Optimising Cognitive Function in Persons with Chronic Pain

Katharine S. Baker, Nellie Georgiou-Karistianis, Stephen J. Gibson, Melita Giummarra

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)

Abstract

OBJECTIVES:: Cognitive functioning is commonly disrupted in people living with chronic pain, yet it is an aspect of pain that is often not routinely assessed in pain management settings, and there is a paucity of research on treatments or strategies to alleviate the problem. The purpose of this review is to outline recent research on cognitive deficits seen in chronic pain, to give an overview of the mechanisms involved, advocate cognitive functioning as an important target for treatment in pain populations, and discuss ways in which it may be assessed and potentially remediated. METHODS:: A narrative review. RESULTS:: There are several options for remediation, including compensatory, restorative, and neuromodulatory approaches to directly modify cognitive functioning, as well as physical, psychological, and medication optimisation methods to target secondary factors (mood, sleep, and medications) that may interfere with cognition. DISCUSSION:: We highlight the potential to enhance cognitive functions and identify the major gaps in the research literature in this space.

Original languageEnglish
Pages (from-to)462-472
Number of pages11
JournalClinical Journal of Pain
Volume33
Issue number5
DOIs
Publication statusPublished - May 2017

Keywords

  • chronic pain
  • neuropsychology
  • cognitive remediation
  • mood
  • physical activity
  • brain training

Cite this

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Optimising Cognitive Function in Persons with Chronic Pain. / Baker, Katharine S.; Georgiou-Karistianis, Nellie; Gibson, Stephen J.; Giummarra, Melita.

In: Clinical Journal of Pain, Vol. 33, No. 5, 05.2017, p. 462-472.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Baker, Katharine S.

AU - Georgiou-Karistianis, Nellie

AU - Gibson, Stephen J.

AU - Giummarra, Melita

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AB - OBJECTIVES:: Cognitive functioning is commonly disrupted in people living with chronic pain, yet it is an aspect of pain that is often not routinely assessed in pain management settings, and there is a paucity of research on treatments or strategies to alleviate the problem. The purpose of this review is to outline recent research on cognitive deficits seen in chronic pain, to give an overview of the mechanisms involved, advocate cognitive functioning as an important target for treatment in pain populations, and discuss ways in which it may be assessed and potentially remediated. METHODS:: A narrative review. RESULTS:: There are several options for remediation, including compensatory, restorative, and neuromodulatory approaches to directly modify cognitive functioning, as well as physical, psychological, and medication optimisation methods to target secondary factors (mood, sleep, and medications) that may interfere with cognition. DISCUSSION:: We highlight the potential to enhance cognitive functions and identify the major gaps in the research literature in this space.

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