Integrated cognitive behavioral therapy for chronic pain

Taguchi, Kayoko; Numata, Noriko; Takanashi, Rieko; Takemura, Ryo; Yoshida, Tokiko; Kutsuzawa, Kana; Yoshimura, Kensuke; Shimizu, Eiji

doi:10.1097/md.0000000000023859

Cited by 7 publications

(5 citation statements)

References 47 publications

(18 reference statements)

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“…In Kayoko Taguchi et al study [24] the effects of a CBT intervention program with attention-shift, memory work, video feedback, and image training components delivered via videoconferencing was examined. A total of thirty patients (age range, 22-75 years) with chronic pain were randomly assigned to two groups: vCBT (n=15) and TAU (n=15).…”

Section: Resultsmentioning

confidence: 99%

“…In recent years and with the development of technology, a great interest has been observed from both health providers and patients, for the effect of online CBT on chronic LBP. According to research by Taguchi Kayoko, et al [24], Thomas Rutledge, et al [38] and M Gandy, et al [39], telehealth treatments administered for chronic LBP can provide significant and relatively comparable benefits. Although the latest research believes that sms was an acceptable adjunct to iCBT for chronic pain, there is not much statistical evidence.…”

Section: Discussionmentioning

confidence: 99%

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"The Effectiveness of Cognitive Behavioral Therapy in Chronic Low Back Pain"

Trevlaki

2023

BJSTR

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Background: Cognitive Behavioral Therapy is a form of non-pharmacological therapies of choice, including psychoeducation about pain, cognitive restructuring, problem resolution, relaxation and behavioral activation and has been documented to be effective in treating chronic pain. The purpose of this thesis is to describe recent research data on the effectiveness of this method in improving pain and functionality in patients with low back pain.Methods: A search was conducted in electronic databases PubMed, google scholar, Pedro, ResearchGate and CINAHL for clinical trials since 2022 in Greek and English language, combining keywords of the central axes of the issue such as "chronic low back pain" or "CLBP", " cognitive behavioral therapy " or "CBT". Results:From the initial search a total of 89 articles were found. After the removal of the duplicate (n=9) and the title/abstract screening (n=43), 80 studies remained. After the final screening of the full text, 16 studies were in agreement with the inclusion criteria and were included in the review. Most studies (n=7) examined the benefits of CBT at patients with chronic lumbar pain in all areas (economic method, more effective than medication, etc.), some (n=4) the benefits at chronic pain, (n=2) at patients with high fear of movement and (n=3) the benefits of online CBT. Conclusion:The application of Cognitive Behavioral Therapy appears to have positive effects on pain intensity, disability, fear of movement, the ability to relax, manage pain, fear of movement, be active and enjoy things are observed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

"The Effectiveness of Cognitive Behavioral Therapy in Chronic Low Back Pain"

Trevlaki

2023

BJSTR

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“…The present study aims to substantiate the long-term results of two of our previous studies [11,12] and to illuminate the change in patients' perspectives through qualitative research. In the single-arm trial and randomized control trial (RCT), patients who underwent our newly integrated CBT program for chronic pain exhibited statistically significant improvement with catastrophic cognition.…”

Section: Introductionmentioning

confidence: 89%

“…In these sessions, attention-shift training, memory work based on the peak-end rule, sharpening behavioral image training, and video feedback were operated in addition to Conventional CBT programs for chronic pain (including psychoeducation for pain, case formulation for understanding cognitive behavioral models of chronic pain, relaxation exercises such as breathing, and cognitive reconstruction). [11,12] The final CBT sessions for each study finished in 2018, 2019, and 2019, respectively. A total of 41 patients completed the sessions, and they were assessed to be eligible for this study.…”

Section: Study Desigṅmentioning

confidence: 99%

Long-term effects of integrated cognitive behavioral therapy for chronic pain: A qualitative and quantitative study

