Psychobehavioral and psychosocial aspects of neuropathic pain patients

ABSTRACT BACKGROUND AND OBJECTIVES: Identifying and treating psychosocial, intrapsychic, relational, psychiatric and psychobehavioral factors which influence neuropathic pain nature, severity and persistence are object of scientific concern and a lot has been done in this area; however it is clear the need for further emphasis and disclosure of contents for better professional knowledge. This study aimed at outlining the psychobehavioral and psychosocial scenario by means of literature review, through some theories about pain regulation, via cognitive functioning and stress theories, although it is known that the universe of this study is too broad but the idea is to outline a panoramic view of the field. CONTENTS: Incapacity, distress, painful and unhealthy behaviors and of gains are challenging factors for the treatment of neuropathic pain patients. Notions about thinking distortion, especially caused by pain perception leading to catastrophic thoughts and decreasing the efficacy of other non-addressed interventions, as well as aspects of the psychosocial impact influencing the development of chronicity and maintenance of unhealthy patterns. CONCLUSION: Psychological interventions aiming at changing beliefs and dysfunctional behaviors, incapacities and distress, at changing neuropathic pain perception, treatment of mental decompensations such as depression and anxiety and of recurrences, are critical to manage neuropathic pain patients. It is confirmed that knowledge about adaptations in the rewarding circuits is fundamental for psychological, psychotherapeutic and psychosocial interventions to be more effective, thus preventing problems related to pathological maintenance in cases of neuropathic etiology.

Bibliographic Details

Main Authors:	Perissinotti,Dirce Maria Navas, Portnoi,Andrea Golfarb
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira para o Estudo da Dor 2016
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500079
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