Correlates of improvement in multidisciplinary treatment of chronic pain.
Abstract
Although multidisciplinary pain programs have been demonstrated to be effective, the processes of improvement have yet to be clarified. Cognitive-behavioral models posit that improvement is due, in part, to changes in patient pain beliefs and coping strategies. To test the relationships between treatment outcome and changes in beliefs and coping strategies, 94 chronic pain patients completed measures of physical and psychological functioning, health care utilization, pain beliefs, and use of pain coping strategies at admission and 3 to 6 months after inpatient pain treatment. Improved functioning and decreased health care use were associated with changes in both beliefs and cognitive coping strategies. However, changes in some coping strategies, such as exercise and use of rest, were not associated with improvement.
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The authors have demonstrated strong construct validity, internal consistency, and two-week test-retest reliability for the SOPA.
“The authors have demonstrated strong construct validity, internal consistency, and two-week test-retest reliability”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [14]
Improving dysfunctional beliefs improves pain management outcomes.
“and that improving dysfunctional beliefs improves pain management outcomes.14,41,42”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [14]
Pre-to post-treatment changes in specific factors targeted by cognitive interventions are correlated with improvement in pain severity, disability, and distress.
“Pre-to post-treatment changes in specific factors targeted by cognitive interventions (e.g., attitudes towards coping, disability beliefs, and catastrophizing) are correlated with improvement in pain severity, disability, and distress.13–19”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [14]
The SOPA predicts outcomes of pain management efforts.
“shown that the SOPA predicts outcomes of pain management efforts”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [14]
Pre-to post-treatment changes in specific factors targeted by cognitive interventions are correlated with improvement in pain severity, disability, and distress.
“Pre-to post-treatment changes in specific factors targeted by cognitive interventions (e.g., attitudes towards coping, disability beliefs, and catastrophizing) are correlated with improvement in pain severity, disability, and distress.13–19”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [13]
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Day, M. A., Ehde, D. M., & Jensen, M. P. (2015) · The Journal of Pain · doi:10.1016/j.jpain.2015.07.003 · Cited by 54 · see citing works
Self-citationGrant, L. D., Long, B. C., & Willms, J. D. (2002) · Journal of Health Psychology · doi:10.1177/1359105302007005675 · Cited by 53 · see citing works
TREATMENT PLANNING IN PAIN MEDICINE
Gallagher, R. M. (1999) · Medical Clinics of North America · doi:10.1016/s0025-7125(05)70136-x · Cited by 52 · see citing works
- Authors
- Jensen, M. P., Turner, J. A., & Romano, J. M.
- Affiliations
- University of Washington (US)
- ORCID
- Romano, Joan M.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1994
- Volume
- 62
- Issue
- 1
- Pages
- 172-179
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2088452061
- Cited by
- 280
- References
- 0
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 4 · 2014: 16 · 2013: 10 · 2012: 10
- FWCI
- 6.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5f32ns008545-02)
- National Institute of Neurological Disorders and Stroke (F32 NS08545)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- chronic pain, multidisciplinary pain management, pain beliefs, pain coping, cognitive-behavioral model, treatment outcomes, health care utilization, physical function, psychological functioning, physical activity, rest
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Chronic Disease, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Measurement, Rest, Exercise, Cognitive Behavioral Therapy, Treatment Outcome, Pain Management
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