate control theories of pain. In the sciences, a theory is more than a simple guess. Psyd, a psychologist at health psychology associates in greeley, colo. Here, we provide a historical overview of the major contributions, ideas, and competing theories of pain from ancient civilizations to melzack and walls gate control theory of pain. Four psychosocial theories and their application to. Suttona a university of cambridge uk available online 2002. The pain theories that this activity will discuss below include the intensity theory. Pain management in clinical and health psychology frontiers. Health psychology can be defined as the application of psychological knowledge and methods to the study, prevention, and management of physical diseases and disorders.

May 11, 2011 psychological approaches for the management of chronic pain initially gained popularity in the late 1960s with the emergence of melzack and walls gatecontrol theory of pain15 and the subsequent neuromatrix theory of pain. Health psychology is a specialty area that focuses on how biology, psychology, behavior, and social factors influence health and illness. Four psychosocial theories and their application to patient. In collaboration with apas interdivisional healthcare committee, the center for psychology and health has produced a series of health care briefing sheets, including obesity, cancer, heart disease, chronic pain and the role of psychology in both primary and integrated health care. Making lifestyle changes can be difficult, so working with a health psychology can help you in creating effective goals so that you can measure your progress in your rehabilitation plan. A comprehensive yet engaging book that covers both the clinical aspects of health psychology and the research related to important health issues. The american psychological association gratefully acknowledges daniel bruns, psyd, a psychologist at health psychology associates in greeley, colo. Which one you believe has implications for how you lead your life, raise your child, or even cast your vote. Human beings are complex systems and illness can be caused by a multitude of factors, not just a single factor such as a virus or bacterium. Heterogeneity in adjustment is apparent between individuals and across. Pdf pain is among the most common somatic complaints.

Division of brain, imaging and behavioursystems neuroscience, toronto western research institute, university health network, toronto, ontario, canada. Aristotle did not include a sense of pain when he enumerated the five senses. Kerns, phd, director, pain research, informatics, multimorbidities and education center at the va connecticut healthcare system, for contributing to this article. Oct 08, 2018 health psychology encompasses a wide range of issues from chronic pain to terminal illness with the goals of helping people improve their quality of life and addressing specific health issues. Health psychology can help you explore the pathway to better accept living with a chronic pain condition. Pain has been described with a wide range of different words. The center for integrated healthcare gratefully acknowledges the health psychology service, chesterfield pct for authorship of information contained within this brochure. Psychological approaches to pain management physiopedia. Psychology practice areas include clinical and health psychology concerns, with the focus to help people live better with heart disease, chronic pain, depression, anxiety, stress, sleep problems, or death of a loved one. An intensive or summation theory of pain now referred to as the intensity. With nearly 30 awardwinning faculty and almost 150 people in total, we are a vibrant community whose research continues our departments 100year tradition of studying the deeper mechanisms and processes underlying human. Some of the major humanist theorists included carl rogers and abraham maslow. The status of the biopsychosocial model in health psychology.

Introduction to health psychology boundless psychology. Briefing series on the role of psychology in health care. Several theoretical frameworks have been proposed to explain the physiological basis of pain, although none yet completely accounts for all aspects of pain perception. Pdf the psychology of chronic pain and its management. Health psychology addresses individual and populationlevel issues across four domains. Pain theories and their relevance to nursing practices. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. A recent application of learning theory to chronic pain involves in vivo. David cosio, phd, abpp jesse brown va medical center an understanding of the role of health psychology in chronic pain management is fundamental in improving its assessment and treatment. In the context of chronic pain, for example, a 2004. Jane ogden writes in an uncomplicated manner but without doing injustice to the complexities of the theories and research being described. Desire theories hold that happiness is a matter of getting what you want griffin, 1986, with the content of the want left up to the person who does the wanting. Turk university of washington chronic pain is a prevalent problem with signi.

Davis is provided by operating grants from the canadian institutes of health research. At the time, behavioural approaches were being used to treat mental health. Science does a lot of other things that dont seem like they have anything to do with theory development, but the bottom line is producing good. Health psychology consultancy is defined in the stage 2 handbook as the use of specialist health psychology skills and knowledge to provide a service to an external business client, for example, public, private or third sector organisations bps, 2015a. Health psychology service, chesterfield pct for authorship of information contained within this. In an attempt to overhaul theories of somaesthesis including pain, j. It will also be invaluable to students of medicine, nursing and allied health. Nafe postulated a quantitative theory of feeling 1929. Health psychology for pain management uw health madison, wi. The international association for the study of pain defines pain as an unpleasant sensory and emotional experience. Health psychologya leading journal in the fieldover a 12month period november 2001september 2002. Because of the only relatively recent discovery of neurons and how they conduct and interpret signals, including sensations such as pain, within the body, various theories have been proposed as to the causes of pain and its role or function. Psychological therapies for the management of chronic pain ncbi. Jan 10, 2015 pain meaningdefinition in 1968 mccaffery defined pain as whatever the experiencing person says it is, existing whenever heshe says it does in 1979 iasp defined pain as unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of suchdamage.

