Psychosocial Pain Management Moderation: The Limit, Activate, and Enhance Model

Day, Melissa A., Ehde, Dawn M. and Jensen, Mark P. (2015) Psychosocial Pain Management Moderation: The Limit, Activate, and Enhance Model. Journal of Pain, 16 10: 947-960. doi:10.1016/j.jpain.2015.07.003

Author Day, Melissa A.
Ehde, Dawn M.
Jensen, Mark P.
Title Psychosocial Pain Management Moderation: The Limit, Activate, and Enhance Model
Journal name Journal of Pain   Check publisher's open access policy
ISSN 1528-8447
Publication date 2015-09-06
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.jpain.2015.07.003
Open Access Status Not Open Access
Volume 16
Issue 10
Start page 947
End page 960
Total pages 14
Place of publication Philadelphia, Pennsylvania, United States
Publisher Churchill Livingstone
Collection year 2016
Language eng
Formatted abstract
Abstract: There is a growing emphasis in the pain literature on understanding the following second-order research questions: Why do psychosocial pain treatments work? For whom do various treatments work? This critical review summarizes research that addresses the latter question and proposes a moderation model to help guide future research. A theoretical moderation framework for matching individuals to a specific psychosocial pain intervention has been lacking. However, several such frameworks have been proposed in the broad psychotherapy and implementation science literature. Drawing on these theories and adapting them specifically for psychosocial pain treatment, here we propose a Limit, Activate, and Enhance model of pain treatment moderation. This model is unique in that it includes algorithms for matching treatments not only on the basis of patient weaknesses but also to interventions that build on their strengths. Critically, this model provides a basis for specific a priori hypothesis generation, and a selection of the possible hypotheses drawn from the model are proposed and discussed. Future research considerations are presented that could refine and expand the model based on theoretically driven empirical evidence.

Perspective: The Limit, Activate, and Enhance model presented here is a theoretically derived framework that provides an a priori basis for hypothesis generation regarding psychosocial pain treatment moderators. The model will advance moderation research via its unique focus on matching patients to specific treatments that 1) limit maladaptive responses, 2) activate adaptive responses, and 3) enhance treatment outcomes based on patient strengths and resources.
Keyword Moderation
Pain management
Patient-treatment matching
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
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