Does systematic graded exposure in vivo enhance outcomes in multidisciplinary chronic pain management groups?

Bliokas, Vida V.; Cartmill, Tania K.; Nagy, Barbara J.

doi:10.1097/ajp.0b013e31803685dc

Cited by 22Musculoskeletal pain and rehabilitationPain Management and TreatmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Does systematic graded exposure in vivo enhance outcomes in multidisciplinary chronic pain management groups?

Bliokas, Vida V., Cartmill, Tania K., Nagy, Barbara J.·2007·The Clinical Journal of Pain

DOI 10.1097/ajp.0b013e31803685dc

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Abstract

Objectives Graded exposure in vivo (GEXP) treatment has been successfully used to reduce levels of pain-related fear and disability in some chronic pain patients, but its effectiveness has not been evaluated in general clinical settings using group-design studies. The purpose of this study was to determine if the systematic incorporation of GEXP into a multidisciplinary chronic pain management group (PMG) treatment program would result in better treatment outcomes than usual PMG treatment. Methods One hundred forty-three chronic pain patients who were assessed as suitable for an outpatient multidisciplinary chronic PMG program were randomly allocated to 3 experimental conditions; usual PMG, PMG incorporating systematic graded exposure, and wait-list control. Results The clinical outcomes of the 2 treatment conditions were not significantly different, suggesting that the systematic incorporation of GEXP into a multidisciplinary PMG program did not result in better treatment outcomes than usual PMG treatment. Both group treatment programs were associated with significant treatment effects when compared with the wait-list control on measures of pain intensity, fear of movement/(re)injury, pain self-efficacy, activity level, and depression. No treatment effects were found on self-report measures of pain disability or anxiety. Discussion The addition of systematic graded exposure into a multidisciplinary chronic pain management program did not result in better clinical outcomes th…

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“Attrition > 10%: method of dealing with missing data not described”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Bliokas 2007
For Bliokas 2007, allocation concealment was at unclear risk of bias.
“Not reported”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Bliokas 2007
For Bliokas 2007, treatment expectations was at unclear risk of bias.
“Not assessed”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Bliokas 2007
For Bliokas 2007, blinding of outcome assessment was at high risk of bias.
“Examination by physiotherapist and self report: no blinding reported”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Bliokas 2007
For Bliokas 2007, selective reporting was at unclear risk of bias.
“Trial not pre-registered”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Bliokas 2007

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Authors: Bliokas, V. V., Cartmill, T. K., & Nagy, B. J.
Affiliations: Illawarra Shoalhaven Local Health District (AU)
ORCID: Bliokas, Vida V.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-05
Volume: 23
Issue: 4
Pages: 361-374
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0b013e31803685dc
OpenAlex: W2071232948
Cited by: 22
References: 62
Citations by year: 2025: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 1
FWCI: 1.55
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (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, group therapy, fear of pain, pain self-efficacy, pain intensity, depression, activity level, pain-related disability, anxiety
MeSH terms: Activities of Daily Living, Analysis of Variance, Anxiety, Chronic Disease, Combined Modality Therapy, Depression, Desensitization, Psychologic, Disability Evaluation, Double-Blind Method, Fear, Female, Follow-Up Studies, Humans, Male, Pain, Pain Measurement, Retrospective Studies, Treatment Outcome, Pain Clinics

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Does systematic graded exposure in vivo enhance outcomes in multidisciplinary chronic pain management groups?

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