It is a coherent group of propositions formulated to explain a group of facts or phenomena in the natural world and repeatedly confirmed through experiment or observation, n. One challenge to incorporating psychological theory within the field of persistent pain has. Chronic diseases carry important psychological and social consequences that demand significant psychological adjustment. Health psychology attempts to move away from a simple linear model of health and looks at the combination of factors involved in illness. Roger ingham, professor of health and community psychology, university of southampton, ukstudents are provided with clear, up. They observed that 94% of the studies assessed psychological variables only, with minimal attention given to. Touch and pain stimuli are encoded by specialized sense organs. Chronic pain is a relevant health problem frequently associated with psychological distress, dysfunctions in physical and social functioning, reductions in quality of life and elevated direct and indirect costs. Behavioral health focuses on prevention of health problems and illnesses, while behavioral medicine focuses on treatment. Evident in this definition is the fact that health psychology is both a science and an applied discipline intended to promote human welfare. Pain could be a result of physical injury or psychological injury. Medical approach is typically useful for treating chronic pain, but also psychological contributions play an important role in pain management. The interplay between practice and research has advanced our understanding and management of pain.

American psychologist chronic pain and psychology special issue. The literature is providing increasingly nuanced conceptualizations of adjustment, demonstrating that the experience of chronic disease necessitates adaptation in multiple life domains. Contributions of psychology to the understanding and. Humanistic psychology theories began to grow in popularity during the 1950s. Contributions of psychology to the understanding and treatment of. Clinical health psychology refers to the application of scientific knowledge to clinical questions that arise across the spectrum of healthcare. There are, in our view, three types of traditional theories of happiness. Even within seemingly limited groups, such as the ancient greeks, there were competing theories as to the root cause of pain. Mar 19, 2006 in behavioral medicine, professionals base their interventions on a few models that attempt to explain peoples healthrelated behavior. Heterogeneity in adjustment is apparent between individuals and across the course of the. Four psychosocial theories and their application to patient education and clinical practice virginia m. According to his theory, pain stimulation is carried by small, slow fibers that enter the dorsal horn of the spinal cord. This article discusses how this new theory, the gate control theory of chronic pain, is changing the way chronic back pain may be understood, diagnosed and treated.

Abstract a number of psychosocial theories has been developed to predict, explain, and change health behaviors. The four most influential theories of pain perception include the specificity or labeled line, intensity, pattern. Medicine is usually the first port of call to manage pain, however, when pain is not responsive to medication, or resistant to treatment, or persists after healing has occurred and an exact cause. Patients with chronic pain may be referred to psychologists by other health care. Health psychology, often referred to as behavioral medicine or medical psychology, is the application of psychological theory to healthrelated practices. The role of psychological interventions in the management. The three traditional theories authentic happiness. Applying psychology in health settings vivien swanson reader, department of psychology, university of stirling paul graham morris lecturer in health psychology, clinical and health psychology, university of edinburgh. Pain management is an area of modern medicine which utilises the multidisciplinary team to help ease the pain and suffering of patients living with longterm pain to improve their quality of life1. The role of psychological interventions in the management of patients with chronic pain. However, when surgical interventions failed to control the pain, other explanations were sought. Davis1,2,3 1institute of medical science, 2department of surgery, university of toronto, toronto, ontario, canada.

This theory ignored findings of specialized nerve endings and many of the observations supporting the specificity andor intensive theories of pain. The role of psychological interventions in the management of. Furthermore, chronic pain can cause feelings such as anger, hopelessness, sadness and anxiety. The role of health psychology in chronic pain management. The center for integrated healthcare gratefully acknowledges the. The way in which we experience pain is very complex. The tcells can be located in a specific area of the spinal cord. Early pain theories focused on locating neurological pain fibers. One of the more interesting recent advances in modern medicine is a new theory about chronic pain. Health psychology service, chesterfield pct for authorship of.

Oct 25, 2017 an understanding of the role of health psychology in chronic pain management is fundamental in improving its assessment and treatment. Those with chronic, disabling pain present to healthcare providers repeatedly. To treat chronic pain effectively, you must address its physical, emotional and. While earlier theories often focused on abnormal behavior and psychological problems, humanist theories instead emphasized the basic goodness of human beings. An example of a consultancy request provided in the handbook includes an nhs. To treat pain effectively, you must address the physical, emotional and psychological aspects. This article considers psychological and multidimensional theories of pain, which are described within the historical context within which they were developed, including behavioural, cognitive.

However, pain has biological, psychological and emotional factors. Contributions of psychology to the understanding and treatment of people with chronic pain why it matters to all psychologists mark p. People often think of pain as a purely physical sensation. Other terms including medical psychology and behavioral medicine are sometimes used interchangeably with the term health psychology. The national institutes of health technology assessment conference statement 31 identified six factors that correlated with treatment failures of low back pain. Sensation and perception in the history of experimental psychology. Integrating diversity and mindbody issues, the book helps students identify the hot topics in the field and presents fascinating case studies that help make the field relevant to the lives of the reader. Learn vocabulary, terms, and more with flashcards, games, and other study tools. How psychologists can help with pain management pdf, 273kb. Health psychology an overview sciencedirect topics. In this paper i will attempt to demonstrate myunderstanding of the theories and also will be critically analyzing the theories aboutthe experience of pain by incorporating relevant concepts from literature and relatingit to psychology. Lecture 5 introduction to physical therapy avanianban chakkarapani.

These theories can be divided into two main groups which are commonly referred to as social cognition models and stage models. Learning objective to provide knowledge and understating of a. Pain international association for the study of pain iasp who 5. Health psychology encompasses a wide range of issues from chronic pain to terminal illness with the goals of helping people improve their quality of life and addressing specific health issues. In behavioral medicine, professionals base their interventions on a few models that attempt to explain peoples healthrelated behavior.