Being Trapped and Seeing No Way Out – Effects of Entrapment on Treatment Outcome in an Interdisciplinary Pain Treatment

Entrapment describes a feeling of being stuck in an inescapable aversive situation. This feeling often arises in the context of uncontrollable and/or chronic stress and is associated with various psychopathologies. Owing to the nature of their disease, also chronic pain, patients might experience th...

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Bibliographic Details
Published in:Journal of the Academy of Consultation-Liaison Psychiatry 2022-01, Vol.63 (1), p.36-45
Main Authors: Blaettler, Larissa T., Goméz Penedo, Juan Martín, grosse Holtforth, Martin, Egloff, Niklaus
Format: Article
Language:English
Subjects:
between-patient effects
chronic pain
Chronic Pain - psychology
Chronic Pain - therapy
entrapment
Humans
pain interference
Pain Management
Pain Measurement - psychology
Surveys and Questionnaires
Treatment Outcome
within-patient effects
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Summary:Entrapment describes a feeling of being stuck in an inescapable aversive situation. This feeling often arises in the context of uncontrollable and/or chronic stress and is associated with various psychopathologies. Owing to the nature of their disease, also chronic pain, patients might experience their situation as unremitting and inescapable. The aim of the present study was to examine the role of entrapment in patients with a chronic pain disorder and the association of entrapment with treatment outcome. A total of 189 patients with a chronic pain disorder where psychological factors play a decisive role in its severity, exacerbation, and maintenance (International Classification of Diseases, ICD-10: F45.41, “Chronic pain disorder with somatic and psychologic factors”) receiving inpatient care completed a set of standardized self-report questionnaires at intake and discharge of an interdisciplinary pain treatment. To analyze the effects of entrapment on pain-related interference and psychologic distress, hierarchical linear models were used. Over treatment, reduced levels of entrapment were observed, which were associated with decreases in psychologic distress and pain-related interference at discharge. Results support the relevance of entrapment in chronic pain and its treatment. To further improve interdisciplinary pain treatments, entrapment should be assessed and targeted by according interventions.
ISSN:2667-2960
2667-2960
DOI:10.1016/j.jaclp.2021.06.006