Effect of Cognitive-Behavioral Training on Pain Self-Efficacy, Self-Discovery, and Perception in Patients with Chronic Low-Back Pain: A Quasi-Experimental Study

Abstract

Background Correcting false cognitions and establishing preventive behaviors in patients with chronic low-back pain can improve self-efficacy and self-discovery of these patients against the physical and psychological consequences of chronic back pain through reinforcing thoughts and constructive behaviors. Objectives This study aimed to investigate the effectiveness of cognitive-behavioral training in self-efficacy, self-discovery, and pain perception of patients with chronic low-back pain. Methods Based on a quasi-experimental design, 40 patients with chronic low-back were selected through purposive sampling and assigned into two groups of intervention (n = 20) and control (n = 20). After administering the pain self-efficacy (PSE) scale, the self-discovery scale (SDS), and the pain perception questionnaire (MPQ) to both groups, the intervention group received the cognitive-behavioral training while the control group did not receive the intervention. The post-test was performed on both groups and the data were analyzed using SPSS. Results The scores of pain self-efficacy and self-discovery (self-awareness and acceptance, commitment and attraction, transcendence and development, and personal growth) were higher in the intervention group than in the control group (P < 0.01). The highest increase with an effect size of 0.514 was related to the self-awareness and acceptance subscale. In addition, the pain assessment perception was the only reduced subscale among the other dimensions of pain perception (P < 0.01). Conclusions Psychosocial complementary therapies can provide patients suffering from chronic pain with better physical and mental conditions to have a higher quality of life.

Persistent pain in intensive care survivors: a systematic review

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Assessment of the Quality of Mobile Applications (Apps) for Management of Low Back Pain Using the Mobile App Rating Scale (MARS)

“…People with LBP express a strong desire for precise, consistent, personalised information on prognosis, treatment options, and self-management strategies related to healthcare and occupational issues [ 14 ]. Perceived fear-avoidance beliefs, catastrophic thinking, and perceived disability make the symptoms more severe than they are [ 15 , 16 ]. Cognitive-behavioural education may be used to increase physical performance, reduce pain level, and even decrease depression in people with LBP [ 17 ].…”

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“…Feedback to trainees is one of the main areas that should be focused on DOPS (8,28,29). Our results demonstrated that Re-DOPS decreased the time needed for feedback to the residents, which could be considered an advan- Based on the latter classification, the results of our study could exactly cover 3 of 4 areas from the above list (7, 8, 10, 30), including: Context (i.e., time to feedback to anesthesiology residents); Users (i.e., trainees' satisfaction); Outcome (i.e., the time needed for the 1st DOPS compared with the 2nd DOPS).…”