Cited by 51Musculoskeletal pain and rehabilitationAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

Cognitive Behavioral Therapy for Depression and Anxiety in an Interdisciplinary Rehabilitation Program for Chronic Pain: a Randomized Controlled Trial with a 3-Year Follow-up

Ólason, Magnús, Andrason, Rúnar H., Jónsdóttir, Inga H., Kristbergsdóttir, Hlín, Jensen, Mark P.·2018·International Journal of Behavioral Medicine

Abstract

Purpose Cognitive behavioral therapy (CBT) is known to be effective for treating depression and anxiety in patients with chronic pain, but there is limited research studying the long-term benefits of CBT in this population. The present study evaluated the effects of CBT provided in the context of an interdisciplinary pain management program with a 3-year follow-up.Methods One hundred fifteen patients with chronic musculoskeletal pain participated in an interdisciplinary pain management program. Eighty of these patients meeting criteria for CBT treatment were randomized to receive or not receive CBT for depression and anxiety in addition to rehabilitation pain management. The remaining 35 patients constituted a second comparison group. Follow-up data were collected 1 and 3 years post-treatment with 19% of the patients dropping out after 1 year and 34% after 3 years. Attrition analysis did not indicate that there was significant attrition bias in the data.Results All three groups evidenced improved depression following treatment (p < 0.001). The pre- to post-treatment effect sizes (Cohen's d) for depression in the CBT treatment group was large (ES = 1.36). The CBT treatment group maintained improvements on all measures at a 3-year follow-up, while the comparison groups did not. This was especially evident with respect to depression (pre-treatment to 3 years follow-up ES = 1.35 and between-group ES = 0.57). Before treatment, 36% of all the patients reported that they were able to work. At 3 years post-treatment, 59%, 58%, and 44% of the patients were working who were in the CBT treatment group, the Comparison group, and the Non-CBT group, respectively.Conclusion The results indicate that providing CBT for depression and anxiety as part of a rehabilitation pain management program may enhance the long-term benefits of treatment. This finding, if replicated in additional studies, has important clinical and economic implications.

Integrity signals

Registry

Crossref · 10.1007/s12529-017-9690-z

Cites

67 of 67 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Ólason, M., Andrason, R. H., Jónsdóttir, I. H., Kristbergsdóttir, H., & Jensen, M. P.
Affiliations
  • University of Iceland (IS)
  • University of Washington (US)
Corresponding author
Ólason, Magnús
Venue
International Journal of Behavioral Medicine
Published
2017-11-01
Volume
25
Issue
1
Pages
55-66
ISSN
  • 1070-5503 (ISSN-L)
  • 1532-7558
OpenAlex
W2765773467
Cited by
51
References
66
Citations by year
2026: 2 · 2025: 5 · 2024: 2 · 2023: 9 · 2022: 7 · 2021: 9 · 2020: 9 · 2019: 2 · 2018: 5 · 2017: 1
FWCI
3.25
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
The Icelandic Research Centre (RANNÍS) (050433031)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
cognitive behavioral therapy, depression, anxiety, chronic pain, musculoskeletal pain, multidisciplinary pain management, rehabilitation, long-term treatment outcomes, return to work, attrition bias
MeSH terms
Adult, Anxiety, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome, Interdisciplinary Studies, Chronic Pain, Pain Management

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review