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Related Experiment Videos

Effects of a cognitive-behavioral pain-management program

C Johansson1, J Dahl, M Jannert

  • 1Department of Psychology, Uppsala University, Sweden. charlotta.johansson@psyk.uu.se

Behaviour Research and Therapy
|August 26, 1998
PubMed
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This study shows that cognitive behavioral multidisciplinary pain management programs effectively treat Swedish patients with musculoskeletal pain. The program improved daily activities, reduced pain behaviors, and decreased sick leave.

Area of Science:

  • Rehabilitation Medicine
  • Behavioral Psychology
  • Pain Management

Background:

  • Musculoskeletal pain is a significant health issue requiring effective management strategies.
  • Cognitive behavioral therapy (CBT) is a recognized approach for chronic pain.
  • Multidisciplinary programs offer comprehensive care for complex pain conditions.

Purpose of the Study:

  • To evaluate the effectiveness of a cognitive behavioral multidisciplinary pain management program.
  • To assess outcomes in a controlled study and a consecutive sample with long-term follow-up.
  • To determine the program's applicability to Swedish musculoskeletal pain patients.

Main Methods:

  • A 4-week inpatient program incorporating education, goal setting, graded activity, pacing, relaxation, cognitive techniques, social skills, drug reduction, contingency management, and work return planning.

Related Experiment Videos

  • Study I: A controlled outcome study comparing the treatment group to a control group.
  • Study II: An outcome study on a consecutive sample with 2-month and 1-year follow-ups.
  • Main Results:

    • Study I: Significant improvements in occupational training, sparetime activity levels, and reductions in catastrophizing and pain behaviors.
    • Study II: Significant long-term improvements in reduced sick leave, decreased pain intensity and interference, enhanced life control, reduced affective distress, increased sparetime activity, improved physical fitness, and reduced analgesic use.
    • The program demonstrated positive effects across multiple domains of pain and function.

    Conclusions:

    • Cognitive behavioral multidisciplinary pain management programs are effective for Swedish musculoskeletal pain patients.
    • The program facilitates significant improvements in functional capacity, pain perception, and quality of life.
    • This approach offers a viable treatment option for individuals suffering from chronic musculoskeletal pain.