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Teaching the biopsychosocial model of chronic pain: Whom are we talking to?
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.ORCID iD: 0000-0001-7051-1234
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.ORCID iD: 0000-0003-4420-418X
2023 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 110, article id 107645Article in journal (Refereed) Published
Abstract [en]

The biopsychosocial (BPS) model of chronic pain can be illustrated in many ways. Our aim is to adapt three illustrations of the BPS approach selected from the literature to target different groups: patients, health professionals and clinical trainees. In clinician-patient consultations, we use an illustration which shows the interactions among the BPS domains in the creation of suffering and pain behaviours in a "vicious spiral". Moreover, we help our patients understand chronic pain often does not entail remaining tissue damage. In clinical practice, we communicate to other health professionals that the relative contribution of each BPS domain varies from patient to patient. This disproportional contribution may also change dynamically over the time. In teaching clinical trainees, we combine thoroughness (i.e., focus on "details") with an understanding of the "dynamics" of pain chronification/chronic pain, i.e., focus on helping the trainee identify the mutual and joint interactions between different parts of the BPS framework. Conclusion: The three illustrations can be used as pedagogical tools for better-informed BPS perspectives in different settings. Practice implications: Clinicians need to be keen observers and adapt their communication depending on whom they are talking to.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2023. Vol. 110, article id 107645
Keywords [en]
Biopsychosocial model; Chronic pain; Pedagogical tools; Patient education
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-196932DOI: 10.1016/j.pec.2023.107645ISI: 001011347100001PubMedID: 36736089OAI: oai:DiVA.org:liu-196932DiVA, id: diva2:1792271
Available from: 2023-08-29 Created: 2023-08-29 Last updated: 2023-09-29

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