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The Journal of Behavioral Health Services & Research

01.04.2012

Outcomes Associated with a Cognitive-Behavioral Chronic Pain Management Program Implemented in Three Public HIV Primary Care Clinics

verfasst von: Jodie A. Trafton, PhD, John T. Sorrell, PhD, Mark Holodniy, MD, Heather Pierson, PhD, Percy Link, MEng, Ann Combs, BA, Dennis Israelski, MD

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 2/2012

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Abstract

In patients with HIV/AIDS, chronic pain is common and analgesics pose serious risks. Cognitive-behavioral therapies (CBT) provide an alternative. This study evaluated feasibility and impact of a CBT-based pain management program in three public primary care clinics for HIV patients. The program included a workbook and 12-weeks of group CBT sessions. HIV-positive patients with chronic moderate to severe pain were invited to participate in the program and were assessed at enrollment, 6, 12, and 24 weeks. Despite only moderate group attendance, program enrollment was associated with significant improvements in pain intensity, pain-related functioning, anxiety and acceptance, and mental health. At 24 weeks, effect sizes for pain outcomes were −0.83 for pain intensity and −0.43 for functioning. The pattern of change in outcomes was consistent with predictions based on cognitive-behavioral theory. Effects were observed at all clinics. Adding CBT-based pain management into primary care may provide important benefits for patients with HIV/AIDS.

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Titel: Outcomes Associated with a Cognitive-Behavioral Chronic Pain Management Program Implemented in Three Public HIV Primary Care Clinics
verfasst von: Jodie A. Trafton, PhD
John T. Sorrell, PhD
Mark Holodniy, MD
Heather Pierson, PhD
Percy Link, MEng
Ann Combs, BA
Dennis Israelski, MD
Publikationsdatum: 01.04.2012
Verlag: Springer US
Erschienen in: The Journal of Behavioral Health Services & Research / Ausgabe 2/2012
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-011-9254-y

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Outcomes Associated with a Cognitive-Behavioral Chronic Pain Management Program Implemented in Three Public HIV Primary Care Clinics

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Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

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Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

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