Elements of the Biopsychosocial Interview of the Chronic Pain Patient: A New Expanded Model Using Rational Emotive Behavior Therapy

Abstract

Illness self-management encompasses a set of key self-care behaviors essential for medical management, reduction of disability and enhancement of quality of life of those suffering from chronic non-cancer pain. The biopsychosocial model, which explores the biological, psychological, and social aspects of functioning, facilitates clinician understanding of the barriers to self-management. Functional conceptualization based on the biopsychosocial model informs treatment planning and seamlessly integrates with a multidisciplinary treatment approach considered the best practice in the management of chronic pain disorders. This article will briefly explore the history of the biopsychosocial model, relay the major tenants of rational emotive behavior therapy (REBT), and propose an expanded biopsychosocial model (rational emotive behavior therapy-health) for the assessment and conceptualization of those suffering from chronic pain disorders. Detailed are specific interview topics and related questions important to the assessment of client functioning with emphasis REBT hypothesis formulations. Discussion of conceptualization will integrate perspectives from the biopsychosocial interview with the addition of REBT hypothesis formulations.Keywords Chronic pain Á Pain management Á Biopsychosocial interview Á Cognitive behavioral therapy Á Acceptance and commitment therapy Á Biopsychosocial model Á Pain self-management Electronic supplementary material The online version of this article (

Biopsychosocial Approach — A Modern Demand for Interdisciplinarity

“…В первую очередь, этот подход используется в обла-сти психического здоровья, в анализе интернализа-ции социальных проблем и в теории развития [2]; при работе с хроническими болевыми состояниями в онкологии и неврологии [3][4][5], со старением и тер-минальными состояниями [6,7], собственно в психи-атрии, психотерапии и психореабилитации [8,9], в работе с инвалидизирующими состояниями [10], с нарушением пищевого поведения [11] и так далее.…”

A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress

“…Traditional CBT has beneficial effects in adults with chronic pain (Williams et al, 2020) and is also effective in patients with emotional disorders (Lorenzo-Luaces et al, 2018;López-López et al, 2019). Concretely, recent evidence shows that Mindfulness-based Interventions (MBI), Dialectical Behavior Therapy (DBT), Rational Emotive Behavior Therapy (REBT), Acceptance and Commitment Therapy (ACT), and Behavioral Activation Therapy for Depression (BATD) also produce positive effects in patients with chronic pain (Jorn, 2015;Veehof et al, 2016;Hughes et al, 2017;Boersma et al, 2019;Khoo et al, 2019;Gloster et al, 2020;Pardos-Gascón et al, 2021).…”

Exploring the experiences of individuals living with persistent pain using a visual art diary

“…Multidisciplinary pain management approaches have been offered to patients with persistent pain only since the 1990s and 2000s and such approaches are cost-effective (Siddall and Cousins, 2004). The efficacy of several psychosocial interventions has been supported in meta-analyses of randomised control trials (Hoffman et al, 2007) such as cognitive behavioural therapy (Jorn, 2015), physiotherapy, relaxation techniques and gradual exposure to individualised exercises (Marcus, 2009). Self-management strategies can reduce the intensity and duration of pain (Clauw et al, 2019), increasing quality of life, patient autonomy and decreasing social isolation.…”