Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma

Carol Valinejad; Steven Lang

doi:doi:10.11648/j.cmr.20190801.15

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Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma

Carol Valinejad, Steven Lang

Published in Clinical Medicine Research (Volume 8, Issue 1)

Received: 16 October 2018 Accepted: 9 April 2019 Published: 9 May 2019

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Abstract

Background: Pain problems can act as a barrier to individuals recovering from psychological trauma following receiving appropriate psychological therapy. Therefore, it would be prudent of therapists to treat pain problems in clients prior to embarking on trauma informed therapy to increase the chances of therapy being more clinically and cost effective. Objective: This article aims to provide practice-based evidence to demonstrate how a client’s pain problems were affecting her recovery from severe psychological trauma following a serious accident, and how psychological pain management work prior to her starting trauma informed therapy assisted her to overcome the barrier of pain to her recovery. Method: The client was offered psychological pain management intervention based on the gate theory of pain prior to embarking on trauma focussed cognitive behavioural therapy to treat her post trauma symptoms following a serious accident. The gate theory argues that psychological factors have potential to open a gate to the pain system causing an increase in pain perception. According to this model, once these factors are addressed it will lead to improvement in pain perception. Result: Guided imagery techniques were utilised to assist the client to resolve emotional factors in connection with her pain which resulted in further recovery of her pain perception. Following recovery in this the client was able to experience increase emotional capacity as well as mobility to receive trauma focussed cognitive behavioural therapy to reduce her psychological trauma symptoms. Conclusion: This case study was able to demonstrate that treating clients pain problems prior to treating psychological trauma has potential to be clinically and cost effective. It is recommended that further research be done in this area.

Published in	Clinical Medicine Research (Volume 8, Issue 1)
DOI	10.11648/j.cmr.20190801.15
Page(s)	27-31
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Trauma-Focussed, Pain, Recovery

References

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[3]	Feldman, S. I., Downey, G., & Schaffer-Neitz, R. (1999). Pain, negative mood, and perceived support in chronic pain patients: A daily diary study of people with reflex sympathetic dystrophy syndrome. Journal of Consulting and Clinical psychology, 67(5), 776.
[4]	Gureje, O., Von Korff, M., Simon, G. E., & Gater, R. (1998). Persistent pain and well-being: a World Health Organization study in primary care. Jama, 280(2), 147-151.
[5]	Fishbain, D. A., Cutler, R., Rosomoff, H. L., & Rosomoff, R. S. (1997). Chronic pain-associated depression: antecedent or consequence of chronic pain? A review. The Clinical journal of pain, 13(2), 116-137.
[6]	Melzack, R, Wall, P. D (1965) Pain Mechanisms: A New Theory. Science, 971-976.
[7]	Songer, D. (2010). Psychotherapeutic approaches in the treatment of pain. Psychiatry (Edgmont), 2(5), 19.
[8]	Ackerman, C; Turkoski, B (2000) Using Guided Imagery to Reduce Pain and Anxiety, Home Healthcare Nurse, Vol18 (8) - _524-530.
[9]	Menzies, V; Taylor, A. G; Bourguignon, C (2006). Effects of Guided Imagery on Outcomes of Pain, Functional Status, and Self-Efficacy in Persons Diagnosed with Fibromyalgia. The Journal of Alternative and Complementary Medicine, Vol. 12, No. 1
[10]	Hayes, S. C; Bissett, R. T; Korn, Z; Zettle, R. T; Rosenfarb, I. S (1999). The Impact of Acceptance Verses Control Rationales on Pain Tolerance, The Psychological Record, Vol, l49, Issues 1, pp 33-47.
[11]	Cole, F; Macdonald, H; C Carus, H Howden-Leach (2005) Overcoming Chronic Pain. Robinson. UK.
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[14]	Evans, John Mellor-Clark, Frank Margison, Michael Barkham, Kerry Audin, Janice Connell, Graeme McGrath, C. (2000). CORE: clinical outcomes in routine evaluation. Journal of Mental Health, 9(3), 247-255.
[15]	Ewbank, L., Omojomolo, D., Sullivan, K., & McKenna, H. (2018). The rising cost of medicines to the NHS. The Kings Fund.

