AI Article Synopsis
- Chronic pain is linked to symptoms of depression and anxiety, and management programs, whether in-person or online, can help adults cope with these issues; sudden gains are quick, meaningful reductions in symptoms that may influence treatment results!* -
- A study analyzed data from 338 adults in an 8-week online pain management program, finding that similar rates of sudden gains in depression (22%) and anxiety (24%) were seen, mostly occurring between the first two weeks of treatment, regardless of the level of therapist guidance!* -
- The findings indicate that sudden gains in mood symptoms do not lead to better post-treatment outcomes for those with chronic pain, suggesting that a higher initial severity of symptoms is the key factor rather than therapist support
Article Abstract
Background: Chronic pain is associated with depression and anxiety symptoms. Pain management programms, delivered face-to-face or via the internet, can effectively help adults manage the impacts of chronic pain. Sudden gains are defined as substantial, rapid, and lasting symptom reductions that occur between consecutive treatment sessions and have been associated with better treatment outcomes in non-pain samples. This study examined whether adults with chronic pain report sudden gains in depression or anxiety symptoms during an 8-week online pain management programme, and whether sudden gains were associated with better treatment outcomes for depression or anxiety. Dominant theories of sudden gains argue that therapists are required for sudden gains to be maintained and improve treatment outcomes.
Methods: Using data from a published randomized controlled trial (n = 338), sudden gains and treatment outcomes were compared across three levels of therapist guidance provided alongside the programme: weekly, optional, and self-guided.
Results: Similar rates of sudden gains were observed in depression (22%) and anxiety (24%) across the treatment period, and most sudden gains occurred between Weeks 1 and 2 of treatment. Therapist guidance was not associated with sudden gains; higher baseline symptom severity emerged as the only consistent predictor of sudden gain status. No significant differences in treatment outcomes for depression or anxiety symptoms between sudden gainers and non-gainers were observed across therapist guidance conditions.
Conclusions: These results do not support an association between sudden gains in depression or anxiety symptoms and better post-treatment outcomes, at least for adults with chronic pain.
Significance Statement: Sudden gains in depression and anxiety symptoms were not associated with improved treatment outcomes for adults with chronic pain who participated in an online pain management programme, regardless of the level of therapist guidance provided. These findings suggest possible differences in symptom change in chronic pain samples compared to general population samples.
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| http://dx.doi.org/10.1002/ejp.2280 | DOI Listing |
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