nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2010-63nnp-279Research ArticleLECTURESЛЕКЦИЯCOGNITIVE BEHAVIORAL PSYCHOTHERAPY IN THE TREATMENT OF CHRONIC PAINКогнитивно-поведенческая психотерапия при лечении хронической болиМелкумоваК. А.MelkumovaK. A.amel-ca@rambler.ruММА им. И.М. СеченоваРоссияI.M. Sechenov Moscow Medical AcademyRussian Federation20101403201021NO1 (2010)913Copyright © Melkumova K.A., 20102010Мелкумова К.А.Melkumova K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/279

The use of cognitive behavioral psychotherapy (CBPT) methods in the treatment of patients with chronic pain is considered. Despite the existing difficulties in evaluating the efficiency of CBPT, numerous studies have shown good results when it is used both alone and as part of a multidisciplinary approach. The use of CBPT methods may be considered as an effective non-drug treatment for chronic back pain.

Рассмотрено применение методов когнитивно-поведенческой психотерапии (КПП) в лечении пациентов с хронической болью. Несмотря на имеющиеся сложности оценки эффективности использования КПП, многочисленные исследования показали хорошие результаты как при ее индивидуальном использовании, так и в рамках мультидисциплинарного подхода. Применение методов КПП может рассматриваться в качестве эффективного нелекарственного метода лечения хронических болей в спине.

