Cognitive-behavioural interventions

2013 ◽  
pp. 519-530 ◽  
Author(s):  
Deirdre E. Logan ◽  
Rachael M. Coakley ◽  
Brittany N. Barber Garcia
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Practical Problem ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Behavioural Interventions ◽  
Empirically Supported ◽  
Cognitive Behavioural ◽  
Hands On ◽  
Cognitive Behavioural Interventions

Cognitive-behavioural therapy (CBT) is the most commonly researched and empirically supported psychological treatment for the management of paediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach (Kendall, 2012). It is based on the concept that thoughts, feelings, and behaviours are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive-behavioural strategies commonly used for paediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for paediatric pain.

Psychosocial interventions for pediatric pain management

2021 ◽  
pp. 531-546
Author(s):  
Kristen Uhl ◽  
Laura A. Wright ◽  
Rachael M. Coakley ◽  
Deirdre E. Logan
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Problem Solving ◽  
Practical Problem ◽  
Psychosocial Interventions ◽  
Cognitive Behavior ◽  
Pediatric Pain ◽  
Empirically Supported ◽  
Hands On ◽  
Behavior Strategies

Cognitive behavior therapy (CBT) is the most commonly researched and empirically supported psychotherapy treatment for the management of pediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach. It is based on the concept that thoughts, feelings, and behaviors are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive behavior strategies commonly used for pediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for pediatric pain.

Online group pain management for chronic pain: Preliminary results of a novel treatment approach to teletherapy

2019 ◽  
pp. 1357633X1987036
Author(s):  
Timothy Y Mariano ◽  
Limeng Wan ◽  
Robert R Edwards ◽  
Asimina Lazaridou ◽  
Edgar L Ross ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Group Discussion ◽  
Preliminary Investigation ◽  
Skills Training ◽  
Chronic Pain Patient ◽  
Behavioural Therapy ◽  
Pain Patient ◽  
Cognitive Behavioural ◽  
Online Group

Objective This pilot study was designed to determine the feasibility, tolerability, safety, and efficacy of group teletherapy for persons with chronic pain. The aim was to present preliminary outcomes of an open trial of group cognitive behavioural therapy (CBT) teletherapy compared with an in-person chronic pain patient group. Methods We recruited 47 chronic pain patients to participate in an 8-session, 2-hour-per-week, online, structured, CBT-oriented pain management group using WebEx and compared them with 46 subjects who participated in a parallel, content-matched, in-person, weekly group. Both groups included goal setting, skills training, relaxation exercises, group discussion, and practice assignments. All subjects completed baseline measures, which were repeated post-treatment. Those in the online group participated in weekly telephone interviews and rated the perceived helpfulness of the remote group. Results The average age of the online group participants was 54.5 ( ± 14.3) years and 70.2% were female, compared with 59.7 ( ± 13.0) years of age and 57.8% females among the in-person group members. On follow-up, both CBT groups showed modest improvements on the outcome measures. Results of this preliminary investigation comparing online teletherapy with in-person CBT suggest similar benefit. Many participants in the online group rated their experience as very helpful (62.5%; 7–10/10) and most would recommend this programme to others (93.7%; 7–10/10). Discussion Preliminary findings suggest that online group CBT may be as effective in improving coping among persons with chronic pain as in-person groups. More rigorous controlled trials are needed to adequately assess the outcome benefit of online teletherapy for chronic pain.

Cognitive-behavioural Interventions in Pediatric Chronic Illness

1998 ◽  
Vol 15 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Nicole Redlich ◽  
Margot Prior
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Pediatric Cancer ◽  
Chronic Conditions ◽  
Behavioural Therapy ◽  
Behavioural Medicine ◽  
Behavioural Interventions ◽  
Pediatric Chronic Illness ◽  
Cognitive Behavioural ◽  
Future Potential ◽  
Cognitive Behavioural Interventions

This paper provides an overview of cognitive-behavioural interventions in pediatric behavioural medicine. Although the literature so far is sparse, the contribution of cognitive-behavioural therapy is reviewed in the areas of pediatric cancer, asthma, and diabetes mellitus. The future potential of cognitive-behavioural therapy for the management of other chronic conditions, including cystic fibrosis and rheumatoid arthritis, is recommended.

