Patients haunted by pain, acute or chronic, always bear tremendous pressure from spiritual and psychological respects. While the analgesic techniques available currently to certain extent are effective in alleviating pain, which is mainly to acute pathologic condition, it is challenged for its role in many sensitive patients with relatively lower threshold of pain manifesting limited effects treated with analgesic drugs espe-cially when the pain develop into chronicity. Psychological ma-neuver designed with strategic procedures displayed interest-ing effect in managing pain. Although different types of psycho-logical interventions have been found producing distinct results in pain relief under various clinical environments, the clinical value of psychological interventions in the postoperative condition is still not clear. Some suggestion and recommenda-tion have been presented by researchers on this topic, but how to optimize these means through balancing the pros and cons of these methods needs to be weighed carefully upon clinical situations. In this review, we discussed the development of psychological pain therapy and raised our concerns about its administration in the clinical environments on the bases of the currently psychological models.
Psychology, Surgery, Pain therapy, Eligibility, Outcomes
This work is supported by the BASE Foundation from The Bonoi Academy of Science and Education (BASE2013002B).
National Natural Scientific Foundation of China (81271242, 81371248)
Nanjing Outstanding Young Scientists Grant (JQX12009).
2. Bystad M, Bystad C, Wynn R. How can placebo effects best be applied in clinical practice? A narrative review. Psychol Res Behav Manag 2015; 8: 41-45.
3. Nanavati AJ, Prabhakar S. Fast-track surgery: Toward comprehensive peri-operative care. Anesth Essays Res 2014; 8:127-133.
4. Howe CQ, Robinson JP, Sullivan MD. Psychiatric and psychological perspectives on chronic pain. Phys Med Rehabil Clin N Am 2015; 26: 283-300.
5. Silva AG, Lã FM, Afreixo V. Pain prevalence in instrumental musicians: A systematic review. Med Probl Perform Art 2015; 30: 8-19.
6. Kim KH. Safe Sedation and Hypnosis using Dexmedetomidine for Minimally Invasive Spine Surgery in a Prone Position. Korean J Pain 2014; 27: 313-320.
7. Wang F, Shen X, Xu S, Liu Y, Ma L, Zhao Q, Fu D, Pan Q, Feng S, Li X. Negative words on surgical wards result in therapeutic failure of patient-controlled analgesia and further releaseof cortisol after abdominal surgeries. Minerva Anestesiol 2008; 74: 353-365.
8. Wilcox CE, Mayer AR, Teshiba TM, Ling J, Smith BW, Wilcox GL, Mullins PG. The subjective experience of pain: An fMRI study of percept-related models and functional connectivity. Pain Med 2015; doi: 10.1111/pme.12785. In press.
9. Williams AE, Rhudy JL. The influence of conditioned fear on human pain thresholds: does preparedness play a role? J Pain 2007; 8: 598-606.
10. Lovich-Sapola J, Smith CE, Brandt CP. Postoperative pain control. Surg Clin North Am 2015; 95: 301-318.
11. Bruns D, Disorbio JM. The psychological evaluation of patients with chronic pain: A review of BHI 2 clinical and forensic interpretive considerations. Psychol Inj Law 2014; 7: 335-361.
12. Horing B, Weimer K, Muth ER, Enck P. Prediction of placebo responses: a systematic review of the literature. Front Psychol 2014; 5: 1079.
13. Woo KY. Chronic wound-associated pain, psychological stress, and wound healing. Surg Technol Int 2012; 22: 57-65.
14. Lozano-Ondoua AN, Symons-Liguori AM, Vanderah TW. Cancer-induced bone pain: Mechanisms and models. Neurosci Lett 2013; 557: 52-59.
15. Litwack K. Pain management in military trauma. Crit Care Nurs Clin North Am 2015; 27: 235-246.
16. Laopaiboon M1, Lumbiganon P, Martis R, Vatanasapt P, Somjaivong B. Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. Cochrane Database Syst Rev 2009; 2: CD006914.
17. Bradt J, Dileo C. Music interventions for mechanically ventilated patients. Cochrane Database Syst Rev 2014;12: CD006902.
18. Newton BJ, Southall JL, Raphael JH, Ashford RL, LeMarchand K. A narrative review of the impact of disbelief in chronic pain. Pain Manag Nurs 2013; 14: 161-171.
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