Preprint Review Version 6 This version is not peer-reviewed

Treating Anxiety-Based Cognitive Distortions Pertaining to Somatic Perception for Better Chronic Pain Outcomes: A Recommendation for Better Practice in the Present Day and the Cyber Age of Medicine

Version 1 : Received: 22 August 2024 / Approved: 24 August 2024 / Online: 26 August 2024 (11:20:25 CEST)
Version 2 : Received: 26 August 2024 / Approved: 28 August 2024 / Online: 29 August 2024 (11:55:44 CEST)
Version 3 : Received: 29 August 2024 / Approved: 30 August 2024 / Online: 2 September 2024 (11:02:50 CEST)
Version 4 : Received: 14 September 2024 / Approved: 14 September 2024 / Online: 14 September 2024 (09:47:39 CEST)
Version 5 : Received: 27 September 2024 / Approved: 27 September 2024 / Online: 29 September 2024 (03:57:20 CEST)
Version 6 : Received: 3 October 2024 / Approved: 7 October 2024 / Online: 8 October 2024 (11:58:04 CEST)

A peer-reviewed article of this Preprint also exists.

Silva, M.J. Treating Anxiety-Based Cognitive Distortions Pertaining to Somatic Perception for Better Chronic Pain Outcomes: A Recommendation for Better Practice in the Present Day and the Cyber Age of Medicine. J. Clin. Med. 2024, 13, 5923. Silva, M.J. Treating Anxiety-Based Cognitive Distortions Pertaining to Somatic Perception for Better Chronic Pain Outcomes: A Recommendation for Better Practice in the Present Day and the Cyber Age of Medicine. J. Clin. Med. 2024, 13, 5923.

Abstract

Anxiety-based cognitive distortions pertaining to somatic perception (ABCD-SPs)—primarily catastrophizing, fear avoidance, and kinesiophobia—have been repeatedly linked to worsening chronic, non-cancer pain (CNCP) outcomes of increased disability, amplified pain, ineffective opioid use, and opioid misuse. Several studies have suggested that treating ABCD-SPs can improve pain outcomes, yet identification and targeting of ABCD-SPs are not part of the standard medical pain assessment and treatment plan. Utilizing a narrative review of proposed mechanisms, published patient perspectives, and study correlations connecting these cognitive distortions with CNCP outcomes, an approach for better practice in the delivery of standard medical CNCP care can be deduced and formulated into a Belief and Behavior Action Plan (BBAP) for medical clinicians treating CNCP to implement into initial and maintenance care planning. These recommendations require relatively few resources to implement and have the potential to disseminate more effective CNCP treatment on a large scale now and in the future with the new frontier of cognitive computing in medicine.

Keywords

chronic pain; catastrophizing; fear avoidance; kinesiophobia; opioids; anxiety; depression; artificial intelligence

Subject

Medicine and Pharmacology, Clinical Medicine

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