Outcomes of a 6-week Cognitive-Behavioral Therapy for Chronic Pain Group for veterans seen in primary care
| Autor: | Julia R Craner, Amber A. Martinson, Jamie Clinton-Lont |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Treatment and control groups 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine medicine Humans 030212 general & internal medicine Medical diagnosis Applied Psychology Veterans Cognitive Behavioral Therapy Primary Health Care business.industry Chronic pain medicine.disease Mental health Cognitive behavioral therapy Treatment Outcome Opioid Physical therapy Anxiety Female Pain catastrophizing Chronic Pain medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Translational Behavioral Medicine. |
| ISSN: | 1613-9860 1869-6716 |
| DOI: | 10.1093/tbm/iby127 |
| Popis: | Primary Care Mental Health Integration (PC-MHI) visits are mandated to be brief, limited in number, and delivered in the primary care practice area. Current evidence-based protocols for Cognitive-Behavioral Therapy for Chronic Pain (CBT-CP) do not meet these PC-MHI requirements, however, and thus PC-MHI providers are often left with the daunting task of modifying these protocols for the primary care setting. The aims of the current study were to examine effectiveness for a brief CBT-CP Group (6, 50-min sessions) for patients seen in primary care with various chronic pain conditions and to assess whether opioid medication use was associated with treatment outcomes. The current study represents a single-arm treatment study in which outcomes were evaluated by comparing self-reported symptom levels at the beginning of treatment (Session 1) to the end of treatment (Session 6). Dependent variables included pain symptoms, physical function lower/upper body, family disability, emotional functioning, sleep problems, satisfactions with outcomes/care, pain-related anxiety, generalized anxiety, pain catastrophizing, and depressed mood. Seventy-seven participants were enrolled and completed the treatment group. They were 56.81 ± 13.11 years old, 61% male, 51.9% taking opioids, with 39% reporting multiple pain diagnoses. Results showed that participation in the Brief CBT-CP Group resulted in statistically significantly improvement across all dependent variables (except emotional functioning). Results also showed that there were no significant treatment-related differences between patients taking opioids compared with patients who were not on opioids. The current protocol for Brief CBT-CP is effective in a real-world setting and aligns with the PC-MHI model of care. |
| Databáze: | OpenAIRE |
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