2017, Number 3
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Rev Hosp Jua Mex 2017; 84 (3)
Cognitive-behavioral intervention in a case of atypical neuralgia
Gómez-Zarco A, Tron-Álvarez R, Becerra-Gálvez AL
Language: Spanish
References: 13
Page: 170-176
PDF size: 171.63 Kb.
ABSTRACT
Chronic pain is a sensory experience that is mediated by various emotional, cognitive, family and cultural factors, so that psychological assessment and treatment are fundamental in comprehensive patient care. The present case aims to illustrate the importance of the work done with this type of patients from behavioral medicine and the effectiveness of cognitive-behavioral therapy techniques in reducing the perception of pain, anxiety and depression associated with thoughts of uselessness and guilt of a female patient of 40 years with diagnosis of atypical neuralgia. For the psychological treatment plan, cognitive conceptualization was used due to the fact that the source of the emotional distress related to her pain was found in the kind of automatic thoughts derived from interactions of couple and relatives. The intervention was performed in eight fortnightly sessions of an hour approximately within the Service of Pain Clinic and Palliative Care of the Hospital Juárez de México. Pain measurements were taken using the visual analogue scale (VAS), as well as anxiety and depression levels with the use of analogous subjective units (ASU). The results obtained after the implementation of techniques of relaxation, modification of cognitions and solution of problems, show a decrease in emotional distress and in the perception of pain. Cognitive-behavioral techniques are tools that allow the patient to adapt to the pain condition due to atypical neuralgia.
REFERENCES
International Asociation for the Study of Pain. Definición de “dolor” [consultado en 2017, Abril 25]. Disponible en: http://www.iasp-pain.org/Taxonomy?navItemNumber=576#Pain
Guillemet G, Guy-Coichard C. Principios de tratamiento del dolor crónico. EMC-Kinesiterapia-Medicina Física 2016; 37(3): 1-12.
Melzack R. From the gate to the neuromatrix. Pain 1999; Suppl 6: S121-6.
Zelaya CMP. Tic doloreaux: neuralgia trigeminal. Synapsis 2010; 3(1): 27-32.
Barragán-Solís A. El dolor crónico: una visión antropológica de acuerdo a familiares y pacientes. Arch Med Fam 2006; 8(2): 109-17.
Cid CJ, Acuña BJP, de Andrés AJ, Díaz JL, Gómez-Caro AL. ¿Qué y cómo evaluar al paciente con dolor crónico? Evaluación del paciente con dolor crónico. Rev Med Clin Condes 2014; 25(4): 687-97.
Lavielle P, Clark P, Martínes H, Mercado F, Ryan G. La conducta del enfermo ante el dolor crónico. Salud Pública Méx 2008; 50(2): 147-54.
Turk D, Burwinkle T, Thieme K. Intervenciones psicológicas. En: Von Rohen J, Paice J, Preodor M, editores. Diagnóstico y tratamiento en el dolor. Madrid: McGraw-Hill / Interamericana de España; 2006. p. 50-6.
Beck A, Rush A, Shaw B, Emery G. Terapia cognitiva para la depresión. 19a ed. Bilbao: Desclée de Brouwer; 1983.
Clark D, Beck A. Terapia cognitiva para trastornos de ansiedad. Ciencia y práctica. Bilbao: Desclée de Brouwer; 2010.
Beck J. Terapia cognitiva. Conceptos básicos y profundización. Barcelona, España: Gedissa; 1995.
Paulus DJ, Bakhshaie J, Garza M, Ochoa-Perez M, Mayorga NA, Bogiaizian D, et al. Pain severity and emotion dysregulation among Latinos in a community health care setting: relations to mental health. Gen Hosp Psychiatry 2016; 42: 41-8.
Boglut A, Codreanu D. Gender, positive and negative emotions predictors for the self-perceived pain at undergraduate students al psychology: a pilot study. Procedia-Social and Behavioral Sciences 2015; 187: 723-7.