G. Lorimer Moseley|David S. Butler
Fifteen Years of Explaining Pain: The Past, Present, and Future
Neuroscience Research Australia|University of South Australia|University of South Australia
pain field advocating time importance teaching people live well pain perhaps maybe even many might consider possibility help people live well without pain explaining pain ep refers range educational interventions aim change ones understanding biological processes thought underpin pain mechanism reduce pain draws educational psychology particular conceptual change strategies help patients understand current thought pain biology core objective ep approach treatment shift ones conceptualization pain marker tissue damage disease marker perceived need protect body tissue describe historical context beginnings ep suggesting pragmatic application biopsychosocial model pain differentiating cognitive behavioral therapy educational components early multidisciplinary pain management programs attempt address common misconceptions ep emerged last 15 years highlighting ep behavioral cognitive advice deny potential contribution peripheral nociceptive signals pain contend ep grounded strong theoretical frameworks targeted effects biologically plausible available behavioral evidence supportive update available metaanalyses results systematic review recent contributions field propose future directions might enhance effects ep part multimodal pain rehabilitation perspective ep range educational interventions ep grounded conceptual change instructional design theory increases knowledge painrelated biology decreases catastrophizing imparts shortterm reductions pain disability presents biological information justifies biopsychosocial approach rehabilitation