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International Association for the Study of Pain

Mapping and Addressing the Biopsychosocial Complexity of Neuropathic Pain: Let's Do Better

Plenary

Abstract Description

Pain and related disability are complex phenomena experienced by complex human beings interacting within complex social systems. Despite this, research into neuropathic pain has largely focused on the underlying pathophysiology and biomedical treatments. Within the wider pain field, there is now good evidence for the efficacy of cognitive-behavioural treatments that target psychosocial aspects of persistent pain. However, there is a paucity of such research in the context of neuropathic pain.

In this talk, I will argue for the need to understand and target the complexity of psychosocial aspects of neuropathic pain and its whole-person impact. I will present data from a feasibility randomized controlled trial of a novel cognitive-behavioural treatment tailored for people living with HIV and neuropathic pain. I will draw on this work to share lessons to improve the application of cognitive-behavioural treatments across other neuropathic pain conditions.

Throughout the talk, I will show how methodologies, including qualitative methods, patient involvement, single-case experimental designs, and ecological momentary assessment, can be leveraged to help us develop a more person-centered and contextualized understanding of neuropathic pain and its management. Ongoing work of the PAINSTORM neuropathic pain consortium will be briefly highlighted as an example of breaking disciplinary silos and working towards a truly integrated understanding of the biopsychosocial complexities of neuropathic pain.


Learning Objectives
1. Upon completion, the participant will be better able to demonstrate an understanding of the biopsychosocial complexity of neuropathic pain.
2. Upon completion, the participant will be better able to communicate the focus of acceptance and commitment therapy for people with persistent pain. 
3. Upon completion, the participant will be better able to describe the benefits of person-centered research methodologies, including qualitative methods and single-case experimental designs.  

Presenters

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