Changing Mindsets to Enhance Pain Treatment Effectiveness
Patient expectations shape the experience of pain, pain treatment needs, and powerfully influence treatment response. Acquiring a positive mindset is critical to extinguishing nocebo responses and optimizing outcomes. Evidence shows that structure and function of the brain is changed by reducing a negative mindset in chronic pain. However, barriers exist for current “gold-standard” psychological treatment. Brief, low-cost treatments that target mindset as a psychological saboteur of pain and outcomes may be scaled to efficiently and economically address a key aspect of the pain crisis in the U.S. This program reviews the evidence, current studies, and future directions that hold promise for harnessing the mind-body connection for pain relief.
Faculty: Beth D. Darnall, PhD
This 1-hour CE activity is designed for all clinicians who treat chronic pain.
Upon completion of this activity, participants should be better able to:
- Discuss how negative and positive expectations influence pain intensity
- DIscuss how negative expectations influence opioid analgesia
- Define pain catastrophizing and discuss its impact on pain outcomes
- Discuss how brief, targeted interventions may help shift mindset and address the unmet needs of patients who cannot access psychological treatment for pain
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The information provided in this activity is for continuing education purposes only and is not meant to subsitute for the independent medical judgement of a health care provider relative to diagnostic and treatment options of a specific patient's medical condition.
Presentations used with permission. Copyright © Academy of Integrative Pain Management 2018
For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at firstname.lastname@example.org.
Beth D. Darnall, PhD, is a clinical associate professor in the department of anesthesiology, perioperative, and pain medicine at Stanford University. She is former president of the Pain Society of Oregon and co-chair of the Pain Psychology Task Force at the American Academy of Pain Medicine. Her NIH-funded research investigates mechanisms of pain catastrophizing, CBT, and the effectiveness of a targeted treatment she developed. She also studies prevention of post-surgical pain and outpatient opioid tapering. She is author of The Opioid-Free Pain Relief Kit (2016) and Less Pain, Fewer Pills: Avoid the Dangers of Prescription Opioids and Gain Control over Chronic Pain (2014). She blogs for Psychology Today and the Huffington Post. She has been featured in the San Francisco Chronicle, New York magazine, Forbes, and Scientific American.
Disclosure of Conflict of Interest
All individuals in a position to control the content who had relevant financial relationships are listed below. If their name is not listed below, they disclosed that they had no relevant financial relatioships.
Dr. Darnall reports that she is on the scientific advisory board at Axial.
Acknowledgement of Commercial Support
No commercial support was received for this educational activity.
Method of Learner Participation: Each learner will listen to each audio self-directed module while following along with the visual slides. Upon completion, each learner will answer evaluation questions to receive their certificate.
Satisfactory Completion: Learners must complete an evaluation to receive a certificate of completion. Your chosen sessions/videos must be viewed in their entirety.
Bibliographic Sources: Bibliographic sources can be found on the program slides.
The Academy of Integrative Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Academy of Integrative Pain Management designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Osteopathic Association accepts ACCME accredited programs for Category 2-A CME credit.
The Academy of Integrative Pain Management is approved by the American Psychological Association to sponsor continuing education for psychologists. The Academy of Integrative Pain Management maintains responsibility for this program and its content. The Academy designates this live activity for a maximum of 1 CE credits.
Nurses and Pharmacists
In support of improving patient care, this activity has been planned and implemented by Amedco, LLC and the Academy of Integrative Pain Management. Amedco, LLC is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco designates this enduring material activity for a maximum of 1 contact hour for nurses and 1 knowldege-based contact hour for pharmacists. Learners should claim only the credit commensurate with the extrent of their participation in the activity. PHARMACIST NOTE: The only offiical Statement of Credit is the one you pull from CPE Monitor.
The American Association of Nurse Practitioners (AANP) recognizes the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC) as approved accreditors and allow reciprocity for AANPCP continuing education credit.
- 1.00 ACPE
- 1.00 AMA PRA Category 1 Credit(s)™
- 1.00 ANCC
- 1.00 APA
- 1.00 Document of Attendance