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Translational Behavioral Medicine

Erschienen in:

01.03.2012

Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive-behavioral therapy for chronic pain?

verfasst von: John W Burns, PhD, Melissa A Day, MA, Beverly E Thorn, PhD

Erschienen in: Translational Behavioral Medicine | Ausgabe 1/2012

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ABSTRACT

Mechanisms underlying favorable outcomes of psychosocial interventions for chronic pain are unclear. Theory suggests changes in maladaptive cognitions represent therapeutic mechanisms specific to cognitive-behavioral therapy (CBT). We illustrate the importance of examining whether treatments work either uniquely via mechanisms specified by theory or via mechanisms common to different treatments. Secondary data analysis was conducted to examine the effects of reduction in pain catastrophizing on outcomes following CBT and Pain Education. Generally, reductions in pain catastrophizing were significantly related to outcome improvements irrespective of CBT or Pain Education condition. Results underscore the need to assess whether mechanisms presumed to operate specifically in one treatment do indeed predict outcomes and illustrate the importance of broadening the assessment of mechanisms beyond those specified by theory. Theory-specific, competing, and common mechanisms must all be assessed to determine why our treatments work.

American Chronic Pain Association (ACPA), (2005). Partners for understanding pain. Pittsburgh, PA; http://www.theacpa.org/partners/index.asp. Accessed 12 June 2009.

Eccleston C, Palermo TM, Williams ACD, Lewandowski A, Morley S. Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database of Systematic Reviews (2); 2009.

Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain. 1999; 80(1–2):1-13.PubMedCrossRef

Morone NE, Greco CM, Weiner DK. Mindfulness meditation for the treatment of low back pain in older adults: a randomized controlled pilot study. Pain. 2008; 134:310-319.PubMedCrossRef

McCracken LM, MacKichan F, Eccleston C. Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change. Eur J Pain. 2007; 11(3):314-322.PubMedCrossRef

Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process. J Consult Clin Psychol. 2008; 76:397-407.PubMedCrossRef

Astin JA, Beckner W, Soeken K, Hochberg MC, Berman B. Psychological interventions for rheumatoid arthritis: a metaanalysis of randomized controlled trials. Arthritis Rheum. 2002; 47:291-302.PubMedCrossRef

Chen E, Cole SW, Kato PM. A review of empirically supported psychosocial interventions for pain and adherence outcomes in sickle cell disease. J Pediatr Psychol. 2004; 29:197-209.PubMedCrossRef

Keefe FJ, Abernethy AP, Campbell LC. Psychological approaches to understanding and treating disease-related pain. Annu Rev Psychol. 2005; 56:601-630.PubMedCrossRef

10.

Lackner JA, Morley S, Dowzer C, Mesmer C, Hamilton S. Psychological treatments for irritable bowel syndrome: a systematic review and meta-analysis. J Consult Clin Psychol. 2004; 72(6):1100-1113.PubMedCrossRef

11.

Turner JA, Mancl L, Aaron LA. Brief cognitive-behavioral therapy for temporomandibular disorder pain: effects on daily electronic outcome and process measures. Pain. 2005; 117(3):377-387.PubMedCrossRef

12.

Weydert JA, Ball TM, Davis MF. Systematic review of treatments for recurrent abdominal pain. Pediatrics. 2003; 111:e1-e11.PubMedCrossRef

13.

Kopta SM, Saunders SM, Lueger RL, Howard KI. Individual psychotherapy outcome and process research: challenges leading to greater turmoil or a positive transition? Annu Rev Psychol. 1999; 50(50):441-469.PubMedCrossRef

14.

Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York: Guilford; 1979.

15.

Foreyt JP, Rathjen DP, eds. Cognitive-behavior therapy: research and application. New York: Plenum; 1978.

16.

Kazdin AE. Evidence-based treatment and practice: new opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychology. 2008; 63(3):146-159.CrossRef

17.

Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain. 2005; 21(5):439-445.PubMedCrossRef

18.

Dixon KE, Thorn BE, Ward LC. An evaluation of sex differences in psychological and physiological responses to experimentally-induced pain: a path analytic description. Pain. 2004; 112(1–2):188-196.PubMedCrossRef

19.

Pence LB, Thorn BE, Day MA, Shelby G. Race and sex differences in primary appraisals, catastrophizing, and experimental pain outcomes. J Pain. 2011; 12(5):563-572.CrossRef

20.

Flor H, Behle DJ, Birbaumer N. Assessment of pain-related cognitions in chronic pain patients. Behav Res Ther. 1993; 31(1):63-73.PubMedCrossRef

21.

