Cognitive Behaviour Therapy For Chronic Pain Management in Southeast and East Asia: A Scoping Review

Wichitra Phon, Mahadir Ahmad

Abstract


Background: Chronic pain debilitates 18–20% of the population. Psychological therapy for chronic pain is scattered, especially in Asia. Cognitive Behaviour Therapy (CBT) is a promising treatment for chronic pain in the Western population but its efficacy in Asia is unknown. Methods: We conducted a scoping review to summarise how CBT has been delivered in adults with chronic pain in East and Southeast Asian region. Searches were carried out in four databases, SCOPUS, PubMed, Ovid Medline, and Web of Science (WOS). Articles that uses English language from the year 2015-2023 were identified. Titles and abstracts were screened and reviewed, and the data extracted were analysed. Results: Eleven studies met our inclusion criteria and was included in the final review. There are a mixed number of studies that use group or individual CBT. The most used CBT techniques are psychoeducation, relaxation, cognitive restructuring, and relapse prevention. Results found promising evidence of CBT in chronic pain management in the region. Conclusions: According to studies, CBT is rapidly being utilised to treat chronic pain in the East and Southeast Asian region, expanding beyond multimodal pain care. CBT clearly performs well as a stand-alone intervention strategy. The most effective CBT protocol is difficult to pinpoint, but it is crucial to remember that there are various types of chronic pain and psychological issues, so there is no "one size fits all" technique.

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References


Abdul Jalil N., Sulaiman, Z., Awang, M. S., Omar, M. (2009). Retrospective review of outcomes of a multimodal chronic pain service in major teaching hospital: a preliminary experience in Universiti Sains Malaysia. Malaysian Journal of Medical Science.;16(4):55–65.

American Society of Anesthesiologists Task Force on Chronic Pain Management, & American Society of Regional Anesthesia and Pain Medicine (2010). Practice guidelines for chronic pain management: an updated report by the American Society of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology, 112(4), 810–833. https://doi.org/10.1097/ALN.0b013e3181c43103

Andreae, S. J., Andreae, L. J., Richman, J. S., Cherrington, A. L., & Safford, M. M. (2020). Peer-delivered cognitive behavioral training to improve functioning in patients with diabetes: A cluster-randomized trial. Annals of Family Medicine, 18(1), 15–23. https://doi.org/10.1370/afm.2469

Altmaier, E. M., Lehmann, T. R., Russell, D.W., Weinstein, J. N., Kao, C. F. (1992). The effectiveness of psychological interventions for the rehabilitation of low back pain: a randomized controlled trial evaluation. Pain, 49:329–35.

Basler, H. D., Jakle, C, Kroner-Herwig B. (1997). Incorporation of cognitive-behavioral treatment into the medical care of chronic low back patients: a controlled randomized study in German pain treatment centers. Patient Education & Counseling;31:113–24.

Burke, D., Lennon, O., Blake, C., Nolan, M., Barry, S., Smith, E., Maye, F., Lynch, J., O'Connor, L., Maume, L., Cheyne, S., Ní Ghiollain, S., & Fullen, B. M. (2019). An internet-delivered cognitive behavioural therapy pain management programme for spinal cord injury pain: A randomized controlled trial. European journal of pain (London, England), 23(7), 1264–1282. https://doi.org/10.1002/ejp.1402

Cardosa, M., Zubaidah, J. O, Nicholas, M., Tonkin, L., Williams, A., Khuzaimah, A. A., Ramli, M. A., Norhana M. D. (2012). Self-management of chronic pain in Malaysian patients: effectiveness trial with 1-year follow-up. Translational Behavioral Medicine, 2(1):30-37. doi: 10.1007/s13142-011-0095-2. Epub 2011 Dec 6. PMID: 22448204; PMCID: PMC3291846.

Dahlhamer, J., Lucas, J., Zelaya, C., Nahin, R., Mackey, S., DeBar, L., Kerns, R., Von Korff, M., Porter, L., & Helmick, C. (2018). Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults - United States, 2016. MMWR. Morbidity and mortality weekly report, 67(36), 1001–1006. https://doi.org/10.15585/mmwr.mm6736a2

Edinger, J. D, & Carney, C. E. Overcoming insomnia: a cognitive-behavioral therapy approach: therapist guide. 2nd ed. Oxford; New York: Oxford University Press; 2015.

