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Geriatrics 2017, 2(1), 5; doi:10.3390/geriatrics2010005

Problem Adaptation Therapy for Pain (PATH-Pain): A Psychosocial Intervention for Older Adults with Chronic Pain and Negative Emotions in Primary Care

Weill Cornell Institute of Geriatric Psychiatry, White Plains, NY 10605, USA
Weill Cornell Medicine, 428 East 72nd Street, Suite 500, New York, NY 10021, USA
Academic Medical Center, University of Amsterdam, Meibergdreef 69, 1105 BK Amsterdam, The Netherlands
Weill Cornell Medicine, 525 East 68th Street, New York, NY 10065, USA
Author to whom correspondence should be addressed.
Academic Editor: Ralf Lobmann
Received: 29 July 2016 / Revised: 14 December 2016 / Accepted: 9 January 2017 / Published: 16 January 2017
(This article belongs to the Special Issue Depressive Disorder in the Elderly)
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Chronic pain is highly prevalent in older adults, contributes to activity restriction and social isolation, disrupts family and interpersonal relationships, and poses a significant economic burden to society. Negative emotions such as sadness, anxiety, helplessness, and hopelessness are associated with chronic pain and contribute to poor quality of life, impaired interpersonal and social functioning, and increased disability. Psychosocial interventions for older adults with chronic pain have been historically developed for, and are almost exclusively delivered to, cognitively intact patients. Therefore, many older adults with chronic pain and comorbid cognitive deficits have limited treatment options. Our multidisciplinary team developed Problem Adaptation Therapy for Pain in Primary Care (PATH-Pain), a psychosocial intervention for older adults with chronic pain, negative emotions, and a wide range of cognitive functioning, including mild-to-moderate cognitive impairment. In the current article, we describe the principles underlying PATH-Pain, review the steps taken to adapt the original PATH protocol, outline the treatment process, and present a case illustrating its potential value. View Full-Text
Keywords: elderly; chronic pain; negative emotions; cognitive impairment; behavioral therapy elderly; chronic pain; negative emotions; cognitive impairment; behavioral therapy

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Kiosses, D.N.; Ravdin, L.D.; Stern, A.; Bolier, R.; Kenien, C.; Reid, M.C. Problem Adaptation Therapy for Pain (PATH-Pain): A Psychosocial Intervention for Older Adults with Chronic Pain and Negative Emotions in Primary Care. Geriatrics 2017, 2, 5.

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