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.

The effectiveness of cognitive behavioural therapy for pain in childhood and adolescence: a meta-analytic review

2016 ◽  
Vol 33 (4) ◽  
pp. 251-264 ◽  
Author(s):  
A. Lonergan
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Cognitive Behavioural Therapy ◽  
Functional Disability ◽  
Behavioural Therapy ◽  
Medium Effect ◽  
Care Providers ◽  
Cognitive Behavioural ◽  
Analytic Review ◽  
Pain Duration

ObjectivesA variety of chronic painful conditions are present in the paediatric population. Patients with chronic pain often experience considerable scepticism and avoidance by health care providers. This meta-analytic review aimed to utilise well-designed studies, in examining the effectiveness of cognitive behavioural therapy (CBT) in the treatment of chronic pain in children and adolescents.MethodsNine randomized controlled trial studies examining CBT for chronic pain were reviewed. Outcome measures were child reported pain intensity, pain duration and functional disability.ResultsCBT had a large effect on pain intensity for recurrent abdominal pain (RAP), a small effect on headaches, and a medium effect on fibromyalgia. CBT had a medium effect on pain duration across pain types. CBT had a large effect on functional disability for RAP, a small effect on fibromyalgia and a moderate effect on headaches. Findings are limited by the small number of studies and varied control conditions.ConclusionsCBT may be effective in reducing child reported pain symptomology. Future studies using a larger sample and examining the differential impact of varied control conditions are needed.

scholarly journals Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis

2019 ◽  
Vol 22 (1) ◽  
pp. 26-35 ◽  
Author(s):  
Eve-Ling Khoo ◽  
Rebecca Small ◽  
Wei Cheng ◽  
Taylor Hatchard ◽  
Brittany Glynn ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Cognitive Behavioural Therapy ◽  
Stress Reduction ◽  
Physical Functioning ◽  
Behavioural Therapy ◽  
Cochrane Library ◽  
Depression Symptoms ◽  
Cognitive Behavioural ◽  
Mindfulness Based Stress Reduction

QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.Study selection and analysisOvid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale.FindingsTwenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depression revealed clinically important advantages relative to control for MBSR and CBT, but no evidence of an important difference between MBSR and CBT was found.ConclusionsThis review suggests that MBSR offers another potentially helpful intervention for CP management. Additional research using consistent measures is required to guide decisions about providing CBT or MBSR.

Tinnitus rehabilitation: a mindfulness meditation cognitive behavioural therapy approach

2007 ◽  
Vol 122 (1) ◽  
pp. 31-37 ◽  
Author(s):  
M Sadlier ◽  
S D G Stephens ◽  
V Kennedy
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Mindfulness Meditation ◽  
Behavioural Therapy ◽  
Waiting List ◽  
Chronic Tinnitus ◽  
Control Group ◽  
Symptom Presentation ◽  
Tinnitus Questionnaire ◽  
Cognitive Behavioural

AbstractBackground:Chronic tinnitus is a frequent symptom presentation in clinical practice. No drug treatment to date has shown itself to be effective. The aim of the present study was to investigate the effects of cognitive behavioural therapy and meditation in tinnitus sufferers.Methodology:Patients were selected from a dedicated tinnitus clinic in the Welsh Hearing Institute. A waiting list control design was used. Twenty-five chronic tinnitus sufferers were consecutively allocated to two groups, one receiving a cognitive behavioural therapy/meditation intervention of four one hour sessions with the other group waiting three months and subsequently treated in the same way, thereby acting as their own control. The main outcome was measured using the Hallam tinnitus questionnaire. A four to six month follow up was conducted.Results:These showed significant statistical reductions in tinnitus variables both in the active and also in the control group. Post-therapy, no significant change was found after the waiting list period. The improvement was maintained at the four to six month period.Conclusion:The positive findings give support for the use of cognitive behavioural therapy/meditation for chronic tinnitus sufferers.

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.

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.

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.

Sign in / Sign up

Export Citation Format

Share Document