Cognitive and physical capacity process variables predict long-term outcome after treatment of chronic pain

Burns, John W.; Johnson, Barbara J.; Mahoney, Neil; Devine, James; Pawl, Ronald

doi:10.1037/0022-006x.66.2.434

Cited by 102Musculoskeletal pain and rehabilitationPain Management and TreatmentFibromyalgia and Chronic Fatigue Syndrome Research

Cognitive and physical capacity process variables predict long-term outcome after treatment of chronic pain

Burns, John W., Johnson, Barbara J., Mahoney, Neil, Devine, James, Pawl, Ronald·1998·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.66.2.434

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Abstract

Cognitive-behavioral and physical therapies are incorporated into multidisciplinary chronic pain programs because changes in pain cognitions and physical capacity may represent therapeutic processes that facilitate favorable outcome. Decreases in depression, however, may explain treatment responses more parsimoniously. Measures of pain helplessness, lifting capacity, walking endurance, depression, pain severity, and activity level were collected from 94 chronic pain patients at pre- and posttreatment and at 3- to 6-month follow-up evaluations. Decreases in pain helplessness were linked to pain severity reduction, whereas walking endurance increases were related to improvements in activity levels and downtime even after controlling for effects of depression decreases. Thus, cognitive and physical capacity changes that occur through pain treatment may make unique contributions to long-term outcome.

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Relatively few treatment outcome studies have undertaken to measure and analyse possible mediators or change processes in chronic pain trials.
“In fact, relatively few treatment outcome studies have undertaken to measure and analyse possible mediators 50, 51, 57 or changes processes 4-6, 19, 20, 45, 46 in chronic pain trials.”
From The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain (2015) · cites this paper as [5]
A large number of psychological variables have been identified as potential CBT process variables, including pain beliefs, perceived control over pain, social support, coping, self-efficacy, helplessness, affective distress, and catastrophizing.
“A large number of psychological variables have been identified as potential CBT process variables, including pain beliefs and perceived control over pain, 19, 20, 50 social support, 42, 43 coping, 19, 20 self-efficacy, 50 helplessness, 4-6 affective distress, and catastrophizing. 4, 6, 45, 46, 50, 52”
From The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain (2015) · cites this paper as [5]
Previous investigations examining potential process variables in CBT approaches for chronic pain have focused largely on pain beliefs and perceived control over pain, social support, coping, self-efficacy, helplessness, affective distress, and catastrophizing.
“Previous investigations examining potential process variables in CBT approaches for chronic pain have focused largely on pain beliefs and perceived control over pain, 19, 20, 50 social support, 42, 43 coping, 19, 20 self-efficacy, 50 helplessness, 4-6 affective distress, and catastrophizing. 4, 6, 45, 46, 50, 52”
From The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain (2015) · cites this paper as [5]

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Authors: Burns, J. W., Johnson, B. J., Mahoney, N., Devine, J., & Pawl, R.
ORCID: Burns, John W.
Johnson, Barbara J.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 1998
Volume: 66
Issue: 2
Pages: 434-439
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.66.2.434
OpenAlex: W2026751951
Cited by: 102
References: 0
Citations by year: 2024: 3 · 2023: 3 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 7 · 2015: 1 · 2014: 3 · 2013: 6 · 2012: 3
FWCI: 3.11
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (2s07rr005366-30)
National Center for Research Resources (S07 RR05366-28)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords: chronic pain, multidisciplinary pain management, treatment outcomes, physical capacity, walking endurance, lifting capacity, depression, pain intensity, activity level, pain-related cognitions, cognitive behavioral therapy, long-term follow-up
MeSH terms: Adult, Chronic Disease, Combined Modality Therapy, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain, Pain Measurement, Patient Care Team, Physical Fitness, Cognitive Behavioral Therapy, Treatment Outcome, Physical Therapy Modalities

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Cognitive and physical capacity process variables predict long-term outcome after treatment of chronic pain

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