Title | Problem Adaptation Therapy for Pain (PATH-Pain): A Psychosocial Intervention for Older Adults with Chronic Pain and Negative Emotions in Primary Care. |
Publication Type | Journal Article |
Year of Publication | 2017 |
Authors | Kiosses DN, Ravdin LD, Stern A, Bolier R, Kenien C, M Reid C |
Journal | Geriatrics (Basel) |
Volume | 2 |
Issue | 1 |
Date Published | 2017 |
ISSN | 2308-3417 |
Abstract | Chronic pain is highly prevalent in older adults, contributes to activity restriction and social isolation, disrupts family and interpersonal relationships, and poses a significant economic burden to society. Negative emotions such as sadness, anxiety, helplessness, and hopelessness are associated with chronic pain and contribute to poor quality of life, impaired interpersonal and social functioning, and increased disability. Psychosocial interventions for older adults with chronic pain have been historically developed for, and are almost exclusively delivered to, cognitively intact patients. Therefore, many older adults with chronic pain and comorbid cognitive deficits have limited treatment options. Our multidisciplinary team developed Problem Adaptation Therapy for Pain in Primary Care (PATH-Pain), a psychosocial intervention for older adults with chronic pain, negative emotions, and a wide range of cognitive functioning, including mild-to-moderate cognitive impairment. In the current article, we describe the principles underlying PATH-Pain, review the steps taken to adapt the original PATH protocol, outline the treatment process, and present a case illustrating its potential value. |
DOI | 10.3390/geriatrics2010005 |
Alternate Journal | Geriatrics (Basel) |
PubMed ID | 29034259 |
PubMed Central ID | PMC5640171 |
Grant List | R01 AG050514 / AG / NIA NIH HHS / United States K24 AG053462 / AG / NIA NIH HHS / United States P30 AG022845 / AG / NIA NIH HHS / United States R01 DA003816 / DA / NIDA NIH HHS / United States UL1 TR002384 / TR / NCATS NIH HHS / United States |