Edwards, R. R., Cahalan, C., Mensing, G., Smith, M., & Haythornthwaite, J. A. (2011). Pain, catastrophizing, and depression in the rheumatic diseases. Nature Reviews Rheumatology, 7(4), 216 –224. doi:10.1038/ nrrheum.2011.2nrrheum.2011.2

Elsegood, K. J., & Wongpakaran, N. (2012). The effects of guided imagery on affect, cognition, and pain in older adults in residential care: a randomized controlled study from Thailand. Research in gerontological nursing, 5(2), 114–122. https://doi.org/10.3928/19404921-20110706-02

Fraser, C., Beasley, M., Macfarlane, G., & Lovell, K. (2019). Telephone cognitive behavioural therapy to prevent the development of chronic widespread pain: A qualitative study of patient perspectives and treatment acceptability. BMC Musculoskeletal Disorders, 20(1). https://doi.org/10.1186/s12891-019-2584-2

Foo, C. N., Arumugam, M., Lekhraj, R., Lye, M. S., Mohd-Sidik, S., Jamil Osman, Z. (2020). Effectiveness of health-led cognitive behavioral-based group therapy on pain, functional disability and psychological outcomes among knee osteoarthritis patients in malaysia. International Journal of Environmental Research and Public Health, 26;17(17):6179. doi: 10.3390/ijerph17176179. PMID: 32858791; PMCID: PMC7503685.

Fordyce, W. E., Fowler, R. S., & DeLateur, B. (1968). An application of behavior modification technique to a problem of chronic pain. Behaviour research and therapy, 6(1), 105–107. https://doi.org/10.1016/0005-7967(68)90048-x

Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin, 133(4), 581– 624. doi:10.1037/0033-2909.133.4.581

Hardman, R., Lawn, S., & Tsourtos, G. (2019). Pain Self-Management: Easier Said than Done? Factors Associated with Early Dropout from Pain Self-Management in a Rural Primary Care Population. Pain medicine (Malden, Mass.), 20(2), 267–277. https://doi.org/10.1093/pm/pny167

Hosogoshi, H., Iwasa, K., Fukumori, T., Takagishi, Y., Takebayashi, Y., Adachi, T., Oe, Y., Tairako, Y., Takao, Y., Nishie, H., Kanie, A., Kitahara, M., Enomoto, K., Ishii, H., Shinmei, I., Horikoshi, M., & Shibata, M. (2020). Pilot study of a basic individualized cognitive behavioral therapy program for chronic pain in Japan. BioPsychoSocial medicine, 14, 6. https://doi.org/10.1186/s13030-020-00176-w

Kitahara, M., Kojima, K. K., & Ohmura, A. (2006). Efficacy of interdisciplinary treatment for chronic nonmalignant pain patients in Japan. The Clinical journal of pain, 22(7), 647–655. https://doi.org/10.1097/01.ajp.0000210909.49923.df

Kroenke, K., Spitzer, R. L., & Williams, J. B. (1994). Physical symptoms in primary care. Predictors of psychiatric disorders and functional impairment. Archives of Family Medicine, 3, 774–779.

Lau, O. W. Y., Leung, L. N. Y, & Wong, L. O.L. (2002). Cognitive behavioural techniques for changing the coping skills of patients with chronic pain. Hong Kong Journal of Occupational Therapy, 12: 13-20.

Lerman, S. F., Rudich, Z., Brill, S., Shalev, H., & Shahar, G. (2015). Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. Psychosomatic medicine, 77(3), 333–341. https://doi.org/10.1097/PSY.0000000000000158

Li, E. J., Li-Tsang, C. W., Lam, C. S., Hui, K. Y., & Chan, C. C. (2006). The effect of a "training on work readiness" program for workers with musculoskeletal injuries: a randomized control trial (RCT) study. Journal of occupational rehabilitation, 16(4), 529–541. https://doi.org/10.1007/s10926-006-9034-3

Lim, J. A., Choi, S. H., Lee, W. J., Jang, J. H., Moon, J. Y., Kim, Y. C., & Kang, D. H. (2018). Cognitive-behavioral therapy for patients with chronic pain: Implications of gender differences in empathy. Medicine, 97(23), e10867. https://doi.org/10.1097/MD.0000000000010867

Macfarlane, G. J., Beasley, M., Scott, N., Chong, H., McNamee, P., McBeth, J., Basu, N., Hannaford, P. C., Jones, G. T., Keeley, P., Prescott, G. J., & Lovell, K. (2021). Maintaining musculoskeletal health using a behavioural therapy approach: A population-based randomised controlled trial (the MAmMOTH Study). Annals of the Rheumatic Diseases, 80(7), 903–911. https://doi.org/10.1136/annrheumdis-2020-219091

Man, A. K., Chu, M. C., Chen, P. P., Ma, M., & Gin, T. (2007). Clinical experience with a chronic pain management programme in Hong Kong Chinese patients. Hong Kong medical journal = Xianggang yi xue za zhi, 13(5), 372–378.

