The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.
Treatment Expectancy Affects the Outcome of Cognitive-Behavioral Interventions in Chronic Pain
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“There appear to be specific characteristics of patients who may struggle to benefit from health behavior interventions like MI, such as those who have low expectation of improvement and low overall optimism and those who have low perceived social support [118–120].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [119]
In the citing paper
“These individual and social-level constructs, in turn, have been associated with greater efficacy and impact of MI and other health behavior interventions (pathway A2) [118–120, 129, 130].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [119]
Citations
Cites
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678
The american college of rheumatology 1990 criteria for the classification of fibromyalgia
Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., Tugwell, P., Campbell, S. M., Abeles, M., Clark, P., et al. (1990) · Arthritis & Rheumatism · doi:10.1002/art.1780330203 · Cited by 9,563
The Pain Catastrophizing Scale: Development and validation.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995) · Psychological Assessment · doi:10.1037//1040-3590.7.4.524 · Cited by 8,227
Rosenstiel, A. K., & Keefe, F. J. (1983) · Pain · doi:10.1016/0304-3959(83)90125-2 · Cited by 2,314
Psychometric properties of the credibility/expectancy questionnaire
Devilly, G. J., & Borkovec, T. D. (2000) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(00)00012-4 · Cited by 2,295 · cited 2×
“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.”
BackgroundCredibility of analogue therapy rationales
Borkovec, T. D., & Nau, S. D. (1972) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(72)90045-6 · Cited by 1,553 · cited 2×
“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)…”
MethodCognitive processes mediating behavioral change.
Bandura, A., Adams, N. E., & Beyer, J. (1977) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.35.3.125 · Cited by 1,392
A fear survey schedule for use in behaviour therapy
Wolpe, J., & Lang, P. J. (1964) · Behaviour Research and Therapy · doi:10.1016/0005-7967(64)90051-8 · Cited by 1,027
Borkovec, T. D., & Costello, E. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.4.611 · Cited by 756
How expectancies shape experience.
(1999) · doi:10.1037/10332-000 · Cited by 639 · cited 1×
“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
Research works printed but not linked: 7
- Lackner, 1996, J Consult Clin Psychol, 64, 212, 10.1037/0022-006X.64.1.212 · DOI
- Bandura, 1977, J Pers Soc Psychol, 35, 125, 10.1037/0022-3514.35.3.125 · DOI · Paper page
- Sullivan, 1995, Psychol Assess, 7, 524, 10.1037/1040-3590.7.4.524 · DOI · Paper page
- Vlaeyen, 1996, J Rheumatol, 23, 1237
- Goossens, 1996, J Rheumatol, 23, 1246
- Kole, 1990, Pain, 5, S394
- van Doorn, 1983, De Psycholoog, 18, 573
Cited by
Sorted by citations
Leeuw, M., Goossens, M. E. J. B., van Breukelen, G. J. P., de Jong, J. R., Heuts, P. H. T. G., Smeets, R. J. E. M., Köke, A. J. A., & Vlaeyen, J. W. S. (2008) · Pain · doi:10.1016/j.pain.2007.12.009 · Cited by 393
Self-citationConstantino, M. J., Arnkoff, D. B., Glass, C. R., Ametrano, R. M., & Smith, J. Z. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20754 · Cited by 367
Cognitive-Behavioral Treatments for Chronic Pain: What Works for Whom?
Vlaeyen, J. W. S., & Morley, S. (2005) · The Clinical Journal of Pain · doi:10.1097/00002508-200501000-00001 · Cited by 350
Self-citationRossettini, G., Carlino, E., & Testa, M. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-1943-8 · Cited by 337
Smeets, R. J. E. M., Beelen, S., Goossens, M. E. J. B., Schouten, E. G. W., Knottnerus, J. A., & Vlaeyen, J. W. S. (2008) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e318164aa75 · Cited by 280
Self-citation
Metadata
- 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.
- Venue
- The Clinical Journal of Pain
- Published
- 2005-01
- Volume
- 21
- Issue
- 1
- Pages
- 18-26
- ISSN
- 0749-8047 (ISSN-L)
- 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
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 ›
Are you an author, or do you see a problem with this page? Request a review
