Table 1.
Overview of three psychosocial interventions used in managing pain in older adults
Intervention | Target | Treatment components | Research findings |
---|---|---|---|
CBT | Alter pain-relevant thoughts, emotions, and behaviours | Patients attend 6–12 sessions to learn and practice pain-management skills, including relaxation, distraction, activity pacing, cognitive restructuring, problem solving | Good evidence for efficacy |
Emotional disclosure | The ability to experience, identify, express, and process negative emotions | Patients write or speak for several 15–20 min sessions about their deepest thoughts and feelings related to a stressful experience | Mixed evidence; efficacy is linked to patient pre-treatment characteristics |
Mind–body | Cultivate awareness and acceptance of physical and emotional experiences | Patients attend 6–8 sessions to learn and practice mindfulness meditation, yoga, or both with group discussion of experiences | Few studies, particularly among older adults; preliminary research is promising |