A 5-Year Follow-Up Evaluation of the Health and Economic Consequences of an Early Cognitive Behavioral Intervention for Back Pain: A Randomized, Controlled Trial

Linton, Steven J.; Nordin, Elisabeth

doi:10.1097/01.brs.0000209258.42037.02

Cited by 115 publications

(64 citation statements)

References 17 publications

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“…There is compelling evidence that supports the efficacy and effectiveness of CBT in the treatment of patients with various pain disorders. [48][49][50][51] Similar findings support the use of CBT in the treatment of patients with SUDs. [52][53][54] Pain patients tend to engage in maladaptive thinking (such as catastrophizing) and behavior (kinesiophobia), which can cause additional suffering and disability.…”

Section: Complementary and Alternative Medicine (Cam)supporting

confidence: 64%

Treating Pain in Addicted Patients: Recommendations from an Expert Panel

Cheatle

Comer

Wunsch³

et al. 2014

Population Health Management

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Clinicians may face pragmatic, ethical, and legal issues when treating addicted patients. Equal pressures exist for clinicians to always address the health care needs of these patients in addition to their addiction. Although controversial, mainly because of the lack of evidence regarding their long-term efficacy, the use of opioids for the treatment of chronic pain management is widespread. Their use for pain management in the addicted population can present even more challenges, especially when evaluating the likelihood of drug-seeking behavior. As the misuse and abuse of opioids continues to burgeon, clinicians must be particularly vigilant when prescribing chronic opioid therapy. The purpose of this article is to summarize recommendations from a recent meeting of experts convened to recommend how primary care physicians should approach treatment of chronic pain for addicted patients when an addiction specialist is not available for a referral. As there is a significant gap in guidelines and recommendations in this specific area of care, this article serves to create a foundation for expanding chronic pain guidelines in the area of treating the addicted population. This summary is designed to be a practical how-to guide for primary care physicians, discussing risk assessment, patient stratification, and recommended therapeutic approaches. (Population Health Management 2014;17:79-89)

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Section: Complementary and Alternative Medicine (Cam)supporting

confidence: 64%

Treating Pain in Addicted Patients: Recommendations from an Expert Panel

Cheatle

Comer

Wunsch³

et al. 2014

Population Health Management

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show abstract

“…Hence, low-intensity modules of cognitive-behavioral management of depressive symptoms might be indicated for this subgroup to prevent the aggravation of depressive symptoms and further development of chronic pain. Linton and Nordin [26] demonstrated that a preventive cognitive-behavioral group intervention improved long-term effects in the primary care of low back pain. In the same vein, Glombiewski et al [12] also concluded that their intense and specific cognitive-behavioral therapy could provide beneficial effects in patients with less psychological co-morbidity.…”

Section: Discussionmentioning

confidence: 99%

Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up

Tlach¹,

Hampel²

2011

Eur Spine J

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The aim of the present study was to investigate the 2-year outcome of a cognitive-behavioral training program for the management of depressive symptoms for patients with chronic low back pain (CLBP) and co-existing depressive symptoms compared with the standard rehabilitation. Therefore, a quasi-experimental 3 9 2 9 5 (treatment condition 9 gender 9 time) repeated measures design with five assessment points (pre-treatment, posttreatment, 6-, 12-, and 24-month follow-up) was employed among N = 153 patients with CLBP, aged 33-62 years. Patients were consecutively assigned to one of three treatment conditions: patients with no or mild depressive symptoms were treated with the standard rehabilitation (CG) and patients with moderate or severe depressive symptoms were either treated with the standard rehabilitation (CG depr ) or the standard rehabilitation plus cognitive-behavioral management of depressive symptoms (IG depr ). Patients in the IG depr significantly improved in mental health up to the 6-month follow-up and in anxiety and depressive symptoms up to the 24-month follow-up. Only short-or mid-term improvements were found in the CG depr . In conclusion, the new cognitive-behavioral training program augmented the long-term rehabilitation success in this highly strained subgroup of patients with CLBP and depressive symptoms.

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“…Psychosocial interventions for people with chronic pain, predominantly behavioural and cognitive behavioural in origin, are well-established and supported by an extensive evidence base (Meldrum, 2007). A series of systematic reviews and meta-analyses attest to the efficacy of these programs among child and adults with primary chronic pain conditions, as well as early interventions designed to reduce the development of pain-related disability (Eccleston, Morley, Williams, Yorke, & Mastroyannopoulou, 2002;Eccleston, Yorke, Morley, Williams, & Mastroyannopoulou, 2003;Linton & Nordin, 2006;Morley, Eccleston, & Williams, 1999).…”

Section: Interventions Focused On Psychological and Social Factorsmentioning

confidence: 99%

Chronic Pain in People with Physically Disabling Conditions: A Review of the Application of Biopsychosocial Models

Perry¹

2012

Pain Management - Current Issues and Opinions

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A 5-Year Follow-Up Evaluation of the Health and Economic Consequences of an Early Cognitive Behavioral Intervention for Back Pain: A Randomized, Controlled Trial

Abstract: A cognitive-behavioral group intervention produces long-term health and economic benefits. Usual medical care might be improved considerably by implementing these psychologic methods.

Cited by 115 publications

References 17 publications

Treating Pain in Addicted Patients: Recommendations from an Expert Panel

Treating Pain in Addicted Patients: Recommendations from an Expert Panel

Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up

Chronic Pain in People with Physically Disabling Conditions: A Review of the Application of Biopsychosocial Models

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