Geisser ME, Robinson ME, Keefe FJ, Weiner ML. Catastrophizing, depression and the sensory, affective and evaluative aspects of chronic pain. Pain. 1994; 59(1):79-83.PubMedCrossRef

22.

Martin MY, Bradley LA, Alexander RW, et al. Coping strategies predict disability in patients with primary fibromyalgia. Pain. 1996; 68(1):45-53.PubMedCrossRef

23.

Sullivan MJL, Rouse D, Bishop S, Johnston S. Thought suppression, catastrophizing, and pain. Cognitive Therapy and Research. 1997; 21(5):555-568.CrossRef

24.

Sullivan MJL, Thorn B, Haythornthwaite JA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001; 17(1):52-64.PubMedCrossRef

25.

Jacobsen PB, Butler RW. Relation of cognitive coping and catastrophizing to acute pain and analgesic use following breast cancer surgery. J Behav Med. 1996; 19(1):17-29.PubMedCrossRef

26.

Keefe FJ, Brown GK, Wallston KA, Caldwell DS. Coping with rheumatoid arthritis pain: catastrophizing as a maladaptive strategy. Pain. 1989; 37(1):51-56.PubMedCrossRef

27.

Turk DC, Meichenbaum D, Genest M. Pain and behavioral medicine: a cognitive-behavioral perspective. New York: Guilford; 1983.

28.

Jensen MP, Turner JA, Romano JM. Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. J Consult Clin Psychol. 2001; 69(4):655-662.PubMedCrossRef

29.

Turner JA, Holtzman S, Mancl L. Mediators, moderators, and predictors of therapeutic change in cognitive–behavioral therapy for chronic pain. Pain. 2007; 127(3):276-286.PubMedCrossRef

30.

Thorn BE, Pence LB, Ward LC, et al. A randomized clinical trial of targeted cognitive behavioral treatment to reduce catastrophizing in chronic headache sufferers. J Pain. 2007; 8(12):938-949.PubMedCrossRef

31.

Spinhoven P, Kuile M, Kole-Snijders AMJ, Mansfeld MH, Ouden D, Vlaeyen JWS. Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain. Eur J Pain. 2004; 8:211-219.PubMedCrossRef

32.

Burns JW, Glenn B, Bruehl S, Harden RN, Lofland K. Cognitive factors influence outcome following multidisciplinary chronic pain treatment: a replication and extension of a cross-lagged panel analysis. Behav Res Ther. 2003; 41(10):1163-1182.PubMedCrossRef

33.

Burns JW, Kubilus A, Bruehl S, Harden RN, Lofland K. Do changes in cognitive factors influence outcome following multidisciplinary treatment for chronic pain? A cross-lagged panel analysis. J Consult Clin Psychol. 2003; 71(1):81-91.PubMedCrossRef

34.

Smeets R, Vlaeyen J, Kester A, Knottnerus J. Reduction of pain catastrophizing mediates the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. J Pain. 2006; 7(4):261-271.PubMedCrossRef

35.

Thorn BE, Day MA, Burns JW, Kuhajda MC, Gaskins SW, Sweeney K, et al. Randomized trial of group cognitive-behavioral therapy compared to a pain education control for low literacy rural people with chronic pain. Pain. 2011; 152(12):2710-2720.

36.

Day MA, Thorn BE. The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain. 2010; 151(2):467-474.PubMedCrossRef

37.

Cohen JE, Goel V, Frank JW, et al. Group education interventions for people with low back pain: an overview of the literature. Spine. 1994; 19:1214-1222.PubMed

38.

Koes BW, Van Tulder MW, Van der Windt AWM, et al. The efficacy of back schools: a review of randomized clinical trials. J Clin Epidemiol. 1994; 47:851-862.PubMedCrossRef

39.

Linton SJ, Kamwendo K. Low back schools: a critical review. Phys Ther. 1987; 67:1375-1383.PubMed

40.

Vlaeyen JW, Teeken-Gruben NJ, Goossens ME, Molken Rutten-van. Cognitive-educational treatment of fibromyalgia: a randomized controlled clinical trial. J Rheumatol. 1996; 23(7):1237-1245.PubMed

41.

Burton AK, Waddell G, Tillotson KM, Summerton N. Information and advice to patients with back pain can have a positive effect: a randomized controlled trial of a novel educational booklet in primary care. Spine. 1999; 24(23):2484.PubMedCrossRef

42.

Moseley GL, Nicholas MK, Hodges PW. A randomized controlled trial of intensive neurophysiology education in chronic low back pain. Clin J Pain. 2004; 20(5):324-330.PubMedCrossRef

43.

