By Michael H. Ebert MD, Robert D. Kerns PhD
Soreness is the most typical symptom bringing a sufferer to a physician's consciousness. Physicians education in ache drugs could originate from varied disciplines and technique the sphere with various backgrounds and event. This ebook captures the idea and evidence-based perform of behavioral, psychotherapeutic and psychopharmacological remedies in glossy discomfort medication. The book's participants span the fields of psychiatry, psychology, anesthesia, neurology, actual medication and rehabilitation, and nursing. hence the constitution and content material of the publication show the interdisciplinary method that's the present average for the winning perform of soreness administration. The ebook is designed for use as a textual content for education fellowships in ache medication, in addition to graduate classes in psychology, nursing, and different future health professions.
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Additional info for Behavioral and Psychopharmacologic Pain Management
Published by Cambridge University Press. © Cambridge University Press 2011. â•‡ Biopsychosocial model of management The biopsychosocial way of thinking about the differing responses of people to symptoms and the presence of chronic conditions are based on an understanding of the dynamic nature of these conditions. That is, by definition, chronic syndromes extend over time. Therefore these conditions need to be viewed longitudinally as ongoing, multifactorial processes in which there is a dynamic and reciprocal interplay among biological, psychological, and social factors that shapes the experience and responses of patients.
At different points during the evolution of a disease or impairment, the relative weighting of physical, psychological, and social factors may vary. For example, during the acute phase of a disease biological factors may predominate, but over time psychological and social factors may assume a disproportionate role in accounting for symptoms and disability. Moreover, there is considerable discrepancy in behavioral and psychological manifestations of dysfunction, both across persons with comparable symptoms and within the same person over time .
People’ beliefs about the extent to which they can control their pain are associated with various other outcome variables including medication use, activity levels, and psychological functioning . , perform required behaviors) to produce a desired outcome in a given situation. This construct appears to be a major mediator of therapeutic change. Bandura suggested that if a person has sufficient motivation to engage in a behavior, the person’s selfefficacy beliefs are what determine which activities to initiate, the amount of effort expended, and extent of persistence in the face of obstacles and aversive experiences [99, 100].
Behavioral and Psychopharmacologic Pain Management by Michael H. Ebert MD, Robert D. Kerns PhD