Motoya, R., Otani, K., Nikaido, T., Ono, Y., Matsumoto, T., Yamagishi, R., Yabuki, S., Konno, S. I., Niwa, S. I., & Yabe, H. (2017). Short-term effect of back school based on cognitive behavioral therapy involving multidisciplinary collaboration. Fukushima journal of medical science, 63(2), 81–89. https://doi.org/10.5387/fms.2016-07

Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2009). Pain catastrophizing: A critical review. Expert Reviews Neurotherapy, 9(5), 745–758. doi:10.1586/ern.09.34

Palermo, T. M., Law, E. F., Topazian, M. D., Slack, K., Dear, B. F., Ko, Y. J., Vege, S. S., Fogel, E., Trikudanathan, G., Andersen, D. K., Conwell, D. L., & Yadav, D. (2021). Internet cognitive-behavioral therapy for painful chronic pancreatitis: a pilot feasibility randomized controlled trial. Clinical and Translational Gastroenterology, 12(6), e00373. https://doi.org/10.14309/ctg.0000000000000373

Pardos-Gascón, E. M., Narambuena, L., Leal-Costa, C., Ramos-Morcillo, A. J., Ruzafa-Martínez, M., & van-der Hofstadt Román, C. J. (2021). Effects of mindfulness-based cognitive therapy for chronic pain: a multicenter study. International Journal of Environmental Research and Public Health, 18(13), 6951. https://doi.org/10.3390/ijerph18136951

Sá, K. N., Moreira, L., Baptista, A. F., Yeng, L. T., Teixeira, M. J., Galhardoni, R., & de Andrade, D. C. (2019). Prevalence of chronic pain in developing countries: systematic review and meta-analysis. Pain reports, 4(6), e779. https://doi.org/10.1097/PR9.0000000000000779

Song, M. K., Choi, S. H., Lee, D. H., Lee, K. J., Lee, W. J., & Kang, D. H. (2018). Effects of Cognitive-Behavioral Therapy on Empathy in Patients with Chronic Pain. Psychiatry investigation, 15(3), 285–291. https://doi.org/10.30773/pi.2017.07.03

Song, M. L., Park, K. M., Motamedi, G. K., & Cho, Y. W. (2020). Cognitive behavioral therapy for insomnia in restless legs syndrome patients. Sleep medicine, 74, 227–234. https://doi.org/10.1016/j.sleep.2020.07.011

Taguchi, K., Numata, N., Takanashi, R., Takemura, R., Yoshida, T., Kutsuzawa, K., Yoshimura, K., & Shimizu, E. (2021). Integrated cognitive behavioral therapy for chronic pain: An open-labeled prospective single-arm trial. Medicine, 100(6), e23859. https://doi.org/10.1097/MD.0000000000023859

Tang, N. K. Y., Moore, C., Parsons, H., Sandhu, H. K., Patel, S., Ellard, D. R., Nichols, V. P., Madan, J., Collard, V. E. J., Sharma, U., & Underwood, M. (2020). Implementing a hybrid cognitive-behavioural therapy for pain-related insomnia in primary care: Lessons learnt from a mixed-methods feasibility study. BMJ Open, 10(3). https://doi.org/10.1136/bmjopen-2019-034764

Treede, R. D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., Cohen, M., Evers, S., Finnerup, N. B., First, M. B., Giamberardino, M. A., Kaasa, S., Korwisi, B., Kosek, E., Lavand'homme, P., Nicholas, M., Perrot, S., Scholz, J., Schug, S., Smith, B. H., … Wang, S. J. (2019). Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain, 160(1), 19–27. https://doi.org/10.1097/j.pain.0000000000001384

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850.

Tung, A., DeGood, D., & Tenicela, R. (1979). Pain control. Clinical evaluation of biofeedback relaxation training. Pennsylvania medicine, 82(1), 18–19.

Wang, Z. K., Tan, H. , Liu, S., & Zhang, G. (2020). Effect of cognitive behavior intervention on improving psychological emotion and erectile dysfunction of chronic prostatitis patients. Acta Medica Mediterranea, 36: 2507. doi: 10.19193/0393-6384_2020_4_389

Williams, A. C., Fisher, E., Hearn, L., & Eccleston C. (2020). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database of Systematic Reviews, 11(11). doi: 10.1002/14651858.CD007407.pub4.

World Health Organization (2019). International Statistical Classification of Diseases and Related Health Problems (11th ed.). https://icd.who.int/

Wong, S. Y. S, Chan, F. W. K., Wong, R. L.P., Chu, M. C., Lam, Y. Y. K., & Chu, M. C. (2011). Comparing the effectiveness of mindfulness-based stress reduction and multidisciplinary intervention programs for chronic pain—a randomised comparative trial. The Clinical Journal of Pain, 27(8):724-34

Yoshino, A., Okamoto, Y., Doi, M., Horikoshi, M., Oshita, K., Nakamura, R., Otsuru, N., Yoshimura, S., Tanaka, K., Takagaki, K., Jinnin, R., Yamashita, H., Kawamoto, M., & Yamawaki, S. (2015). Effectiveness of group cognitive behavioral therapy for somatoform pain disorder patients in Japan: A preliminary non-case-control study. Psychiatry and clinical neurosciences, 69(12), 763–772. https://doi.org/10.1111/pcn.12330

Yoshino, A., Okamoto, Y., Jinnin, R., Takagaki, K., Mori, A., & Yamawaki, S. (2019). Role of coping with negative emotions in cognitive behavioral therapy for persistent somatoform pain disorder: Is it more important than pain catastrophizing?. Psychiatry and clinical neurosciences, 73(9), 560–565. https://doi.org/10.1111/pcn.12866


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