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.

Cognitive behavioural therapy with older adults: enthusiasm without the evidence?

2009 ◽  
Vol 2 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Philip Wilkinson
Keyword(s):  
Older People ◽  
Methodological Quality ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Younger Adults ◽  
Behavioural Interventions ◽  
Management Interventions ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Interventions ◽  
Robust Evidence

AbstractCognitive behavioural interventions specifically for older people have been described and researched for the last 30 years. However, despite a robust evidence base to support the use of CBT in the treatment of mental disorders in younger adults, trials with older people have generally been of poor methodological quality. Therefore, the potential of CBT to improve the outcome of late-life mental illness has not yet been adequately tested and demonstrated. The priorities, if this is to happen, are to develop standardized, reproducible CBT interventions and to evaluate these in large trials alongside medication or as part of case-management interventions.

scholarly journals A 13-Weeks Mindfulness Based Pain Management Program Improves Psychological Distress in Patients with Chronic Pain Compared with Waiting List Controls

2016 ◽  
Vol 12 (1) ◽  
pp. 49-58 ◽  
Author(s):  
Tonny Elmose Andersen ◽  
Henrik Bjarke Vægter
Keyword(s):  
Chronic Pain ◽  
Psychological Distress ◽  
Pain Management ◽  
Pain Intensity ◽  
Cognitive Behavioural Therapy ◽  
Mindfulness Meditation ◽  
Behavioural Therapy ◽  
Waiting List ◽  
Convenience Sample ◽  
Cognitive Behavioural

Background: Eradication of pain is seldom an option in chronic pain management. Hence, mindfulness meditation has become popular in pain management. Objective: This pilot study compared the effect of a 13-weeks cognitive behavioural therapy program with integrated mindfulness meditation (CBTm) in patients with chronic non-malignant pain with a control condition. It was hypothesised that the CBTm program would reduce pain intensity and psychological distress compared to the control condition and that level of mindfulness and acceptance both would be associated with the reduction in pain intensity and psychological distress. Methods: A case-control design was used and data were collected from a convenience sample of 70 patients with chronic non-malignant pain. Fifty patients were consecutively recruited to the CBTm intervention and 20 patients matched waiting list controls. Assessments of clinical pain and psychological distress were performed in both groups at baseline and after 13 weeks. Results: The CBTm program reduced depression, anxiety and pain-catastrophizing compared with the control group. Increased level of mindfulness and acceptance were associated with change in psychological distress with the exception of depression, which was only associated with change in level of mindfulness. Surprisingly, changes in level of mindfulness did not correlate with changes in acceptance. Conclusions: The results indicate that different mechanisms are targeted with cognitive behavioural therapy and mindfulness. The finding that changes in level of mindfulness did not correlate with changes in acceptance may indicate that acceptance is not a strict prerequisite for coping with pain related distress.

A Clinical Pilot Study of Cognitive-behavioural Therapy for Anxiety Disorders in the Elderly

1991 ◽  
Vol 19 (4) ◽  
pp. 337-345 ◽  
Author(s):  
Paul King ◽  
Christine Barrowclough
Keyword(s):  
Elderly Patients ◽  
Cognitive Behavioural Therapy ◽  
The Elderly ◽  
Behavioural Therapy ◽  
Self Report ◽  
Behavioural Interventions ◽  
Cognitive Behavioural ◽  
Report Data ◽  
Self Report Data ◽  
Cognitive Behavioural Interventions

Ten elderly patients with anxiety problems were treated individually using cognitive-behavioural interventions. These involved helping the patients reinterpret their anxiety symptoms in a non-threatening way. Questionnaire and self-report data suggested that cognitive-behavioural therapy may be an effective intervention for elderly patients with anxiety problems.

Sign in / Sign up

Export Citation Format

Share Document