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Cited by 256Musculoskeletal pain and rehabilitationPain Management and TreatmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Do changes in cognitive factors influence outcome following multidisciplinary treatment for chronic pain: a cross-lagged panel analysis.

Burns, John W., Kubilus, Amanda, Bruehl, Stephen, Harden, R. Norman, Lofland, Kenneth·2003·Journal of Consulting and Clinical Psychology
DOI 10.1037/0022-006x.71.1.81
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Abstract

Changes in maladaptive cognitions may constitute therapeutic processes of multidisciplinary pain programs. A cross-lagged panel design was used to determine whether (a) early-treatment cognitive change predicted late-treatment outcome index change, but not vice versa; and (b) these effects remained significant with depression change controlled. Ninety chronic pain patients, in a 4-week multidisciplinary program, completed measures of catastrophizing, pain helplessness, depression, pain, interference, and activity level at pre-, mid-, and posttreatment. With depression changes controlled, early-treatment catastrophizing and pain helplessness changes predicted late-treatment outcome index changes, but not vice versa; early-treatment depression changes predicted late-treatment activity changes, but not vice versa. Findings advance understanding of pain treatment process and suggest that negative cognition changes may indeed affect improvements in treatment outcome.

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Crossref · 10.1037/0022-006x.71.1.81

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  • 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 [6]

  • 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 [6]

  • 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 [6]

  • Recent longitudinal studies in ongoing treatment programs have shown that decreases in catastrophizing that occur early in treatment predict decreases in pain and pain-related outcomes later in treatment.

    “Recent longitudinal studies, done in the context of ongoing treatment programs, have shown that decreases in catastrophizing that occur early in treatment predict decreases in pain and pain-related outcomes later in treatment.14,15”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [15]

  • In studies of CBT for chronic pain there are data showing that change in the content of thoughts can be associated with improvements during treatment.

    “In studies of CBT for chronic pain there are data showing that change in the content of thoughts can be associated with improvements during treatment. 9,35,79”

    From The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management (2014) · cites this paper as [9]

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Authors
Burns, J. W., Kubilus, A., Bruehl, S., Harden, R. N., & Lofland, K.
Affiliations
Shirley Ryan AbilityLab (US)
ORCID
Venue
Journal of Consulting and Clinical Psychology
Publisher
American Psychological Association (APA)
Published
2003
Volume
71
Issue
1
Pages
81-91
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
DOI
10.1037/0022-006x.71.1.81
OpenAlex
W1998052169
Cited by
256
References
56
Citations by year
2025: 6 · 2024: 6 · 2023: 5 · 2022: 6 · 2021: 6 · 2020: 12 · 2019: 11 · 2018: 10 · 2017: 13 · 2016: 11 · 2015: 14 · 2014: 15 · 2013: 13 · 2012: 19
FWCI
10.71
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
chronic pain, multidisciplinary pain management, maladaptive cognitions, pain catastrophizing, depression, treatment outcomes, treatment process, activity level, pain interference
MeSH terms
Adaptation, Psychological, Chronic Disease, Cognition, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Patient Care Team, Surveys and Questionnaires, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome, Cross-Over Studies, Pain Management

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