Cited by 112Musculoskeletal pain and rehabilitationPain Management and TreatmentPain Management and Placebo Effect

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Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive-behavioral therapy for chronic pain?

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Burns, John W, Day, Melissa A, Thorn, Beverly E·2012·Translational Behavioral Medicine

DOI 10.1007/s13142-011-0086-3PMC PMC3717814

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Abstract

Mechanisms underlying favorable outcomes of psychosocial interventions for chronic pain are unclear. Theory suggests changes in maladaptive cognitions represent therapeutic mechanisms specific to cognitive-behavioral therapy (CBT). We illustrate the importance of examining whether treatments work either uniquely via mechanisms specified by theory or via mechanisms common to different treatments. Secondary data analysis was conducted to examine the effects of reduction in pain catastrophizing on outcomes following CBT and Pain Education. Generally, reductions in pain catastrophizing were significantly related to outcome improvements irrespective of CBT or Pain Education condition. Results underscore the need to assess whether mechanisms presumed to operate specifically in one treatment do indeed predict outcomes and illustrate the importance of broadening the assessment of mechanisms beyond those specified by theory. Theory-specific, competing, and common mechanisms must all be assessed to determine why our treatments work.

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Authors: Burns, J. W., Day, M. A., & Thorn, B. E.
Affiliations: Rush University Medical Center (US)
University of Alabama (US)
Corresponding author: Thorn, Beverly E
ORCID: Burns, John W
Day, Melissa A
Thorn, Beverly E
Venue: Translational Behavioral Medicine
Publisher: Oxford University Press (OUP)
Published: 2011-11-22
Volume: 2
Issue: 1
Pages: 22-29
ISSN: 1613-9860 (ISSN-L)
1869-6716
DOI: 10.1007/s13142-011-0086-3
PMC: PMC3717814
OpenAlex: W1996201879
Cited by: 112
References: 65
Citations by year: 2026: 6 · 2025: 12 · 2024: 11 · 2023: 13 · 2022: 4 · 2021: 9 · 2020: 13 · 2019: 11 · 2018: 5 · 2017: 5 · 2016: 9 · 2015: 4 · 2014: 4 · 2013: 4 · 2012: 2
FWCI: 2.34
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Translational Behavioral Medicine (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Research Bank (Australian Catholic University) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords: pain catastrophizing, cognitive behavioral therapy, chronic pain, pain education, therapeutic mechanisms, maladaptive cognitions, psychosocial interventions, common mechanisms

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Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive-behavioral therapy for chronic pain?

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