Monday, September 19th
Visceral, Abdominal and Pelvic Pain
Optimising Self-Management for those with Abdominopelvic Pain
The association of abdominopelvic pain with functional visceral symptoms and diverse underlying pathologies leads to a very medical focus with repeated investigations, low patient satisfaction and high levels of contact with healthcare professionals, both scheduled and emergency presentations. Increasing evidence points towards the value of behavioural self-management strategies for patients with treatment-resistant symptoms. This presentation will review the empirical evidence for self-management strategies in abdominopelvic pain with a particular focus on irritable bowel syndrome (IBS). Strategies for teaching patients to self-manage treatment-resistant symptoms and using operative aspects of patient-clinician alliance to reduce pain will be emphasized. The rationale and method for implementing each component (e.g., worry control, flexible problem solving, self monitoring / functional analysis) will be described by using session by session material of an actual patient undergoing CBT . The goal is to provide a scientific overview of what works with practical, "nuts and bolts" strategies for how they work in routine clinical practice.