Mindfulness and cognitive–behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity
| Autor: | Laurie D. Wolf, Alex J. Zautra, Mary C. Davis, Howard Tennen, Ellen W. Yeung |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Coping (psychology) medicine.medical_specialty Mindfulness Evening Article law.invention Arthritis Rheumatoid Young Adult Patient Education as Topic Randomized controlled trial law Adaptation Psychological medicine Humans Young adult Aged Morning Aged 80 and over Cognitive Behavioral Therapy Catastrophization Chronic pain Middle Aged medicine.disease Psychiatry and Mental health Clinical Psychology Treatment Outcome Physical therapy Female Pain catastrophizing Chronic Pain Psychology Clinical psychology |
| Zdroj: | Journal of Consulting and Clinical Psychology. 83:24-35 |
| ISSN: | 1939-2117 0022-006X |
| DOI: | 10.1037/a0038200 |
| Popis: | Objective: This study compared the impact of cognitive–behavioral therapy for pain (CBT-P), mindful awareness and acceptance treatment (M), and arthritis education (E) on day-to-day pain- and stressrelated changes in cognitions, symptoms, and affect among adults with rheumatoid arthritis (RA). Method: One hundred forty-three RA patients were randomized to 1 of the 3 treatment conditions. CBT-P targeted pain-coping skills; M targeted awareness and acceptance of current experience to enhance coping with a range of aversive experiences; E provided information regarding RA pain and its management. At pre- and posttreatment, participants completed 30 consecutive evening diaries assessing that day’s pain, fatigue, pain-related catastrophizing and perceived control, morning disability, and serene and anxious affects. Results: Multilevel models compared groups in the magnitude of within-person change in daily pain and stress reactivity from pre- to posttreatment. M yielded greater reductions than did CBT-P and E in daily pain-related catastrophizing, morning disability, and fatigue and greater reductions in daily stress-related anxious affect. CBT-P yielded less pronounced declines in daily pain-related perceived control than did M and E. Conclusions: For individuals with RA, M produces the broadest improvements in daily pain and stress reactivity relative to CBT-P and E. These findings also highlight the utility of a diary-based approach to evaluating the treatment-related changes in responses to daily life. |
| Databáze: | OpenAIRE |
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