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2018, Number 2

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Rev Hosp Jua Mex 2018; 85 (2)

Cognitive-behavioral intervention in a case of low back pain

Hernández-Gálvez GA, Gómez-Zarco A, Becerra-Gálvez AL, Hernández-Solís P
Full text How to cite this article

Language: Spanish
References: 7
Page: 94-99
PDF size: 172.50 Kb.


Key words:

Low back pain, behavioral medicine, cognitive-behavioral therapy, anxious symptomatology, depressive symptomatology.

ABSTRACT

Introduction: Low back pain is a painful syndrome that significantly affects the patient’s work and family spheres, because pain does not allow him to perform his activities naturally, therefore the patient may present psychological alterations that hinder medical treatment. The present clinical case aims to illustrate the importance of the psychological support of the Behavioral Doctor to increase the sensation of pain control and the anxious and depressive symptomatology. Clinical case: Allowing adaptation to illness and daily life of a 44-year-old male patient with recent diagnosis of acute low back pain + discitis L5- S1 + herniated disc L4-L5 L5-S1. A cognitive-behavioral intervention was designed consisting of seven sessions of approximately one hour carried out in the hospitalization area of the Hospital Juarez de Mexico, later a monitoring of mood and perception of pain was carried out. The perception of pain was measured by the visual analogue scale (VAS), and the levels of anxiety and depression by the analogue related scale (ERA). The result was that the levels of pain, anxiety and depression decreased and remained at lower levels after the intervention, furthermore the patient applied the knowledge acquired to his daily life, therefore. Conclusion: It is concluded that the intervention allowed the patient to perceive pain control and decision making which in turn eased the adjustment into his medical condition.


REFERENCES

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  2. Covarrubias-Gómez A, Guevara-López U, Gutiérrez-Salmerón C, Betancourt-Sandoval J, Córdova-Domínguez J. Epidemiología del dolor crónico en México. Rev Mex Anest 2010; 33(4): 207-13.

  3. Neira F, Ortega J. Prevalencia del dolor agudo. En: Torres LM, Collado F (Eds.). Manejo práctico actual del dolor agudo. Ergon. Barcelona, 2008. pp. 1-40.

  4. Instituto Mexicano del Seguro Social. Guía de Práctica Clínica: Diagnóstico, tratamiento y prevención de Lumbalgia aguda y crónica en el Primer Nivel de Atención. Evidencias y Recomendaciones. Consejo de Salubridad general. México; 2009.

  5. Soto-Padilla M, Espinosa-Mendoza R, Sandoval-García J, Gómez-García F. Frecuencia de lumbalgia y su tratamiento en un hospital privado de la Ciudad de México. Acta Ortop Mex 2015; 29(1): 40-5.

  6. Ruvalcaba PG, Domínguez TB. La terapia psicológica del dolor crónico. Psicología y Salud 2009; 19(2): 247-52.

  7. Nezu A, Nezu C, D’Zurilla T. Terapia de solución de problemas. Manual de tratamiento. Desclée de Brouwer. España; 2014.




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Rev Hosp Jua Mex. 2018;85