Authors: Cristiana Cojocaru1,2, Bogdan-Andrei Suciu3, Cosmin Octavian Popa2, Simona Szasz4, Raluca Mărginean5, Nicoleta Suciu6, Alina Schenk1,2
Affiliation
1 The Doctoral School of Medicine and Pharmacy, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, Tîrgu-Mureș, Romania
2 Department of Ethics and Social Sciences, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, Tîrgu-Mureș, Romania
3 Department of Anatomy and Morphological Sciences, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, Tîrgu-Mureș, Romania
4 Department of Rheumatology, Physical and Rehabilitation Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, Tîrgu-Mureș, Romania
5 Radiology Clinic, Mureș County Hospital, Tîrgu-Mureș, Romania
6 Department of European Projects, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, Tîrgu-Mureș, Romania
Abstract
Chronic postsurgical pain (CPSP) and fibromyalgia are prevalent conditions defined by the occurence of chronic pain, which is associated with multiple challenges at both the individual and societal level. The biopsychosocial model integrates psychological variables among factors contributing to the transition from acute to chronic pain. The aim of the present review is to provide a description of the most efficient psychotherapeutic approaches for increasing the quality of life for these patients. Acceptance and Commitment Therapy (ACT) is an effective treatment for chronic pain that aims to decrease psychological inflexibility, which is a core mechanism in psychopathology.
First, an overview of studies examining the comorbidity between chronic pain and symptoms of anxiety and depression will be exposed. Second, common pharmacological strategies used in pain management will be presented. Third, the empirical status of psychological interventions implemented in treating chronic pain patients will be revised. Finally, a brief, naturalistic intervention based on ACT for patients with CPSP and fibromyalgia will be outlined, including implications for clinical practice.
Key words: chronic pain, Acceptance and Commitment Therapy (ACT), chronic postsurgical pain (CPSP), fibromyalgia, psychological inflexibility.