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APA Style

Carol Valinejad, Steven Lang. (2019). Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma. Clinical Medicine Research, 8(1), 27-31. https://doi.org/10.11648/j.cmr.20190801.15

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ACS Style

Carol Valinejad; Steven Lang. Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma. Clin. Med. Res. 2019, 8(1), 27-31. doi: 10.11648/j.cmr.20190801.15

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AMA Style

Carol Valinejad, Steven Lang. Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma. Clin Med Res. 2019;8(1):27-31. doi: 10.11648/j.cmr.20190801.15

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@article{10.11648/j.cmr.20190801.15,
  author = {Carol Valinejad and Steven Lang},
  title = {Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma},
  journal = {Clinical Medicine Research},
  volume = {8},
  number = {1},
  pages = {27-31},
  doi = {10.11648/j.cmr.20190801.15},
  url = {https://doi.org/10.11648/j.cmr.20190801.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20190801.15},
  abstract = {Background: Pain problems can act as a barrier to individuals recovering from psychological trauma following receiving appropriate psychological therapy. Therefore, it would be prudent of therapists to treat pain problems in clients prior to embarking on trauma informed therapy to increase the chances of therapy being more clinically and cost effective. Objective: This article aims to provide practice-based evidence to demonstrate how a client’s pain problems were affecting her recovery from severe psychological trauma following a serious accident, and how psychological pain management work prior to her starting trauma informed therapy assisted her to overcome the barrier of pain to her recovery. Method: The client was offered psychological pain management intervention based on the gate theory of pain prior to embarking on trauma focussed cognitive behavioural therapy to treat her post trauma symptoms following a serious accident. The gate theory argues that psychological factors have potential to open a gate to the pain system causing an increase in pain perception. According to this model, once these factors are addressed it will lead to improvement in pain perception. Result: Guided imagery techniques were utilised to assist the client to resolve emotional factors in connection with her pain which resulted in further recovery of her pain perception. Following recovery in this the client was able to experience increase emotional capacity as well as mobility to receive trauma focussed cognitive behavioural therapy to reduce her psychological trauma symptoms. Conclusion: This case study was able to demonstrate that treating clients pain problems prior to treating psychological trauma has potential to be clinically and cost effective. It is recommended that further research be done in this area.},
 year = {2019}
}

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TY  - JOUR
T1  - Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma
AU  - Carol Valinejad
AU  - Steven Lang
Y1  - 2019/05/09
PY  - 2019
N1  - https://doi.org/10.11648/j.cmr.20190801.15
DO  - 10.11648/j.cmr.20190801.15
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 27
EP  - 31
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20190801.15
AB  - Background: Pain problems can act as a barrier to individuals recovering from psychological trauma following receiving appropriate psychological therapy. Therefore, it would be prudent of therapists to treat pain problems in clients prior to embarking on trauma informed therapy to increase the chances of therapy being more clinically and cost effective. Objective: This article aims to provide practice-based evidence to demonstrate how a client’s pain problems were affecting her recovery from severe psychological trauma following a serious accident, and how psychological pain management work prior to her starting trauma informed therapy assisted her to overcome the barrier of pain to her recovery. Method: The client was offered psychological pain management intervention based on the gate theory of pain prior to embarking on trauma focussed cognitive behavioural therapy to treat her post trauma symptoms following a serious accident. The gate theory argues that psychological factors have potential to open a gate to the pain system causing an increase in pain perception. According to this model, once these factors are addressed it will lead to improvement in pain perception. Result: Guided imagery techniques were utilised to assist the client to resolve emotional factors in connection with her pain which resulted in further recovery of her pain perception. Following recovery in this the client was able to experience increase emotional capacity as well as mobility to receive trauma focussed cognitive behavioural therapy to reduce her psychological trauma symptoms. Conclusion: This case study was able to demonstrate that treating clients pain problems prior to treating psychological trauma has potential to be clinically and cost effective. It is recommended that further research be done in this area.
VL  - 8
IS  - 1
ER  -

