Cognitive behavioral therapy methods in chronic pain treatment

Engstrom, David R.

doi:10.1016/0304-3959(81)90409-7

Cited by 19 publications

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“…Pain Locus of Control 36,47,48 is a revision of MHLC applied to pain, based on previous works by Penzien et al 49 and is composed of 36 items scored with a 6-point Likert scale, 12 for each of the 3 measured factors: internal, powerful, and chance. MLPC, 50 the German validation of LPC (Locus of Pain Control), 51 was performed with a sample containing 170 patients suffering from chronic headaches; it was composed of 27 items scored according to an analogous visual scale. Its factorial structure has 4 dimensions: internal, chance, medical, and medication.…”

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confidence: 99%

A Shortened Version of the Headache‐Specific Locus of Control Scale in Spanish Population

2010

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(Headache 2010;50:1335‐1345) Background and Objective.— Further questions need to be addressed in the evaluation of locus of control (LOC) in headaches, such as reducing scale length and adapting them to diverse cultural environments, as in the case of Spain. Methods.— We perform a confirmatory factor analysis of the most outstanding items contained in the Headache‐Specific Locus of Control Scale in the responses of 118 patients suffering from headaches who received assistance at public health care centers in the province of Seville (Spain). Results.— The adjustment was positive, thus confirming the original structure of 3 factors: internal locus of control (LOC‐I), health care professionals' LOC, and chance locus of control (LOC‐C). Scale validation was performed by examining associations both with headache clinical parameters and psychological measures. The latter included self‐efficacy, internal language, coping strategies, and pain behaviors. LOC‐C results deserve special mention, supporting the idea that it seems more important to avoid that patients develop LOC‐C rather than boosting LOC‐I and LOC‐P expectations. Conclusions.— The so‐called Headache‐Specific Locus of Control Scale‐Short Form 9 has turned out to be a parsimonious (9 items), valid, and reliable measure of headache LOC.

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A Shortened Version of the Headache‐Specific Locus of Control Scale in Spanish Population

2010

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“…Only a few studies are so far available that have produced equivocal results concerning predictors of a successful outcome of pain-oriented procedures such as relaxation training for LBP (Freeman, Calsijn, Paige & Halar, 1980;Keefe, Block, Williams & Surwit, 1981;Keefe, Schapira, Brown, Williams & Surwit, 1981). In order to place the therapeutic improvement achieved in this study in a proper perspective, it is illuminating to compare patient characteristics of this study with those reported in other controlled treatment studies of LBP (Engstrom, 1983;Flor, Haag, Turk & Koehler, 1983;Linton & Gotestam, 1984;Linton & Melin, 1983;McCauley et a/., 1983;Nouwen & Solinger, 1979;Turner, 1982). Taking into account the limited information on patient characteristics in most studies, the population of LBP patients in this study seems somewhat older, has a relatively long history of back pain, consists of a relatively large number of patients who have undergone back operations and includes hardly any patients who are employed.…”

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confidence: 99%

Education and self‐hypnosis in the management of low back pain: A component analysis

Spinhoven

Linssen

1989

British J Clinic Psychol

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The aim of this study was to conduct a component analysis of a group programme for chronic low back pain patients. Forty-five patients participated in the pain control course, consisting of education about pain and a training in self-hypnosis. A pain diary was used as a measure of pain intensity, up-time and use of pain medication. Psychoneuroticism and depression were assessed using the Symptom Checklist-90 (SCL-90). No evidence was found for a differential efficacy of education or self-hypnosis on pain diary and SCL-90 scores. On completion of the total treatment package, patients manifested statistically significant changes on all measures except reported pain intensity. It is suggested that the pain control course is a non-invasive, inexpensive means of treatment which could be of some value in teaching even more severely disabled low back pain patients to cope more adequately with their pain problem. For this group of patients, a better adjustment to continuing pain may prove to be a more realistic therapy goal than pain reduction.

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“…Engstrom, 1983;Turk and Genest, 1979). As it is such a diverse and complex area this chapter will make no attempt to deal with it but simply note its importance.…”

Section: Discussionmentioning

confidence: 99%

Behavioural science and chronic pain

Fordyce

1984

Postgraduate Medical Journal

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IntroductionViewing chronic pain from the perspective of behavioural science requires consideration first of conceptual models. We develop theories or conceptual models to assist in ordering observations into more coherent patterns. We sometimes fail, however, to distinguish between models or theories and statements of fact. Observations viewed from the perspective of a given model may lead us to one set of conclusions. The same observations, viewed from a different conceptual model may lead us to quite different conclusions. The observations may be facts but the conclusions are not.

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Cognitive behavioral therapy methods in chronic pain treatment

Cited by 19 publications

References 0 publications

A Shortened Version of the Headache‐Specific Locus of Control Scale in Spanish Population

A Shortened Version of the Headache‐Specific Locus of Control Scale in Spanish Population

Education and self‐hypnosis in the management of low back pain: A component analysis

Behavioural science and chronic pain

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