Flashcards in Lecture 5 Deck (11):
Objectives when assessing patients presenting for help with pain:
-Identify what is unique to patient
-Co-create a strategy for intervention
-Consider prognostic indicators
-Identify how you will know if treatment is progressing
-Provide pre-post treatment comparisons
A few considerations:
-Is it covered?
-Will the assessment speak to treatment planning issues?
-Who is the audience for the report?
-Standard measures of psychopathology may not be useful
What do we want in an assessment?
-Short, valid, user-friendly battery
-Good coverage of relevant domains
-Help in treatment planning
-Help in evaluating treatment
-Something the referring physician will value and use
Main points to remember from B Thorn:
-Measures of psychopathology have limited utility
-Pain-specific instruments are more useful
-Practitioner needs pre-treatment measures, within-treatment measures, and process measures
-Cognitive dimensions are the most important predictors of and targets for treatment
Must move away from traditional measure of psychopathology (e.g., MMPI) toward assessment of pain-specific psychosocial issue such as...
-Beliefs/ attitudes, cognitions, coping
Are we measuring psychopathology or
underlying psychological vulnerability exacerbated by stress(diathesis/ stress model)
Here is what we think...
-Personality influences individual's cognitive processing of the meaning of pain
-Personality is the moderator
- Cognitive processing is the mediator
Pain-specific psychosocial assessments: lots of options, but often...
-Too lengthy to be practical; too restricted in focus; not readily interpretable; have probable construct overlap
Catastrophizing is a robust predictor of:
-pain, analgesic use, distress, psychosocial dysfunction, and disability