The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain

Castro, Martha Moreira Cavalcante; Daltro, Carla; Kraychete, Durval Campos; Lopes, Josiane

doi:10.1590/s0004-282x2012001100008

Cited by 33 publications

(34 citation statements)

References 19 publications

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“…CBT techniques combined with physical therapy tend to show more benefit than physical therapy alone. [4][5][6] Previous literature has evaluated the success of chronic pain management as an effective intervention for improving quality of life and reducing negative pain-related outcomes. In a meta-analysis by Morley et al, 7 patients who underwent CBT improved more than waitlist controls on factors of pain experience, mood and affective state, use of positive coping strategies, avoidance of negative coping strategies, avoidance of negative pain-related behaviors, and social role functioning.…”

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confidence: 99%

Factors involved in patients’ perceptions of self-improvement after chronic pain treatment

Shaikh

Hapidou

2018

Canadian Journal of Pain

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Background Patients’ self-reported levels of improvement after having attended a chronic pain management program can provide a subjective rating of how successful they perceive they were at accomplishing their goals in the program. Past studies have demonstrated that successful patients differ from less successful ones on several cognitive–behavioral factors such as coping strategies over physical characteristics such as pain intensity. Aims This study explored factors that determine patients’ perceptions of self-improvement after undergoing chronic pain treatment in a pain management program. Methods Participants ( n = 174) underwent a 4-week, interdisciplinary, multimodal, chronic pain management program at a hospital located in southern Ontario. Questionnaire packages that evaluate pain intensity, pain-related disability, emotional distress (e.g., depression, anxiety, catastrophizing), acceptance of pain (activity engagement and pain willingness), readiness to change, and use of adaptive or maladaptive coping strategies were completed by patients at admission and discharge. Participants were grouped into one of three categories depending on their rating of self-improvement on the Self-Evaluation Scale (SES). The groups were compared on the magnitude of change they reported on the variables mentioned above. Results Changes in emotional distress, general health, readiness to change, activity engagement, and adaptive coping strategies (e.g., task persistence, pacing, and seeking social support) were significantly associated with differences in ratings of self-improvement. Conclusions This study provided insight into what patients value most when rating their self-improvement, which can then be used to facilitate increased patient success and satisfaction with treatment.

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confidence: 99%

Factors involved in patients’ perceptions of self-improvement after chronic pain treatment

Shaikh

Hapidou

2018

Canadian Journal of Pain

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“…In this subpopulation of patients with chronic pain and medical comorbidity, treatment approaches that more consistently integrate the management of their medical condition(s) with the management of pain may be particularly beneficial . For all patients with chronic pain, treatment that is tailored to the pain condition (eg, musculoskeletal) and the patient demographic profile, and which incorporates psychological, pharmacological, and/or alternative therapies, is imperative.…”

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confidence: 99%

Prevalence of Chronic Pain in a Large Integrated Healthcare Delivery System in the U.S.A

et al. 2015

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In this comprehensive analysis of 2 years of data from a large, vertically integrated metropolitan health system, chronic pain was identified in 12% of adult patients. Approximately 75% of chronic pain conditions were musculoskeletal. The triad of age ≥ 60 years, BMI ≥ 30, and female sex were the most salient demographic characteristics of patients with chronic pain conditions. These diagnostic and demographic data may be used to inform treatment program development.

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“…Percentage level for inter-rater reliability was 87.5%, while Cohen's kappa statistic was K = 0.63 signifying a moderate level of agreement (McHugh, 2012). Four studies required further information regarding their intervention protocol and the roles of healthcare professionals (HCPs) involved in the conduct of the studies (Castro, Daltro, Kraychete, & Lopes, 2012;Ibrahim, Akindele, & Ganiyu, 2018;Nazari, Ebrahimi, Naseh, & Sahebi, 2018;Saedi, Hatami, Asgari, Ahadi, & Poursharifi, 2016). Two authors responded: both independent reviewers (PKA and JA) came to a consensus to include the responses (Castro et al, 2012;Ibrahim et al, 2018).…”

Section: Study Selection Processmentioning

confidence: 99%

Operationalisation of a biopsychosocial approach for the non‐pharmacological management of patients with chronic musculoskeletal pain in low‐ and middle‐income countries: A systematic review

Ampiah

Hendrick

Moffatt

et al. 2020

Musculoskeletal Care

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Background Chronic musculoskeletal pain is a major health concern. The biopsychosocial approach is an evidence‐based approach recommended for managing chronic musculoskeletal pain. However, the evidence for this approach is largely reported from high‐income countries; therefore, it is important to ascertain how biopsychosocial approaches are operationalised in low‐ and middle‐income countries to inform practice. Aim To examine the evidence for the operationalization of biopsychosocial interventions in managing patients with chronic musculoskeletal pain in low‐and middle‐income countries. Methods The search included studies published in English from 2008 to September 2019 in: Cochrane library, OVID, CINAHL, Scopus, PUBMED, Web of Science, and SportDiscus. Randomised and non‐randomised trials using a biopsychosocial intervention were considered. The review team developed a search strategy; two independent reviewers screened and assessed results for quality. Results Sixteen studies were included (n = 996) with mainly low back pain populations (n = 11 studies). Others were osteoarthritis (n = 1) and other musculoskeletal pain (n = 4). The majority (n = 12) of studies attained fair to poor quality, three had good quality, one scored excellent quality. Interventions applied biopsychosocial principles such as cognitive functional therapy, and graded activity, delivered by healthcare professionals such as physiotherapists and doctors. However, most results provided insufficient information regarding healthcare professionals' capacity to deliver interventions, lack of information regarding intervention delivery and training of healthcare professionals. Conclusions The results highlight the potential for delivering biopsychosocial interventions in low‐ and middle‐income countries; however, future research should consider robust methodological approaches with clear details to achieve high‐quality trials.

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The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain

Cited by 33 publications

References 19 publications

Factors involved in patients’ perceptions of self-improvement after chronic pain treatment

Factors involved in patients’ perceptions of self-improvement after chronic pain treatment

Prevalence of Chronic Pain in a Large Integrated Healthcare Delivery System in the U.S.A

Operationalisation of a biopsychosocial approach for the non‐pharmacological management of patients with chronic musculoskeletal pain in low‐ and middle‐income countries: A systematic review

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