Tsubaki,

Taguchi,

Yoshida

et al. 2023

Medicine

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Cognitive behavioral therapy (CBT) is known to improve chronic pain management. However, past studies revealed only small to moderate benefits in short-term results, and long-term follow-up studies are lacking. This study aimed to follow an integrated CBT program’s effectiveness 1.5 years after its completion. This observational study was the follow-up on the data collected from our CBT sessions conducted under 3 different studies in 2018 to 2019. Seven assessment items (Numerical Rating Scale, Pain Catastrophizing Scale [PCS], Pain Disability Assessment Scale [PDAS], Patient Health Questionnaire-9 items, Generalized Anxiety Disorder 7, European quality of life 5-dimensions 5-level, and Beck Depression Inventory [BDI]) were statistically analyzed. Thematic analysis was conducted in semi structured interviews. PCS (F = 6.52, P = .003), PDAS (F = 5.68, P = .01), European quality of life 5-dimensions 5-level (F = 3.82, P = .03), and BDI (F = 4.61, P = .01) exhibited significant changes (P < .05), confirmed by pairwise t test, revealing a moderate to large effect size. From post-treatment to follow-up, all scores showed no significant changes (P > .1). In the qualitative study, the analysis revealed 3 subthemes: “Autonomy,” “Understanding of yourself and pain,” and “Acceptance of pain.” Our study suggests that integrated CBT may reduce the scores of PCS, PDAS and BDI, and this effect lasts for at least 1 year. Identified themes support the relevance of mitigative factors in managing chronic pain.

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“…The CBT program that we adopted is an integrated CBT program that is longer than conventional interventions and consists of several new sessions not used in traditional CBT protocols. Our developed protocol with face-to-face CBT sessions provided by the videoconference system (web-based CBT) has been shown to improve catastrophic cognition, disability, and mood [ 30 ]. Conventional CBT programs for chronic pain often comprise 8-12 intervention sessions.…”

Section: Methodsmentioning

confidence: 99%

Clinical Effectiveness and Cost-effectiveness of Videoconference-Based Integrated Cognitive Behavioral Therapy for Chronic Pain: Randomized Controlled Trial

Taguchi¹,

Numata²,

Takanashi³

et al. 2021

J Med Internet Res

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Background Cognitive behavioral therapy is known to improve the management of chronic pain. However, the components of this therapy are still being investigated and debated. Objective This study aimed to examine the effectiveness of an integrated cognitive behavioral therapy program with new components (attention-shift, memory work, video feedback, and image training) delivered via videoconferencing. Methods This study was unblinded and participants were recruited and assessed face-to-face in the outpatient department. We conducted a randomized controlled trial for chronic pain to compare 16 weekly videoconference-based cognitive behavioral therapy (vCBT) sessions provided by a therapist with treatment as usual (TAU). Thirty patients (age range, 22-75 years) with chronic pain were randomly assigned to either vCBT (n=15) or TAU (n=15). Patients were evaluated at week 1 (baseline), week 8 (midintervention), and week 16 (postintervention). The primary outcome was the change in pain intensity, which was recorded using the numerical rating scale at 16 weeks from the baseline. Secondary outcomes were pain severity and pain interference, which were assessed using the Brief Pain Inventory. Additionally, we evaluated disability, pain catastrophizing cognition, depression, anxiety, quality of life, and cost utility. Results In the eligibility assessment, 30 patients were eventually randomized and enrolled; finally, 15 patients in the vCBT and 14 patients in the TAU group were analyzed. Although no significant difference was found between the 2 groups in terms of changes in pain intensity by the numerical rating scale scores at week 16 from baseline (P=.36), there was a significant improvement in the comprehensive evaluation of pain by total score of Brief Pain Inventory (–1.43, 95% CI –2.49 to –0.37, df=24; P=.01). Further, significant improvement was seen in pain interference by using the Brief Pain Inventory (–9.42, 95% CI –14.47 to –4.36, df=25; P=.001) and in disability by using the Pain Disability Assessment Scale (–1.95, 95% CI –3.33 to –0.56, df=24; P=.008) compared with TAU. As for the Medical Economic Evaluation, the incremental cost-effectiveness ratio for 1 year was estimated at 2.9 million yen (about US $25,000) per quality-adjusted life year gained. Conclusions The findings of our study suggest that integrated cognitive behavioral therapy delivered by videoconferencing in regular medical care may reduce pain interference but not pain intensity. Further, this treatment method may be cost-effective, although this needs to be further verified using a larger sample size. Trial Registration University Hospital Medical Information Network UMIN000031124; https://tinyurl.com/2pr3xszb

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Integrated cognitive behavioral therapy for chronic pain

Cited by 7 publications

References 47 publications

"The Effectiveness of Cognitive Behavioral Therapy in Chronic Low Back Pain"

"The Effectiveness of Cognitive Behavioral Therapy in Chronic Low Back Pain"

Long-term effects of integrated cognitive behavioral therapy for chronic pain: A qualitative and quantitative study

Clinical Effectiveness and Cost-effectiveness of Videoconference-Based Integrated Cognitive Behavioral Therapy for Chronic Pain: Randomized Controlled Trial

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