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Couple Interventions for Chronic Pain: A Systematic Review
Shannon M Smith1,2,3, Rui Li4, Hannah Wolfe5
1Department of Anesthesiology and Perioperative Medicine.
Couple interventions significantly reduce chronic pain intensity more than individual treatments. This review highlights strategies from these interventions for therapists to use with couples managing chronic pain.
Area of Science:
- Psychology
- Behavioral Science
- Clinical Psychology
Background:
- Chronic pain significantly impacts individuals and their relationships.
- Couple interventions show promise in managing chronic pain more effectively than individual approaches.
Purpose of the Study:
- To systematically review randomized controlled trials of couple interventions for chronic pain.
- To identify strategies from these interventions for integration into psychotherapy for individuals with chronic pain (ICPs) and their partners.
Main Methods:
- Systematic review of randomized controlled trials.
- Searched PubMed, Embase, and PsycInfo databases.
- Included 18 studies (22 articles) on couple interventions for chronic pain.
Main Results:
- Couple interventions demonstrated statistically significant improvements in pain intensity and pain-related outcomes compared to control or individual interventions.
- Common strategies included pain education, joint relaxation/meditation, cognitive-behavioral skills training, promoting assistance, discouraging pain behaviors, and goal setting.
Conclusions:
- Couple interventions offer effective strategies for managing chronic pain.
- Therapists can integrate these relational, behaviorally-based strategies into practice to support couples coping with chronic pain.
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