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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”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [14]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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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Metadata
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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
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 ›
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