Tailored treatment: It's not what you think it is. Comment on the article by van Koulil et al

Morley, Stephen

doi:10.1002/acr.20455

Cited by 11 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to a waiting list, the tailored CBT examined here produced significant effects for pain, fatigue, disability and mood. The tailoring method, however, consisted of just two groups, pain persistent participants versus pain avoidant participants, provided in a group setting (van Koulil et al, 2010), so it was not highly tailored, nor was this tailoring empirically tested and theoretically grounded (Vlaeyen & Morley, 2011). The tailoring for the other two treatments, which were both Internet‐based, once again included an assignment of one or more modules, based on participant ‘goals and characteristics’ (Ferwerda et al, 2017), or their ‘reported type of distress’ (Gasslander et al, 2022), from an intake session.…”

Section: Tailored Psychological Treatments For Chronic Painmentioning

confidence: 99%

Personalized pain management: Is it time for process‐based therapy for particular people with chronic pain?

McCracken

2023

European Journal of Pain

View full text Add to dashboard Cite

Background and ObjectivePsychological treatments for chronic pain have helped many people around the world. They are among the most researched and best evidenced treatments a person can receive when they have persistent, disabling and distressing pain. At the same time, improvements in the effectiveness of these treatments appear to be at a standstill. This may be due to an inherent lack of generalizability from aggregated group data to the individual, limited utility of our current schemes for categorizing people with pain conditions, faced with their inherent heterogeneity, our relatively coarse categories of treatment types and focus on treatment packages rather than individual methods, and our current failures to find adequate predictors of outcome, or to assign people their best‐suited treatment methods, based on group data. In this review, it is argued that the development and examination of truly personalized treatment is a next logical step to create progress and improve the results people achieve.MethodsKey research studies pertaining to psychological treatments, treatment outcome, heterogeneity in chronic pain, prediction of treatment outcome, subtyping and treatment tailoring are reviewed.Results and ConclusionIt is suggested that development of future treatments for chronic pain ought to incorporate an idiographic, process‐based approach, focused on evidence‐based mechanisms of change, individually and dynamically addressed, based on contextually sensitive ongoing assessment. Knowledge and practical solutions needed to make process‐based therapy for chronic pain happen are discussed.

show abstract

Section: Tailored Psychological Treatments For Chronic Painmentioning

confidence: 99%

Personalized pain management: Is it time for process‐based therapy for particular people with chronic pain?

McCracken

2023

European Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Recent trials 56,57 are disappointing, with significant issues relating to the accurate pretreatment profiling required. 58 In some trials, individual preference was used rather than individual need, but the 2 may not correspond. 59 As with dismantling trials, unless componentoutcome relations are assumed to be specific and unique, which the evidence demonstrates is not so, these studies will not enable us to better suit treatment to patients.…”

Section: Personalizing or Tailoring Treatmentmentioning

confidence: 99%

New Developments in the Psychological Management of Chronic Pain

Morley

Williams

2015

Can J Psychiatry

View full text Add to dashboard Cite

After reviewing how psychological treatment for chronic pain comes to have its current form, and summarizing treatment effectiveness, we explore several areas of development. We describe third wave therapies, such as mindfulness; we discuss what the research literature aggregated can tell us about what trials are more useful to conduct; and we outline some areas of promise and some failures to deliver on promise. The article is drawn together using the framework of the normal psychology of pain, identifying some of its most important implications for improving life for people with chronic pain. W W W Nouveaux développements de la prise en charge psychologique de la douleur chroniqueAprès avoir étudié comment le traitement psychologique de la douleur chronique en est venu à sa forme actuelle, et résumé l'efficacité des traitements, nous explorons plusieurs domaines du développement. Nous décrivons les thérapies de troisième vague comme la pleine conscience, nous discutons de ce que peut nous apprendre la littérature de recherche regroupée à propos des essais les plus utiles à mener, nous présentons des domaines prometteurs et d'autres qui n'ont pas tenu leur promesse. La structure de l'article est le cadre de la psychologie normale de la douleur, qui identifie certaines des implications les plus importantes pour améliorer la vie des personnes souffrant de douleur chronique. P sychological treatments for chronic pain have been in continuous development since the 1960s, broadly parallel to changes in mainstream psychological treatments, especially within the ambit of CBT. There are several conceptual threads that can be discerned in the current state. 1 BehaviouralBehavioural methods apply operant learning theory to the analysis of pain. The primary objective is to modify a range of pain-related behaviours, such as activity, medication use, and social interactions, by changing environmental contingencies and the settings in which pain-related behaviour occurs. The cardinal feature of the original behavioural approach was that it explicitly eschewed direct attempts to modify the sensory-intensity component of the pain experience. 2

show abstract

Graded exposure bij posttraumatische nekpijn en bij klachten van arm, nek en/of schouder

2017

View full text Add to dashboard Cite

Tailored treatment: It's not what you think it is. Comment on the article by van Koulil et al

Cited by 11 publications

References 15 publications

Personalized pain management: Is it time for process‐based therapy for particular people with chronic pain?

Personalized pain management: Is it time for process‐based therapy for particular people with chronic pain?

New Developments in the Psychological Management of Chronic Pain

Graded exposure bij posttraumatische nekpijn en bij klachten van arm, nek en/of schouder

Contact Info

Product

Resources

About