Cognitive therapy, mindfulness-based stress reduction, and behavior therapy for the treatment of chronic pain: randomized controlled trial.

Autor:	Burns JW; Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States., Jensen MP; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States., Thorn B; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States., Lillis TA; Department of Psychology, the University of Alabama, Tuscaloosa, AL, United States., Carmody J; Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States., Newman AK; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States., Keefe F; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States.
Jazyk:	angličtina
Zdroj:	Pain [Pain] 2022 Feb 01; Vol. 163 (2), pp. 376-389.
DOI:	10.1097/j.pain.0000000000002357
Abstrakt:	Abstract: Trials of cognitive therapy (CT), mindfulness-based stress reduction (MBSR), and behavior therapy (BT) suggest that all 3 treatments produce reductions in pain and improvements in physical function, mood, and sleep disturbance in people with chronic pain conditions. Fewer studies have compared the relative efficacies of these treatments. In this randomized controlled study, we compared CT, MBSR, BT, and treatment as usual (TAU) in a sample of people with chronic low back pain (N = 521). Eight individual sessions were administered with weekly assessments of outcomes. Consistent with the prior work, we found that CT, MBSR, and BT produced similar pretreatment to posttreatment effects on all outcomes and revealed similar levels of maintenance of treatment gains at 6-month follow-up. All 3 active treatments produced greater improvements than TAU. Weekly assessments allowed us to assess rates of change; ie, how quickly a given treatment produced significant differences, compared with TAU, on a given outcome. The 3 treatments differed significantly from TAU on average by session 6, and this rate of treatment effect was consistent across all treatments. Results suggest the possibility that the specific techniques included in CT, MBSR, and BT may be less important for producing benefits than people participating in any techniques rooted in these evidence-based psychosocial treatments for chronic pain. (Copyright © 2021 International Association for the Study of Pain.)
Databáze:	MEDLINE
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