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Examination of mechanism effects in cognitive behavioral therapy and pain education: analyses of weekly assessments.
Pain
September 2021
Department of Psychology, University of Alabama, Tusculoosa, AL, United States.
Article Synopsis
- Psychosocial treatments, like cognitive behavioral therapy (CBT) and pain education (EDU), show positive effects on chronic pain, but the specific mechanisms behind these outcomes are still unclear.
- A study measuring the impact of these methods found that pain catastrophizing (the tendency to excessively focus on pain) decreased similarly in both CBT and EDU interventions among participants with chronic pain and low literacy.
- The analysis revealed a reciprocal relationship: reductions in pain catastrophizing led to decreased pain intensity and interference, and vice versa, with the connection being strongest early in the treatment and diminishing over time.
The Effect of Literacy-Adapted Psychosocial Treatments on Biomedical and Biopsychosocial Pain Conceptualization.
J Pain
November 2021
Department of Psychology, The University of Alabama, Tuscaloosa, Alabama.
This is a secondary data analysis of a subgroup of participants who received the Learning About My Pain (LAMP) intervention (clinicaltrials.gov identifier NCT01967342). We examined the effects of LAMP on pre-to-post changes in biomedical and biopsychosocial pain conceptualization and whether those changes in pain conceptualization were associated with physical and psychological functioning.
View Article and Find Full Text PDFAn Initial Psychometric Evaluation of the Pain Concepts Questionnaire in a Low-SES Setting.
J Pain
January 2021
Department of Psychology, University of Alabama, Tuscaloosa, Alabama.
The examination of pain beliefs for chronic pain assessment and treatment has been a growing area of interest. A variety of questionnaires have been developed to assess pain beliefs, however, these questionnaires often require high levels of literacy and education. The pain concepts questionnaire (PCQ) was developed with literacy-adaptations to better evaluate pain beliefs in a low socioeconomic (SES) population.
View Article and Find Full Text PDFHeterogeneity of Treatment Effects in a Randomized Trial of Literacy-Adapted Group Cognitive-Behavioral Therapy, Pain Psychoeducation, and Usual Medical Care for Multiply Disadvantaged Patients With Chronic Pain.
J Pain
October 2019
Department of Psychology, The University of Alabama, Tuscaloosa, Alabama.
Article Synopsis
- * The Learning About My Pain study compared the effects of a 10-week literacy-adapted cognitive-behavioral therapy (CBT) to pain education and usual care on chronic pain, revealing that patients with lower education and literacy benefited more from CBT.
- * The findings indicate that adapting CBT for those with educational and cognitive challenges helps equalize treatment benefits, suggesting that structured support can effectively meet the needs of disadvantaged patients.
Literacy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain.
Ann Intern Med
September 2018
The University of Alabama, Tuscaloosa, Alabama (B.E.T., A.K.N., C.A.T.).
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