2. The Value of Psychological Evaluation
• A good psychological assessment is
essential for patients with pain
• Elements of a good pain evaluation
• Methods
3. Subtleties of Assessment
• Factors that interfere with accuracy
• Common mistakes
• Behavioral signs in assessing pain
intensity
8. Making the Subjective (More)
Objective
• WHYMPI
• MMPI and the “neurotic triad”
• SCL-90R
• BDI (depression)
• SIP (level of disability)
• POMS
9. Trauma and Abuse
• Medical consequences of a history of abuse
• Complaints associated with abuse history
• How prior experiences of abuse impact
rehab
10. FAQs
• Do I have to be a psychologist to effectively treat a
patient with psychological difficulties?
• How can my treatment be more effective than the
lure of disability or compensation?
• When should I make a mental health referral?
• How can I manage my own feelings about patients?
11. Common Psychological Treatments for
Patients With Pain
• Relaxation, sleep hygiene, and stress management
strategies
• Cognitive therapy, problem-solving, communication
skills training, motivational strategies
• Behavioral: promoting well behavior/reinforcement,
goal setting, hypnotic principles
• Family therapy
• Group therapy
12. Putting the “hab” in “rehab”
• Understand the psychology in the perplex of pain
• Be aware of the need to treat comorbid problems
• Recognize the application of psychological
strategies to specific pain syndromes
• Learn how different approaches may be integrated
13. Psychologists and Physical Therapists...
• Address patients at different stages of
change
• Recognize the importance of self-
management
• Match interventions to patients’ needs
• Consider racial, ethnic, and cultural factors
14. Resources
• Caudill, MA. Managing Pain Before it Manages You. New York: Guilford Press,
2002.
• Charlton JE (Ed.) Core Curriculum for Professional Education in Pain. Seattle:
International Association for the Study of Pain Press.
• DeGood DE, Dane JR. The psychologist as pain consultant in outpatient,
inpatient, and work settings. In Gatchel RJ, Turk DC (Eds.) Psychological
Approaches to Pain Management. New York: Guilford Press, 1996, pp 403-437.
• Kabat-Zinn J. Full Catastrophe Living. New York: Delta Press, 1990.
• Kerns RD, Rosenburg R, Jamison R, et al. Readiness to adopt a self-
management approach to chronic pain: the Pain Stages of Change
Questionnaire. Pain 1997; 72:227-234.