Cognitive Behavioral Therapy for Chronic Pain

Riska Afrina, Azimatul Karimah

= http://dx.doi.org/10.20473/bhsj.v2i2.14963
Abstract views = 720 times | downloads = 671 times

Abstract


Introduction: Pain is a complex stressor that has a major influence on several aspects of a person's physical, psychological, work and financial functions, especially in the form of chronic pain. The approach to chronic pain medically can sometimes not solve the problem as a whole, so that in its management psychological approaches such as cognitive and behavioral therapy (CBT) are needed.

Methods: We searched PubMed, Science Direct, and Google Scholar for search articles in English terms "chronic pain", "cognitive behavioral therapy", "pain management", and "efficacy". Searching using the keywords above showed 40 articles, but which were taken were 8 articles from the last 5 years.

Results: The method of intervention was carried out with a cognitive-behavioral approach in the form of traditional CBT, telephone-based CBT, coping skills training, cognitive-behavioral based physical therapy or CBT-based self-management. The research parameters used to measure the success rate of the interventions were pain intensity, physical function, psychological pressure, disability, fatigue, quality of life, coping strategies, catastrophization, and depression. The duration of the study varied from 5 weeks to 10 weeks, with a variation of 20-60 minutes per therapy session, except in studies using group therapy can take up to 5-7 hours per day. Some studies also conducted evaluation at the third and six months after treatment. The aim of the CBT approach was to independently improve self-efficacy in pain management.

Conclusion: Cognitive behavioral approaches combined with other therapeutic modalities can improve the physical function of patients with chronic pain.


Keywords


chronic pain; cognitive behavioral therapy; pain management; efficacy

Full Text:

PDF

References


Sturgeon JA. Psychological therapies for the management of chronic pain. Psychol Res Behav Manag. 2014;7:115–24.

Majeed MH, Ali AA, Sudak DM. Psychotherapeutic interventions for chronic pain: Evidence, rationale, and advantages. Int J Psychiatry Med. 2018;0(0):1–10.

Skinner M, Wilson HD, Turk DC. Cognitive-Behavioral Perspective and Cognitive-Behavioral Therapy for People With Chronic Pain: Distinctions, Outcomes, and Innovations. J Cogn Psychother. 2012;26(2):93–113.

Kerns RD, Sellinger J, Goodin BR. Psychological Treatment of Chronic Pain. Annu Rev Clin Psychol. 2011;7:411–34.

Moseley GL, Vlaeyen JWS. Beyond nociception: the imprecision hypothesis of chronic pain. Pain. 2015;156(1):35–8.

Sheng J, Liu S, Wang Y, Cui R, Zhang X. The Link between Depression and Chronic Pain: Neural Mechanisms in the Brain. Neural Plast. 2017;

Gatchel RJ, Mcgeary DD, Mcgeary CA, Lippe B. Interdisciplinary Chronic Pain Management. Past, Present, and Future. Am Psychol. 2014;69(2):119–30.

Rutledge T, Atkinson JH, Psyd RH, Chircop-rollick T, Andrea JD, Garfin SR, et al. Randomized Controlled Trial of Nurse-Delivered Cognitive Behavioral Therapy Versus Supportive Psychotherapy Telehealth Interventions for Chronic Back Pain. J Pain. 2018;

Akerblom S, Perrin S, Fischer MR, McCracken LM. The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain. J Pain. 2015;16(7):606–15.

Bee P, Mcbeth J, Macfarlane GJ, Lovell K. Managing chronic widespread pain in primary care: a qualitative study of patient perspectives and implications for treatment delivery. BMC Musculoskelet Disord. 2016;17(354).

Archer KR, Devin CJ, Vanston SW, Koyama T, Phillips S, George SZ, et al. Cognitive-behavioral based physical therapy for patients with chronic pain undergoing lumbar spine surgery: a randomized controlled trial. J Pain. 2015;

Dyke BP Van, Newman AK, Morais CA, Burns JW, Eyer JC, Thorn BE. Heterogeneity of treatment effects in a randomized trial of literacy-adapted group cognitive-behavioral therapy, pain psychoeducation, and usual medical care for multiply disadvantaged patients with chronic pain. J Pain. 2019;

Broderick JE, Keefe FJ, Schneider S, Junghaenel DU, Schwartz JE, Kaell AT, et al. Cognitive behavioral therapy for chronic pain is effective, but for whom? Int Assoc Study Pain. 2016;

Richmond H, Hall AM, Copsey B, Hansen Z, Williamson E, Hoxey-Thomas N, et al. The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):1–20.

Bernardy K, Klose P, Welsch P, H€auser W. Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta-analysis of randomized controlled trials. Eur J Pain. 2018;22:242–60.

Ehde DM, Dillworth TM, Turner JA. Cognitive-Behavioral Therapy for Individuals With Chronic Pain. Efficacy, Innovations, and Directions for Research. Am Psychol. 2014;69(2):153–66.

Okifuji A, Neikrug A. Update and future perspective of behavioral medicine in the treatment for chronic pain. Pain Manag. 2019;

Knoerl R, Smith EML, Weisberg J. Chronic Pain and Cognitive Behavioral Therapy: An Integrative Review. West J Nurs Res. 2015;1–33.

Vlaeyen JWS, Morley S. Cognitive-Behavioral Treatments for Chronic Pain: What Works for Whom? Clin J Pain. 2005;21(1):1–8.

Day MA, Thorn BE, Kapoor S. A qualitative analysis of a randomized controlled trial comparing a cognitive-behavioral treatment with education. J Pain. 2012;12(9):941–52.

Seminowicz DA, Shpaner M, Keaser ML, Krauthamer GM, Mantegna J, Dumas JA, et al. Cognitive-Behavioral Therapy Increases Prefrontal Cortex Gray Matter in Patients With Chronic Pain. J Pain. 2013;14(12):1573–84.

Smeets RJEM, Vlaeyen JWS, Hidding A, Kester ADM, Heijden GJMG Van Der, Geel ACM Van, et al. Cognitive-behavioral, physical, or both? First direct post-treatment results from a randomized controlled trial. BMC Musculoskelet Disord. 2006;7(5):1–16.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 Biomolecular and Health Science Journal

INDEXING BY:

Creative Commons License

This Journal (E-ISSN:2620-8636) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View BHSJ Stats