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An overview of evidence relating to the effectiveness of CBT-based interventions for pain.
Cognitive-behavioral Therapy for pain (overview as a treatment)
...there are some areas in which the evidence base is strong and sufficient to support practice, and practice feeds back into the research issues being examined. In other areas, practice is loosely built on a research base, and the practice rarely leads to testable research questions.
Dobson, D. and Dobson, K. S., "Evidence-Based Practice of Cognitive-Behavioral Therapy", Guildford Press, 2009, 224
Research regarding the use of attention diversion...has been inconclusive....There is some evidence supporting the efficacy of reinterpretation strategies (e.g., "I tell myself it doesn't hurt.") in reducing pain of patients undergoing painful procedures....Reseach results with chronic pain, however, have been mixed........
Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 82
...they discovered that resting activity in the rostral anterior cingulate cortex (rACC) decreased or was subdued by painful stimulation in patients with FMS, but not in similarly treated HNCs [human normal controls]....Decreased regulatory inhibition from the rACC results in failure to control the afferent transmission....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 672-4
None of the studies cited above assessed both the contribution of situation-specific pain-related self-statements and more general convictions of personal control over the pain experience, the two general classes of cognitive variables postulated to be of importance by the cognitive–behavioral formulation of chronic pai....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 261
Although the operant model has had a significant impact on the treatment of patients with chronic pain, very little experimental evidence has directly tested the model. Early studies reported by Cairns and Pasino (1977) and Doleys and associates (1982) showed that pain behavior (specifically, inactivity) can be decrease....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 266
An important assumption behind exposure in vivo is that the repeated experiences of being able to perform various activities without pain increases or inducing (re)injury to the back during treatment will extend to activities during daily life. However, in line with findings from experimental fear research, several expe....
Leeuw M, Goossens MEJB, Linton SJ, Crombez G, Boersma, K and Vlaeyen, JWS, "The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence", Journal of Behavioral Medicine 30: 2006, 86
...finally, it should be noted that most of the research on secondary gain and malingering has been funded by insurance carriers. This research has shone an unflattering light on injured workers and litigants....Virtually no systematic research has examined the frequency with which insurance adjusters, employers, or def....
Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 205
Current approaches to chronic pain recognize that adjustment and functioning are multidimensional and involve an ongoing dynamic interplay between the patient and his or her social environment.
Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 98
...both LBP patients who were requested to perform a lifting task (van den Hout et al., 2001b), and healthy controls who were requested to immerse their hand in cold water (Severeijns et al., 2005) with the instruction “as long as possible” demonstrated better performance after an experimentally induced negative mood as....
Leeuw M, Goossens MEJB, Linton SJ, Crombez G, Boersma, K and Vlaeyen, JWS, "The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence", Journal of Behavioral Medicine 30: 2006, 89
Van Tulder and colleagues (2001) reviewed the value of psychological behavioral treatment for the treatment of chronic low back pain. This is a kind of psychotherapy in which patients are helped to deal with the day-to-day reality of the pain and how to cope with it. They found six good studies and concluded that beha....
Sarno, J. E., "The Divided Mind: The epidemic of mindbody disorders", Harper, 2006, 255
It is now being recognized that psychosocial factors constitute “non-negligible risks” for the development of low back pain (Clays et al., 2007), and cannot account for how or why a patient transitions into the chronic pain state. A recent article titled “Why is a treatment aimed at psychosocial factors not effective in....
Apkarian, A. V., Baliki, M. N., and Geha, P. Y., "Towards a theory of chronic pain", PMC: 2008 (Towards a theory of chronic pain.html)
Examining the role of psychosocial factors, Bergenudd and associates (1988) found that women with a history of shoulder pain reported being less satisfied with their job. However, details of job satisfaction and pain information were collected concurrently. It was unclear whether increased levels of dissatisfaction pr....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 237
End of included memoes/notes