когнитивно-поведенческая психотерапияхроническая больбиологическая обратная связьгипнозмедитацияуправляемое воображениеcognitive behavioral psychotherapychronic painbiofeedbackhypnosismeditationcontrolled imaginationReferences<div><p>Livneh H. Psychosocial adaptation to heart diseases: the role of coping strategies. J Rehabil 1999;65(3):24-33.</p><p>Бек Д.С. Когнитивная терапия: полное руководство. М.: ООО И.Д. Вильямс, 2006.</p><p>Эллис А., Драйден У. Практика рационально-эмоциональной поведенческой терапии. СПб.: Речь, 2002.</p><p>Field B.J., Swarm R.A. Chronic pain (Advances in psychotherapy - evidence-based practice). Hogrefe, 2008.</p><p>DeLuca J., Daly R. Mapping the meditative mind: QEEG and LORETA findings. Applied Psychophysiology and Biofeedback. Abstr of paper presented at the 35th Annual Meeting 2004;29(4):290-1.</p><p>Burke A., Herder S. Enchancing daily effectiveness and coping with primary goal imagery. Applied Psychophysiology and Biofeedback. Abstr of paper presented at the 35th Annual Meeting, 2004;29(4):300.</p><p>Tracey I., Ploghaus A., Gati J.S. et al. Imaging attentional modulation of pain in the periacqueductal gray in humans. J Neurosci 2002;22:2748-52.</p><p>Valet M., Sprenger T., Boecker H. et al. Distraction modulates connectivity of the cingulo-frontal cortex and the midbrain during pain - an fMRI analysis. Pain 2004;109:399-408.</p><p>Ranvielle P., Hofbauer R.K., Tomas P. et al. Cerebral mechanisms of hypnotic induction and suggestion. J Cognit Neurosci 1999;11:110-25.</p><p>Григорьева В.Н., Тхостов А.Ш. Психологическая помощь в неврологии. Н. Новгород: Изд-во НГМА, 2009.</p><p>Andrasik F. et al. Outcome measurement in behavioral research: headache parameters and psychological outcome. Headache 2005;45(5):429-37.</p><p>Holroyd K.A., Powers S.W., Andrasik F. Methodological issues in clinical trials of drug and behavioral therapies. Headache 2005;45(5):487-92.</p><p>Biondi M., Portuesi G. Tension-type headache: psychosomatic clinical assessment and treatment. Psychother Psychosom 1994;61(1):41-64.</p><p>Turk D.C., Flor H. The cognitive-behavioral approach to pain management. In: McMahon S.B., Koltzenberg M. (eds). Wall and Melzack`s textbook of pain. 5th ed. London: Elsevier Churchill Livingstone, 2006.</p><p>Gatchel R.J., Robinson R.C. Pain management.In: O`Donohue W., Fisher J.E., Hayes S.C. (eds). Cognitive behavior therapy: applying empirically supported techniques in your practice. NY: John Wiley - Sons, 2003.</p><p>Gatchel R.J., Oordt M.S. Clinical health psychology and primary care: practical advice and clinical guidance for successful collaboration. Washington, 2003.</p><p>Verma S., Gallagher R.M. Evaluating and treating comorbid pain and depression. Int Rev Psychiatry 2000;12(2):103-15.</p><p>Gatchel R.J., Rollings K.H. Evidence-informed management of chronic low back pain with cognitive-behavioral therapy. Spine J 2008;8:40-4.</p><p>Morley S.J., Eccelston C., Williams A. Systematic review and meta analysis of randomized control trials of cognitive behavior therapy for chronic pain in adults, excluding headache. Pain 1999;80:1-13.</p><p>Guzman J., E-mail R., Karjalainen K. et al. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. The Cochrane Database of Systematic Reviews. 2001;1:CD000963.</p><p>Hoffman B.M., Chatkoff D.K., Papas R.K. et al. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol 2007;26:1-9.</p><p>Van Tulder M.W., Ostelo R.W., Vlaeyan J.W. et al. Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine 2000;25:2688-99.</p><p>Ostelo R.W., Van Tulder M.W., Vlaeyan J.W. et al. Behavioral treatment for chronic low back pain (review). The Cochrane Library 2005;4:1-25.</p></div><br /><div><p>Livneh H. Psychosocial adaptation to heart diseases: the role of coping strategies. J Rehabil 1999;65(3):24-33.</p><p>Бек Д.С. Когнитивная терапия: полное руководство. М.: ООО И.Д. Вильямс, 2006.</p><p>Эллис А., Драйден У. Практика рационально-эмоциональной поведенческой терапии. СПб.: Речь, 2002.</p><p>Field B.J., Swarm R.A. Chronic pain (Advances in psychotherapy - evidence-based practice). Hogrefe, 2008.</p><p>DeLuca J., Daly R. Mapping the meditative mind: QEEG and LORETA findings. Applied Psychophysiology and Biofeedback. Abstr of paper presented at the 35th Annual Meeting 2004;29(4):290-1.</p><p>Burke A., Herder S. Enchancing daily effectiveness and coping with primary goal imagery. Applied Psychophysiology and Biofeedback. Abstr of paper presented at the 35th Annual Meeting, 2004;29(4):300.</p><p>Tracey I., Ploghaus A., Gati J.S. et al. Imaging attentional modulation of pain in the periacqueductal gray in humans. J Neurosci 2002;22:2748-52.</p><p>Valet M., Sprenger T., Boecker H. et al. Distraction modulates connectivity of the cingulo-frontal cortex and the midbrain during pain - an fMRI analysis. Pain 2004;109:399-408.</p><p>Ranvielle P., Hofbauer R.K., Tomas P. et al. Cerebral mechanisms of hypnotic induction and suggestion. J Cognit Neurosci 1999;11:110-25.</p><p>Григорьева В.Н., Тхостов А.Ш. Психологическая помощь в неврологии. Н. Новгород: Изд-во НГМА, 2009.</p><p>Andrasik F. et al. Outcome measurement in behavioral research: headache parameters and psychological outcome. Headache 2005;45(5):429-37.</p><p>Holroyd K.A., Powers S.W., Andrasik F. Methodological issues in clinical trials of drug and behavioral therapies. Headache 2005;45(5):487-92.</p><p>Biondi M., Portuesi G. Tension-type headache: psychosomatic clinical assessment and treatment. Psychother Psychosom 1994;61(1):41-64.</p><p>Turk D.C., Flor H. The cognitive-behavioral approach to pain management. In: McMahon S.B., Koltzenberg M. (eds). Wall and Melzack`s textbook of pain. 5th ed. London: Elsevier Churchill Livingstone, 2006.</p><p>Gatchel R.J., Robinson R.C. Pain management.In: O`Donohue W., Fisher J.E., Hayes S.C. (eds). Cognitive behavior therapy: applying empirically supported techniques in your practice. NY: John Wiley - Sons, 2003.</p><p>Gatchel R.J., Oordt M.S. Clinical health psychology and primary care: practical advice and clinical guidance for successful collaboration. Washington, 2003.</p><p>Verma S., Gallagher R.M. Evaluating and treating comorbid pain and depression. Int Rev Psychiatry 2000;12(2):103-15.</p><p>Gatchel R.J., Rollings K.H. Evidence-informed management of chronic low back pain with cognitive-behavioral therapy. Spine J 2008;8:40-4.</p><p>Morley S.J., Eccelston C., Williams A. Systematic review and meta analysis of randomized control trials of cognitive behavior therapy for chronic pain in adults, excluding headache. Pain 1999;80:1-13.</p><p>Guzman J., E-mail R., Karjalainen K. et al. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. The Cochrane Database of Systematic Reviews. 2001;1:CD000963.</p><p>Hoffman B.M., Chatkoff D.K., Papas R.K. et al. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol 2007;26:1-9.</p><p>Van Tulder M.W., Ostelo R.W., Vlaeyan J.W. et al. Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine 2000;25:2688-99.</p><p>Ostelo R.W., Van Tulder M.W., Vlaeyan J.W. et al. Behavioral treatment for chronic low back pain (review). The Cochrane Library 2005;4:1-25.</p></div><br />

The authors declare that there are no conflicts of interest present.