Treatment outcomes in group‐based cognitive behavioural therapy for chronic pain: An examination of PTSD symptoms

2020 ◽  
Vol 24 (4) ◽  
pp. 807-817
Author(s):  
Sophia Åkerblom ◽  
Sean Perrin ◽  
Marcelo Rivano Fischer ◽  
Lance M. McCracken
Keyword(s):  
Chronic Pain ◽  
Treatment Outcomes ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Ptsd Symptoms ◽  
Cognitive Behavioural

Are group size and composition associated with treatment outcomes in group cognitive behavioural therapy for chronic pain?

Pain ◽  
2018 ◽  
Vol 159 (4) ◽  
pp. 783-792 ◽  
Author(s):  
Dianne Wilson ◽  
Shylie Mackintosh ◽  
Michael K. Nicholas ◽  
G. Lorimer Moseley ◽  
Daniel Costa ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Treatment Outcomes ◽  
Cognitive Behavioural Therapy ◽  
Group Size ◽  
Behavioural Therapy ◽  
Group Cognitive Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Group Size And Composition

scholarly journals Is the psychological composition of the therapeutic group associated with individual outcomes in group cognitive behavioural therapy for chronic pain?

2019 ◽  
pp. 204946371989580
Author(s):  
Dianne Wilson ◽  
Shylie Mackintosh ◽  
Michael K Nicholas ◽  
G Lorimer Moseley ◽  
Daniel S J Costa ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Fear Avoidance ◽  
Therapeutic Group ◽  
Individual Outcomes ◽  
Psychological Attributes ◽  
Group Cognitive Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Mixed Modelling

This study explored whether the psychological composition of a group, with respect to mood, catastrophising, fear of movement and pain self-efficacy characteristics at baseline, is associated with individuals’ treatment outcomes following group cognitive behavioural therapy (CBT)-based programmes for chronic pain. Retrospective analyses of outcomes from two independently run CBT-based pain management programmes (Programme A: N = 317 and Programme B: N = 693) were conducted. Mixed modelling analyses did not consistently support the presence of associations between group median scores of depression, catastrophising or fear avoidance with outcomes for individuals in either programme. These results suggest that the psychological profiles of groups are not robust predictors of individual outcomes in CBT groups for chronic pain. By implication, efforts made to consider group composition with respect to psychological attributes may be unnecessary.

An evaluation of an out patient program of cognitive behavioural therapy for chronic pain.

Pain ◽  
1987 ◽  
Vol 30 ◽  
pp. S58 ◽  
Author(s):  
J. B. Skinner ◽  
A. Erskine ◽  
I. Rubenstein ◽  
M. Taylor ◽  
S. Pearse
Keyword(s):  
Chronic Pain ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy

2014 ◽  
Vol 31 (2) ◽  
pp. 131-143 ◽  
Author(s):  
Katherine VanBuskirk ◽  
Scott Roesch ◽  
Niloofar Afari ◽  
Julie Loebach Wetherell
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Cognitive Behavioural Therapy ◽  
Acceptance And Commitment Therapy ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Tailored Interventions ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural

Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.

scholarly journals The Quality, Readability, Completeness, and Accuracy of PTSD Websites for Firefighters

2020 ◽  
Vol 17 (20) ◽  
pp. 7629
Author(s):  
Shannon C. Killip ◽  
Natalie K. R. Kwong ◽  
Joy C. MacDermid ◽  
Amber J. Fletcher ◽  
Nicholas R. Carleton
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Quality Criteria ◽  
Behavioural Therapy ◽  
Treatment Recommendations ◽  
Current Evidence ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Increased Risk ◽  
Search For Information

Firefighters appear at an increased risk for post-traumatic stress disorder (PTSD). Because of PTSD-related stigma, firefighters may search for information online. The current study evaluated the quality, readability, and completeness of PTSD online resources, and to determine how the online treatment recommendations align with current evidence. Google.ca (Canada) searches were performed using four phrases: ‘firefighter PTSD’, ‘firefighter operational stress’, ‘PTSD symptoms’, and ‘PTSD treatment’. The 75 websites identified were assessed using quality criteria for consumer health information (DISCERN), readability and health literacy statistics, content analysis, and a comparison of treatments mentioned to the current best evidence. The average DISCERN score was 43.8 out of 75 (indicating ‘fair’ quality), with 9 ‘poor’ websites (16–30), 31 ‘fair’ websites (31–45), 26 “good” websites (46–60), and nine excellent websites (61–75). The average grade level required to understand the health-related content was 10.6. The most mentioned content was PTSD symptoms (48/75 websites) and PTSD treatments (60/75 websites). The most frequently mentioned treatments were medications (41/75 websites) and cognitive behavioural therapy (40/75 websites). Cognitive behavioural therapy is supported by strong evidence, but evidence for medications appears inconsistent in current systematic reviews. Online PTSD resources exist for firefighters, but the information is challenging to read and lacks evidence-based treatment recommendations.

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