Cited by 213Musculoskeletal pain and rehabilitationPain Management and Placebo EffectFibromyalgia and Chronic Fatigue Syndrome Research

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Treatment Expectancy Affects the Outcome of Cognitive-Behavioral Interventions in Chronic Pain

Goossens, Mari??lle E. J. B., Vlaeyen, Johan W. S., Hidding, Alita, Kole-Snijders, Ank, Evers, Silvia M. A. A.·2005·The Clinical Journal of Pain

DOI 10.1097/00002508-200501000-00003

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Abstract

Patients' initial beliefs about the success of a given pain treatment are shown to have an important influence on the final treatment outcome. The aims of the paper are to assess determinants of patients' treatment expectancy and to examine the extent to which treatment expectancy predicts the short-term and long-term outcome of cognitive-behavioral treatment of chronic pain. This study employs the data of 2 pooled randomized clinical trials evaluating the effectiveness of cognitive-behavioral interventions for 171 patients with fibromyalgia and chronic low back pain. Pretreatment and posttreatment expectancy were measured by a short questionnaire, which was based on the procedure by Borkovec and Nau. Four composite outcome variables (pain coping and control, motoric behavior, negative affect, and quality of life) were measured before and after the intervention and at 12 months follow-up. Furthermore, several patient characteristics were taken into account. Patients with higher treatment expectancies significantly received less disability compensation and were less fearful. A regression model of 3 factors (better pain coping and control, active and positive interpretation of pain, and less disability compensation) significantly explained 10% of the variance in pretreatment expectancy. Pretreatment expectancy significantly predicted each of the 4 outcome measures immediately after treatment and at 12 months follow-up. This study corroborates the importance of treatment expectation before entering a cognitive-behavioral intervention in patients with chronic musculoskeletal pain.

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“Furthermore, a distinction has been proposed between treatment expectancy and treatment credibility.(45) Treatment expectancy refers to improvements that clients believe will be achieved, whereas treatment credibility refers to how believable and logical the treatment seems to the patient.”
Background
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“To check whether there was a difference between the treatment expectancy of the different interventions, expectancy was measured in 2 parts by a short questionnaire which was developed based on the procedure described by Borkovec and Nau.32 This simple self-completed measure contained 3 questions (see Appendix A): 1)…”
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“These findings generally are consistent with response expectancy theory, which holds 3 basic assumptions: 1) expectancies for nonvolitional outcomes are sufficient to cause the expected outcome; 2) response expectancy effects are not mediated by other psychologic variables; and 3) effects of response expectancies are…”
Result

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Authors: Goossens, M. E. J. B., Vlaeyen, J. W. S., Hidding, A., Kole-Snijders, A., & Evers, S. M. A. A.
Affiliations: Maastricht University Medical Centre (NL)
Maastricht University (NL)
Corresponding author: Vlaeyen, Johan W. S.
ORCID: Vlaeyen, Johan W. S.
Evers, Silvia M. A. A.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2005-01
Volume: 21
Issue: 1
Pages: 18-26
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/00002508-200501000-00003
OpenAlex: W2049723989
Cited by: 213
References: 46
Citations by year: 2026: 3 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 17 · 2021: 7 · 2020: 16 · 2019: 9 · 2018: 7 · 2017: 14 · 2016: 19 · 2015: 5 · 2014: 9 · 2013: 6 · 2012: 10
FWCI: 6.07
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Research Publications (Maastricht University) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords: treatment expectancy, cognitive behavioral therapy, chronic pain, fibromyalgia, chronic low back pain, pain coping, pain management, disability compensation, fear-avoidance beliefs, quality of life, treatment outcome prediction
MeSH terms: Adaptation, Psychological, Attention, Chronic Disease, Humans, Musculoskeletal Diseases, Pain, Pain Measurement, Predictive Value of Tests, Surveys and Questionnaires, Regression Analysis, Cognitive Behavioral Therapy, Treatment Outcome, Pain Management

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Treatment Expectancy Affects the Outcome of Cognitive-Behavioral Interventions in Chronic Pain

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