Guided Internet‐delivered cognitive behavioural therapy for chronic pain patients who have residual symptoms after rehabilitation treatment: Randomized controlled trial

Buhrman, Monica; Fredriksson, Anders; Edström, Gunnar; Shafiei, Davood; Tarnqvist, C; Ljótsson, Brjánn; Hursti, Timo; Gordh, Torsten; Andersson, Gerhard

doi:10.1002/j.1532-2149.2012.00244.x

Cited by 51 publications

(82 citation statements)

References 52 publications

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“…Several of the studies reported significant improvement in functioning and pain-related disability 17,20,21,25,37,42,44,46,[51][52][53]55 ; however, 10 studies 23,[38][39][40][41]43,45,47,57,58 did not find statistically significant improvement in physical functioning or disability in their intervention sample. At the 11-month follow-up assessment, Kristjansdottir et al 48 found a significant effect for the intervention condition in terms of physical functioning (FIQ) compared with baseline assessment; this effect was not seen at posttreatment in this sample.…”

Section: How Has the Internet Been Used For Treatment Of Chronic Noncmentioning

confidence: 99%

A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain

Heapy

Higgins

Cervone

et al. 2015

The Clinical Journal of Pain

118

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Future trials should focus on direct comparisons of technology-assisted interventions with in-person treatment and head to head comparisons of different technology-assisted modalities. Additional areas of focus include quantifying the cost of technology-assisted interventions, examining the effect of treatment "dose" on outcomes, and establishing guidelines for developing treatments for the technology-assisted environment.

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Section: How Has the Internet Been Used For Treatment Of Chronic Noncmentioning

confidence: 99%

A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain

Heapy

Higgins

Cervone

et al. 2015

The Clinical Journal of Pain

118

View full text Add to dashboard Cite

show abstract

“…A recent review indicates that the treatment effects of ICBT are similar to the effects obtained in traditional face-to-face CBT (Hedman, Ljo´ts-son, & Lindefors, 2012). Accordingly, studies evaluating ICBT for chronic pain, based on coping strategies, have demonstrated small to moderate effects (e.g., Buhrman et al, 2012). However, studies have demonstrated that an ICBT protocol based on exposure principles presented within an ACT framework results in large effects on symptoms and quality of life for patients with irritable bowel syndrome (IBS; Ljo´tsson et al, 2010;Ljó tsson, Hedman, et al, 2011).…”

Section: Internet-delivered Acceptance and Values-based Exposure Treamentioning

confidence: 99%

Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Ljótsson

Atterlöf

Lagerlöf

et al. 2013

Cognitive Behaviour Therapy

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“…With regards to behavioral interventions which now largely are considered the treatment of choice for persistent insomnia [33], cognitive-behavioral therapy addressing both pain and sleep, has been found to be effective [32]. Future research should examine to what extent low threshold interventions addressing comorbid sleep and pain may be effective, as internet-based self-help treatments have shown promising results in treating both conditions individually [34][35][36]. Moreover, given the significant contribution of depressive symptoms in explaining the observed sleep-pain association, we also recommend screening for depression during and after pregnancy, in addition to adequately identifying, preventing and treating insomnia for this population.…”

Section: Discussionmentioning

confidence: 99%

Insomnia before and after childbirth: The risk of developing postpartum pain—A longitudinal population-based study

Sivertsen

Petrie

Skogen

et al. 2017

European Journal of Obstetrics & Gynecology and Reproductiv

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Objective: To examine if insomnia before and after childbirth predicts the development of postpartum bodily pain. Methods: This study is part of a longitudinal cohort study, the Akershus Birth Cohort Study, which targeted all women giving birth at Akershus University Hospital in Norway. The current sample is comprised of 1480 women who participated at all three time points, yielding a participation rate of 32% of the 4662 women who originally consented to participate. The Bergen Insomnia Scale (BIS) was used to measure insomnia and a latent profile analysis (LPA) was used to identify subsets of women who shared a similar pattern of responses on the BIS-scale across the three time points. Pain was measured using the bodily pain scale, derived from the Primary Care Evaluation of Mental Disorders (PRIME-MD) and symptoms of depression were measured by the Edinburgh Postnatal Depression Scale (EPDS). Results: Using a latent profile analysis a three class model showed the best fit and identified one major group (55.6%) with a low BIS scores across all three time points, one group with intermediate BIS scores (32.9%), and a smaller group (11.5%) with higher BIS scores across all three times. The chronic high insomnia group had a 2.8-fold increased risk of reporting high levels of bodily pain. The chronic intermediate group was associated with a 2.2-fold increased risk of bodily pain at two years postpartum. Adjusting for demographics and lifestyle behaviors did not reduce any of the associations, while adjusting for depression significantly attenuated the associations. Additional adjustment for pain at eight weeks postpartum further reduced the magnitude of the associations, but both chronic intermediate insomnia and chronic high insomnia remained strongly associated with the onset of bodily pain in the fully adjusted models (RR = 1.75, 95% CI: 1.37-2.23) and RR = 1.63, 95% CI: 1.15-2.32, respectively). Conclusions: The high prevalence of insomnia among women during and after childbirth, in combination with the strong prospective association with impaired physical health, emphasizes the importance of adequately identifying, preventing and treating insomnia for this population.

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Guided Internet‐delivered cognitive behavioural therapy for chronic pain patients who have residual symptoms after rehabilitation treatment: Randomized controlled trial

Abstract: We conclude that Internet-delivered treatment can be partly effective for persons with residual problems after completed pain rehabilitation.

Cited by 51 publications

References 52 publications

A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain

A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain

Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Insomnia before and after childbirth: The risk of developing postpartum pain—A longitudinal population-based study

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