Results of behavior modification in the treatment of chronic pain

Swanson, David W.; Murata, Tsunenori; Swenson, Wendell M.

doi:10.1016/0304-3959(80)90121-9

Cited by 8 publications

(8 citation statements)

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“…This finding supports the prevailing notion in the literature that pain patients more readily report psychosocial problems than other chronic illness groups [lo, [15][16][17]. Itisinterestingtonote that despite the moreadvanced age andmore life-threatening illness of the respiratory patients, they rated themselves as having less severe problems in daily living than the pain patient groups.…”

Section: Discussionsupporting

confidence: 90%

The Chronic Illness Problem Inventory: Problem-Oriented Psychosocial Assessment of Patients with Chronic Illness

Kames¹,

Naliboff²,

Heinrich

et al. 1985

Int J Psychiatry Med

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Two studies are presented which describe the development of a problem-oriented psychosocial screening instrument for use in health care settings. Reliability and validity data are presented on the Chronic Illness Problem Inventory (CIPI) which demonstrate its ability to document accurately patient's specific problems in areas of physical limitations, psychosocial functioning, health care behaviors and marital adjustment. A study is also presented which compares the problems of patients with three distinct chronic illnesses: pain, obesity, and respiratory ailments. Results indicate a significantly greater severity of problems for pain patients and especially patients with multiple pain complaints. Problem areas common to all three illness groups are discussed in the context of providing better comprehensive treatment for chronically ill patients.

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Section: Discussionsupporting

confidence: 90%

The Chronic Illness Problem Inventory: Problem-Oriented Psychosocial Assessment of Patients with Chronic Illness

Kames¹,

Naliboff²,

Heinrich

et al. 1985

Int J Psychiatry Med

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“…Interestingly, in many evaluation studies of psychological treatment of LBP inpatients, pain intensity is not included as an outcome measure (e.g. Fordyce, Fowler, Lehman, Delateur, Sand & Trieschmann, 1973;Newman, Seres, Yospe & Garlington, 1978 ;Swanson, Maruta, Swenson, 1979). Moreover, in in-patient studies, a behavioural operationalization of pain (e.g.…”

Section: Discussionmentioning

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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“…Despite this situation, many pain clinics offer relaxation training as a routine treatment for patients, particularly where a multimodal approach to management is emphasised (Andrasik and Holroyd, 1980;Arakawa, 1981;Block et al, 1980;Cinciripini and Floreen, 1982;Herman and Baptiste, 1981;Khatami and Rush, 1978;Swanson et al, 1979;Taylor et al, 1980;Timming et al, 1980;Tyre and Anderson, 1981;Wang et al, 1980). While these programs may be very effective, their results obviously cannot be used to evaluate the individual contribution of relaxation training to chronic pain treatment.…”

Section: N D Spencementioning

confidence: 96%

Relaxation Training for Chronic Pain Patients Using Emg Feedback: An Analysis of Process and Outcome Effects

Spence

1984

Aust N Z J Psychiatry

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The purpose of the present study was to clarify the role of EMG-based relaxation training for a diverse group of chronic pain patients by examining in detail both process and outcome changes. Eighteen pain clinic patients were each given 10 sessions of relaxation training using frontalis feedback. The results of the study do not support the use of relaxation training as a standard procedure for chronic pain patients. Psychophysiological assessment carried out before and after training indicated some reduction in EMG levels, with less change in GSR and HR activity. No significant alteration occurred in mean pain and medication measures after training, although there was a trend for sedative/hypnotic usage to be smaller. Most important, individual differences in outcome were not consistently related to process variables monitored during training. This lack of association supports the view that physiological change is not necessary for clinical benefit after relaxation training.

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Results of behavior modification in the treatment of chronic pain

Cited by 8 publications

References 0 publications

The Chronic Illness Problem Inventory: Problem-Oriented Psychosocial Assessment of Patients with Chronic Illness

The Chronic Illness Problem Inventory: Problem-Oriented Psychosocial Assessment of Patients with Chronic Illness

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

Relaxation Training for Chronic Pain Patients Using Emg Feedback: An Analysis of Process and Outcome Effects

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