2017
DOI: 10.3389/fpsyg.2017.00435 View full text |Buy / Rent full text
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Abstract: According to evidence from recent decades, multicomponent programs of psychological intervention in people with chronic pain have reached the highest levels of efficacy. However, there are still many questions left to answer since efficacy has mainly been shown among upper-middle class patients in English-speaking countries and in controlled studies, with expert professionals guiding the intervention and with a limited number of domains of painful experience evaluated. For this study, a program of multicompone… Show more

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“…Finally, it should be noted that health status can be influenced by many factors other than pain, so we cannot ensure that the physical and mental functioning of patients in our sample was only influenced by pain. To control for this, we used important covariates of health in the regression analyses (i.e., sex and age), but, drawing from existent literature (Cano et al, 2008; Edwards et al, 2016; Cano-García et al, 2017; Kaiser et al, 2017), other candidates surely exist (e. g., medication misuse, treatment modality, anxiety or depressive symptoms, social or family support, and satisfaction with treatment, among others). The fact that the moderation existed while controlling for some important covariates of patient health status should make the present study results robust, but the inclusion of a more comprehensive set of covariates would be desirable to provide further support for the robustness and generalizability of the findings.…”
Section: Discussionmentioning
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“…Finally, it should be noted that health status can be influenced by many factors other than pain, so we cannot ensure that the physical and mental functioning of patients in our sample was only influenced by pain. To control for this, we used important covariates of health in the regression analyses (i.e., sex and age), but, drawing from existent literature (Cano et al, 2008; Edwards et al, 2016; Cano-García et al, 2017; Kaiser et al, 2017), other candidates surely exist (e. g., medication misuse, treatment modality, anxiety or depressive symptoms, social or family support, and satisfaction with treatment, among others). The fact that the moderation existed while controlling for some important covariates of patient health status should make the present study results robust, but the inclusion of a more comprehensive set of covariates would be desirable to provide further support for the robustness and generalizability of the findings.…”
Section: Discussionmentioning
“…Rationale for the use of the chosen instruments (Anguera et al, 2008). As medium-high intervention designs refer to evaluation contexts in which the practitioner has a high degree of existing substantive knowledge, and where the level of intervention and control is also higher, standardized (or at least semi-standardized) instruments are usually available to collect data (Cano-García et al, 2017). These instruments can estimate the performance or behavior of the observed subjects on the aspect measured by the instrument (criterionreferenced test) and/or reveal inter-individual differences in the behavior or trait measured by the instrument with respect to a standard population (norm-referenced test).…”
Section: Outcomes (Results/instruments)mentioning
“…This question is of special importance for designing and preparing intervention and prevention programs for highly sensitive people with presence of anxiety symptoms, emotional alterations and stress, and sensitization to pain. Cognitive-behavioral treatments have been demonstrating their efficacy in multicomponent interventions for the treatment of chronic affectations involving pain, 46 , 47 for improving quality of life. 40 There are very few controlled psychological studies on highly sensitive people, 48 although it is true that people who demand professional help to manage their anxiety and depression tend to be diagnosed with a dysthymic disorder, and are treated with SSRI antidepressants and anxiolytics, and psychological intervention is for stress management and emotional alterations.…”
Section: Discussionmentioning