Sullivan MJL, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995; 7(4):524-532.CrossRef

44.

Wilkinson GS, Robertson GJ. Wide range achievement test 4 (WRAT4). Lutz: Psychological Assessment and Resources, Inc.; 2006.

45.

Loeser JD. Pain in malignant disease. In: Loeser JD, ed. Bonica’s management of pain. 3rd ed. New York: Lippincott, Williams & Wilkins; 2001.

46.

Borson S, Scanlan JM, Ganguli M, Chen P. Validation of the MiniCog in a population based sample of older adults. Abstract presented at the 14th Annual Meeting of the American Association for Geriatric Psychiatry; February 23–26. San Francisco (CA); 2001.

47.

Thorn B. Cognitive therapy for chronic pain: a step-by-step approach. New York: Guilford; 2004.

48.

Ehde D, Jensen M, Engel J, Hanley M, Raichle K, Osborne T. Education intervention therapist manual: project II: role of catastrophizing in chronic pain; 2005 (unpublished manual).

49.

Kuhajda MC, Thorn BE, Gaskins SW, Day MA, Cabbil CM. Literacy and cultural adaptations for cognitive behavioral therapy in a rural pain population. Translational Behavioral Medicine: Practice, Policy and Research. 2011; 1(2):216-223.CrossRef

50.

Kuhajda MC, Thorn BE, Gaskins SW, Day MA, Cabbil CM. Cognitive-behavioral therapy for chronic pain management: adapted treatment manual for use with patients with limited literacy. Published online with permission from Guilford Publications; http://psychology.ua.edu/people/faculty/bthorn/documents/TherapistManual-Literacy-AdaptedCognitive-BehavioralTreatmentforPatientswithChronicPain.doc

51.

Osman A, Barrios FX, Kopper BA, Hauptmann W, Jones J, O’Neill E. Factor structure, reliability, and validity of the pain catastrophizing scale. J Behav Med. 1997; 20(6):589-605.PubMedCrossRef

52.

Van Damme S, Crombez G, Bijttebier P, Goubert L, Van Houdenhove B. A confirmatory factor analysis of the Pain Catastrophizing Scale: invariant factor structure across clinical and non-clinical populations. Pain. 2002; 96(3):319-324.PubMedCrossRef

53.

Daut RL, Cleeland CS, Flanrey RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other disease. Pain. 1983; 17:197-210.PubMedCrossRef

54.

Zalon M. Comparison of pain measures in surgical patients. J Nurs Manag. 1999; 7:135-152.

55.

Stroud MW, McKnight PE, Jensen MP. Assessment of self-reported physical activity in patients with chronic pain: development of an abbreviated Roland-Morris Disability Scale. J Pain. 2004; 5(5):257-263.PubMedCrossRef

56.

Turk DC, Okifuji A. Detecting depression in chronic pain patients: adequacy of self-reports. Behav Res Ther. 1994; 32:9-16.PubMedCrossRef

57.

Turk DC, Okifuji A, Scharff L. Chronic pain and depression: role of perceived impact and perceived control in different age cohorts. Pain. 1995; 61:93-101.PubMedCrossRef

58.

Radloff LS. The Center for Epidemiologic Studies Depression Scale: a self report depression scale for research in the general population. Applied Psychological Measurement. 1977; 1(3):385-401.CrossRef

59.

Chibnall JT, Tait RC. The Quality of Life Scale: a preliminary study with chronic pain patients. Psychol Health. 1990; 4(4):283-292.CrossRef

60.

Shmuely Y, Baumgarten M, Rovner B, Berlin J. Predictors of improvement in health-related quality of life among elderly patients with depression. International Psychogeriatric. 2001; 13:63-73.CrossRef

61.

Moseley GL. Physiotherapy is effective for chronic low back pain. A randomised controlled trial. Aust J Physiother. 2002; 48:297-302.PubMed

62.

Laurenceau JP, Hayes AM, Feldman GC. Some methodolological and statistical issues in the study of change processes in psychotherapy. Clin Psychol Rev. 2007; 27:682-695.PubMedCrossRef

63.

Thorn BE, Burns JW. Common and specific treatment factors in psychosocial pain management: The need for a new research agenda. Pain. doi:10/1016/j.pain/2010/12.017.

Titel: Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive-behavioral therapy for chronic pain?
verfasst von: John W Burns, PhD
Melissa A Day, MA
Beverly E Thorn, PhD
Publikationsdatum: 01.03.2012
Verlag: Springer-Verlag
Erschienen in: Translational Behavioral Medicine / Ausgabe 1/2012
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-011-0086-3

Springer Medizin

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