Whether chronic pain is medically explained or not does not moderate the response to cognitive-behavioural therapy.
J Psychosom Res
; 121: 29-36, 2019 06.
Article
in En
| MEDLINE
| ID: mdl-30928209
ABSTRACT
OBJECTIVES:
To determine whether pain-related treatment outcomes, following an online Cognitive Behavioural Therapy (CBT) intervention for chronic pain, were moderated by the pain etiology of a medically explained or unexplained origin.METHODS:
Data were available from 471 participants who completed the online pain management program between March 2013 and August 2014. Participants' pain symptoms were classified as being medically explained symptoms (MES nâ¯=â¯292) or medically unexplained symptoms (MUS nâ¯=â¯222) via analysis of clinical data. Outcome variables were pain-related disability, average pain intensity, depression and anxiety.RESULTS:
Moderation analyses were non-significant for all dependent variables. Between group differences (CBT and control) were larger for depression in those classified with MES, compared with MUS (MUS mean changeâ¯=â¯-3.50 [95% CIâ¯=â¯-4.98 to -2.22]; MES mean changeâ¯=â¯-5.72 [95% CIâ¯=â¯-7.49 to -4.09]). However, between group differences were small for pain intensity (MUS mean changeâ¯=â¯-0.03 [95% CIâ¯=â¯-0.83 to 0.81]; MES mean differenceâ¯=â¯-1.12 [95% CIâ¯=â¯-1.84 to 0.40]).CONCLUSION:
The therapeutic outcomes examined in this study associated with an online CBT program do not appear to be altered by whether the participants' pain symptoms are medically explained or unexplained.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cognitive Behavioral Therapy
/
Chronic Pain
/
Medically Unexplained Symptoms
Limits:
Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
J Psychosom Res
Year:
2019
Document type:
Article