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Papers of the Week


Papers: 17 May 2025 - 23 May 2025


2025 May 17


Lancet


40382187


405


10491

Editor's Pick

Opportunities for chronic pain self-management: core psychological principles and neurobiological underpinnings.

Authors

Vase L, Wager TD, Eccleston C

Abstract

One in five of the population lives with chronic pain. Psychological interventions for pain reveal core principles that can be used to create opportunities for chronic pain self-management in primary practice, across health-care settings, and at home. We highlight the different types of chronic pain and illustrate the psychoneurobiological mechanisms involved. We review core principles for psychological pain management, evaluate the evidence, and illustrate the underlying neurobiology involved. We provide practical advice for how to facilitate pain self-management in clinical practice. Finally, we discuss scientific caveats and practical obstacles to improvement, suggesting possible pathways to implementation.