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

Burns, John W., Day, Melissa A. and Thorn, Beverly E. (2012) Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive behavioral therapy for chronic pain?. Translational Behavioral Medicine, 2 1: 22-29. doi:10.1007/s13142-011-0086-3


Author Burns, John W.
Day, Melissa A.
Thorn, Beverly E.
Title Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive behavioral therapy for chronic pain?
Journal name Translational Behavioral Medicine   Check publisher's open access policy
ISSN 1869-6716
1613-9860
Publication date 2012-01-01
Year available 2012
Sub-type Article (original research)
DOI 10.1007/s13142-011-0086-3
Volume 2
Issue 1
Start page 22
End page 29
Total pages 8
Place of publication New York, NY United States
Publisher Springer New York LLC
Language eng
Formatted 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.
Keyword Chronic pain
Cognitive behavioral therap
Mechanisms
Pain catastrophizing
Pain Education
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Psychology Publications
 
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Created: Thu, 30 Apr 2015, 22:10:13 EST by Melissa Day on behalf of School of Psychology