Deconstructing Chronic Low Back Pain in the Older Adult--Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment. Part V: Maladaptive Coping

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Elizabeth A DiNapoliDebra K Weiner

Abstract

As part of a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults, this article focuses on maladaptive coping--a significant contributor of psychological distress, increased pain, and heightened disability in older adults with CLBP. A modified Delphi technique was used to develop a maladaptive coping algorithm and table providing the rationale for the various components of the algorithm. A seven-member content expert panel and a nine-member primary care panel were involved in the iterative development of the materials. While the algorithm was developed keeping in mind resources available within the Veterans Health Administration (VHA) facilities, panelists were not exclusive to the VHA, and therefore, materials can be applied in both VHA and civilian settings. The illustrative clinical case was taken from one of the contributors' clinical practice. We present a treatment algorithm and supporting table to be used by providers treating older adults who have CLBP and engage in maladaptive coping strategies. A case of an older adult with CLBP and maladaptive coping is provided to illustrate the approach to management. To promote early engagement in skill-focused treatments, providers can routinely...Continue Reading

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Citations

May 22, 2016·Anesthesiology Clinics·Rollin M Gallagher
Jan 10, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Zachary G JacobsDebra K Weiner
Dec 28, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerEric Rodriguez
Dec 12, 2018·Journal of the American Geriatrics Society·Paulo Roberto Carvalho do NascimentoMartin Bilodeau
Jul 23, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Evan S MadillDebra K Weiner
Nov 24, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Rollin WrightDebra K Weiner
Apr 20, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerSubashan Perera
Sep 11, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerSubashan Perera
Apr 16, 2021·Chiropractic & Manual Therapies·Zachary A CuplerMegan E Tritt

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