The Effects of a Novel Psychological Attribution and Emotional Awareness and Expression Therapy for Chronic Musculoskeletal Pain: A Preliminary, Uncontrolled Trial
| Autor: | Alaa M. Hijazi, Maren E. Hyde-Nolan, Amanda J. Burger, Mark A. Lumley, Howard Schubiner, Jennifer N. Carty, Deborah V. Latsch, Elyse R. Thakur |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Employment Male Emotions Psychological intervention Article 03 medical and health sciences 0302 clinical medicine Alexithymia Behavior Therapy Musculoskeletal Pain Adaptation Psychological Emotional approach coping medicine Humans 030212 general & internal medicine Affective Symptoms Depression (differential diagnoses) Aged Pain Measurement Aged 80 and over Marital Status Depression Awareness Middle Aged medicine.disease Psychophysiologic Disorders Psychiatry and Mental health Clinical Psychology Distress Treatment Outcome Educational Status Pain catastrophizing Female Attribution Psychology 030217 neurology & neurosurgery Clinical psychology Psychological trauma Follow-Up Studies |
| Popis: | Objective Current psychological and behavioral therapies for chronic musculoskeletal pain only modestly reduce pain, disability, and distress. These limited effects may be due to the failure of current therapies: a) to help patients learn that their pain is influenced primarily by central nervous system psychological processes; and b) to enhance awareness and expression of emotions related to psychological trauma or conflict. Methods: We developed and conducted a preliminary, uncontrolled test of a novel psychological attribution and emotional awareness and expression therapy that involves an initial individual consultation followed by 4 group sessions. A series of 72 patients with chronic musculoskeletal pain had the intervention and were assessed at baseline, post-treatment, and 6-month follow-up. Results Participation and satisfaction were high and attrition was low. Intent-to-treat analyses found significant improvements in hypothesized change processes: psychological attributions for pain, emotional awareness, emotional approach coping, and alexithymia. Pain, interference, depression, and distress showed large effect size improvements at post-treatment, which were maintained or even enhanced at 6 months. Approximately two-thirds of the patients improved at least 30% in pain and other outcomes, and one-third of the patients improved 70%. Changes in attribution and emotional processes predicted outcomes. Higher baseline depressive symptoms predicted greater improvements, and outcomes were comparable for patients with widespread vs. localized pain. Conclusion: This novel intervention may lead to greater benefits than available psychological interventions for patients with chronic musculoskeletal pain, but needs controlled testing. |
| Databáze: | OpenAIRE |
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