Chronic pain management group psychotherapy for psychiatric inpatients: A pilot study

Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. In...

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Bibliographic Details
Published in:Bulletin of the Menninger Clinic 2017-06, Vol.81 (2), p.123-149
Main Authors: Osborne, Patricia J, Jimenez-Torres, Gladys Janice, Landa, Yulia, Mahoney, Jane, Madan, Alok
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anxiety
Anxiety - psychology
Anxiety - therapy
Best practice
Chronic pain
Chronic Pain - psychology
Chronic Pain - therapy
Clinical medicine
Comorbidity
Depression - psychology
Depression - therapy
Emotional regulation
Emotions - physiology
Female
Group psychotherapy
Hospitalization
Humans
Inpatients - psychology
Male
Mental depression
Mental disorders
Middle Aged
Pain management
Pain Management - methods
Pain Management - psychology
Pain Measurement
Pain Perception - physiology
Pilot Projects
Psychiatric hospitals
Psychotherapy
Psychotherapy - methods
Psychotherapy, Group - methods
Severity
Somatic symptoms
Treatment Outcome
Young Adult
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Summary:Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. In this report, the authors highlight (1) the theoretical underpinnings of and execution of the psychotherapy group, (2) the characteristics of participants in the pilot phase of the group, and (3) outcomes of group participants. Data were collected from 16 participants in the pain management psychotherapy group. The mean number of groups attended was two (SD = 1.7). Participants endorsed pain across five regions of the body with high pain intensity and severity. Improvements in depression, anxiety, somatic, and emotional regulation symptoms were evidenced during the course of treatment. CP group psychotherapy may be an effective modality to disseminate "best practices" and prevent diagnostic overshadowing for SMI patients.
ISSN:0025-9284
1943-2828
DOI:10.1521/bumc.2017.81.2.123