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The Treatment Of Chronic Pain Must Be Recognised As An Ongoing And Complex ...

The treatment of chronic pain must be recognised as an ongoing and complex process with a significantly complicating number of variables involved. Even when the greatest efforts are made to ensure the independent performance of professionals and to shield the patients from any hint of bias, the narrowing of treatment and research conditions is extremely difficult.
Roles and Theories of Acceptance of Chronic Pain
The acceptance of chronic pain involves intentionally allowing pain, with all of its cognitive and emotional implications, to be present in one's life, when the willingness results in increased functioning capabilities for the patient. Acceptance means responding to pain without attempting to avoid or control it and continuing to function regardless of the presence of chronic pain. Acceptance is especially pertinent when previous attempts at control or avoidance have limited the quality of the patient's life. Patients suffering from chronic pain who take steps to accept it report fewer instances of anxiety, medical intervention and depression. Two elements are needed to produce acceptance: pain willingness and activity engagement. The development of acceptance is an ongoing process that progresses with experience of pain and relevant social factors. Further, acceptance of chronic pain involves choosing not to become embroiled in fruitless internal struggles that may increase the intensity of the pain and its ability to disrupt active functioning. Acceptance is a new psychological approach and conceives human suffering in new terms. Acceptance is located in the cognitive and behavioural approaches and therefore has empirical psychological traditions to lend it credibility.
One study demonstrated that diminishing anxiety and augmented acceptance of chronic pain might transfer sufferers from a dysfunctional coping approach to a successful one. The study empirically categorised patients suffering from chronic pain into three categories: dysfunctional, interpersonally distressed or adaptive copers. The researchers in the study believed that identifying the characteristics that distinguish one group from another may help to crystallise the behavioural mechanisms that facilitate acclimation to pain. The subjects in the study were classified according to the Multidimensional Pain Inventory and relative scores on pain acceptance and pain-related anxiety were examined. The results demonstrated that patients in the dysfunctional group cited more anxiety related to their chronic pain as well as lower acceptance of pain than those who were interpersonally distressed or copers. Additional analysis showed a continued differentiation between the dysfunctional group and the others.

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