Washington State University researchers have
found that people can manage chronic pain and reduce their reliance on
opioids through an Internet-based program that teaches non-medical
alternatives like increased physical activity, thinking more positively
and dealing with emotions.
Marian Wilson, an assistant professor in the College of Nursing,
tracked 43 people with chronic non-cancer pain as they went through an
eight-week course of online tools to manage psychological, social and
health issues associated with chronic pain. Compared to a similar-sized
control group, the participants reported that they adopted more
practices to change negative thinking patterns and use relaxation
techniques to help control pain.
"With negative emotions, you often have that physical response of
tension," said Wilson. "So we really want people with pain to learn they
have control and mastery over some of those physical symptoms.
Meditation and relaxation can help with that."
Such techniques are hard for patients to get in traditional care
settings but can go a long way to make them more confident about
managing their pain, she said. Several studies have found that such
confidence, called "self-efficacy," is linked to a higher quality of
life, the ability to return to work and higher levels of activity, she
said.
"Maybe that pain is never going to go away but you can divert your
attention from it," said Wilson. "You can focus on more positive things
and you can absolutely get that thought on a back burner rather than
fixating on it."
She found that four out of five online program participants made
progress toward goals to reduce or eliminate pain or other unspecified
medications, as opposed to roughly half the control group.
"Unique to our study was the discovery that more appropriate use of
opioid medicines could be an unintended consequence of participation,"
Wilson and her colleagues write in the journal Pain Management Nursing.
The authors note that 60 percent of the more than 15,000
opioid-overdose deaths each year in the United States are from
medications obtained through legitimate prescriptions. Opioids also can
become less effective over time while actually increasing a user's
perception of pain.
"For many patients, more and more evidence is coming out that if we
can get them off the opiates, or reduce their use and help them become
more active, they'll actually feel better," Wilson said. "Plus they
won't be at risk for death from opioid overdose, which they're at risk
for now because you often have to keep increasing the opioid dose to get
the same pain relief."
Story Source:
The above post is reprinted from
materials provided by
Washington State University. The original item was written by Eric Sorensen.
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