Cognitive-Behavioural treatments

Definition

Cognitive behavioural treatment presupposes that thoughts and feelings influence the way a patient copes with his pain. The aim of such treatment is to change pain behaviour by tracing and altering incorrect thoughts and/or feelings about the cause of this pain. The moment a patient's thoughts about his pain change, his feelings about this pain will also change. As a result, the patient will change his behaviour and will be able to function better in everyday life.

Diagnostics

The most important factors that can lead to pain becoming chronic are catastrophising, fear, and depression. These factors can be evaluated by means of the following validated pain questionnaires: the Pain Catastrophising Scale (PCS), the Tampa Scale for Kinaeseofobia (TSK) and the Hospital Anxiety and Depression Scale (HADS), respectively.

Treatment

The results of these pain questionnaires provide an indication as to which cognitive behavioural treatment should be applied, such as, Exposure treatment, Graded Activity treatment and Catastrophising programmes.

Quality of life is measured in different domains by the RAND-36, which provides an indication for pain rehabilitation programmes that are aimed at the different domains of restriction evaluated by the RAND-36,