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Author Information

Carol Valinejad

Trauma Services, Salus Psychological Services Ltd, London, England
Steven Lang

Trauma Services, Salus Psychological Services Ltd, London, England

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Plain Text BibTeX RIS

APA Style

Carol Valinejad, Steven Lang. (2019). Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma. Clinical Medicine Research, 8(1), 27-31. https://doi.org/10.11648/j.cmr.20190801.15

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ACS Style

Carol Valinejad; Steven Lang. Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma. Clin. Med. Res. 2019, 8(1), 27-31. doi: 10.11648/j.cmr.20190801.15

Copy | Download

AMA Style

Carol Valinejad, Steven Lang. Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma. Clin Med Res. 2019;8(1):27-31. doi: 10.11648/j.cmr.20190801.15

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@article{10.11648/j.cmr.20190801.15,
  author = {Carol Valinejad and Steven Lang},
  title = {Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma},
  journal = {Clinical Medicine Research},
  volume = {8},
  number = {1},
  pages = {27-31},
  doi = {10.11648/j.cmr.20190801.15},
  url = {https://doi.org/10.11648/j.cmr.20190801.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20190801.15},
  abstract = {Background: Pain problems can act as a barrier to individuals recovering from psychological trauma following receiving appropriate psychological therapy. Therefore, it would be prudent of therapists to treat pain problems in clients prior to embarking on trauma informed therapy to increase the chances of therapy being more clinically and cost effective. Objective: This article aims to provide practice-based evidence to demonstrate how a client’s pain problems were affecting her recovery from severe psychological trauma following a serious accident, and how psychological pain management work prior to her starting trauma informed therapy assisted her to overcome the barrier of pain to her recovery. Method: The client was offered psychological pain management intervention based on the gate theory of pain prior to embarking on trauma focussed cognitive behavioural therapy to treat her post trauma symptoms following a serious accident. The gate theory argues that psychological factors have potential to open a gate to the pain system causing an increase in pain perception. According to this model, once these factors are addressed it will lead to improvement in pain perception. Result: Guided imagery techniques were utilised to assist the client to resolve emotional factors in connection with her pain which resulted in further recovery of her pain perception. Following recovery in this the client was able to experience increase emotional capacity as well as mobility to receive trauma focussed cognitive behavioural therapy to reduce her psychological trauma symptoms. Conclusion: This case study was able to demonstrate that treating clients pain problems prior to treating psychological trauma has potential to be clinically and cost effective. It is recommended that further research be done in this area.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Unravelling the Negative Impact of Pain Problems on Recovering from Psychological Trauma
AU  - Carol Valinejad
AU  - Steven Lang
Y1  - 2019/05/09
PY  - 2019
N1  - https://doi.org/10.11648/j.cmr.20190801.15
DO  - 10.11648/j.cmr.20190801.15
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 27
EP  - 31
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20190801.15
AB  - Background: Pain problems can act as a barrier to individuals recovering from psychological trauma following receiving appropriate psychological therapy. Therefore, it would be prudent of therapists to treat pain problems in clients prior to embarking on trauma informed therapy to increase the chances of therapy being more clinically and cost effective. Objective: This article aims to provide practice-based evidence to demonstrate how a client’s pain problems were affecting her recovery from severe psychological trauma following a serious accident, and how psychological pain management work prior to her starting trauma informed therapy assisted her to overcome the barrier of pain to her recovery. Method: The client was offered psychological pain management intervention based on the gate theory of pain prior to embarking on trauma focussed cognitive behavioural therapy to treat her post trauma symptoms following a serious accident. The gate theory argues that psychological factors have potential to open a gate to the pain system causing an increase in pain perception. According to this model, once these factors are addressed it will lead to improvement in pain perception. Result: Guided imagery techniques were utilised to assist the client to resolve emotional factors in connection with her pain which resulted in further recovery of her pain perception. Following recovery in this the client was able to experience increase emotional capacity as well as mobility to receive trauma focussed cognitive behavioural therapy to reduce her psychological trauma symptoms. Conclusion: This case study was able to demonstrate that treating clients pain problems prior to treating psychological trauma has potential to be clinically and cost effective. It is recommended that further research be done in this area.
VL  - 8
IS  - 1
ER  -

Copy | Download