Authors: J. Raudenská Authors‘ workplace: Centrum pro léčbu bolesti a Subkatedra pro léčbu bolesti a akupunktury IPVZ, FN Bulovka, Praha Published in: Prakt. Lék. 2004; (4): 196-200 Category:
The article describes an occurrence of substance dependence during pharmacological treatmentof chronic non-malignant pain and deliminates biopsychosocial risks with emphasis on psychosocialcontraindications to treatment. The article focuses on the treatment of substancedependence with emphasis on psychotherapy, especially cognitive-behavioral therapy (CBT). Itdescribes CBT assessment, methods for increasing the better understanding of and coping witha relapse, training of skills including cognitive strategies. The author concludes, that as studiesreveal, the epidemiology of substance dependence in chronic nonmalignant pain patients is nothigh measure, but the basic preventive for decreasing dependence is effectively treated chronicpain including psychotherapeutic approaches in pain management.
Key words: chronic nonmalignant pain - biopsychosocial risks for development of substancedependence - cognitive-behavioral therapy.
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