Comparison of Cognitive-Behavioral and Behavioral Approaches to the Outpatient Treatment of Chronic Pain

Kerns, Robert D.; Turk, Dennis C.; Holzman, Arnold D.; Rudy, Thomas E.

doi:10.1097/00002508-198501040-00003

Cited by 63 publications

(51 citation statements)

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“…Cognitive-behavioral Therapy (CBT)-Therapists followed a CBT treatment manual for chronic pain that was developed by Kerns and colleagues [17] and adapted for women with vulvodynia. The goal of the treatment was to assist participants in taking personal control of their vulvar pain by creating an understanding of the relationship of among thoughts, feelings and behaviors, on pain, and sexual and emotional function.…”

Section: Treatmentsmentioning

confidence: 99%

A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy

Masheb

Kerns

Lozano

et al. 2009

Obstetrical &Amp; Gynecological Survey

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Many treatments used for women with vulvodynia are based solely upon expert opinion. This randomized trial aimed to test the relative efficacy of cognitive-behavioral therapy (CBT) and supportive psychotherapy (SPT) in women with vulvodynia. Of the 50 participants, 42 (84%) completed 10-week treatments and 47 (94%) completed one-year follow-up assessments. Mixed effects modeling was used to make use of all available data. Participants had statistically significant decreases in pain severity (p's<.001) with 42% of the overall sample achieving clinical improvement. CBT, relative to SPT, resulted in significantly greater improvement in pain severity during physician examination (p=.014), and greater improvement in sexual function (p=.034), from pre-to posttreatment. Treatment effects were well maintained at one-year follow-up in both groups. Participants in the CBT condition reported significantly greater treatment improvement, satisfaction and credibility than participants in the SPT condition (p's<.05). Findings from the present study suggest that psychosocial treatments for vulvodynia are effective. CBT, a directed treatment approach that involves learning and practice of specific pain-relevant coping and self-management skills, yielded better outcomes and greater patient satisfaction than a less directive approach.

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Section: Treatmentsmentioning

confidence: 99%

A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy

Masheb

Kerns

Lozano

et al. 2009

Obstetrical &Amp; Gynecological Survey

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“…The WHYMPI is a well validated and reliable patient assessment instrument composed of 52 items that span multiple outcomes domains. Nevertheless, while some evidence supports the WHYMPI's sensitivity to treatment-related change [17,18], the bulk of published studies focus on its use as a clinical pain assessment tool. Additionally, although most of the WHYMPI psychometric research has used the original 52-item scale, a subsequent 61-item release, now commonly referred to as the Multidimensional Pain Inventory (MPI), is the version used most often in clinical settings.…”

Section: Introductionmentioning

confidence: 99%

“…The American Pain Society's Patient Outcomes Questionnaire (APSPOQ) represents an example of one such attempt [18]. This instrument was developed as a quality improvement tool and incorporates pain intensity, pain interference, patient satisfaction, and pain medication items.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of the Pain Outcomes Questionnaire-VA

Clark¹,

Gironda²,

Young³

2003

JRRD

118

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Abstract-The development of effective pain treatment strategies requires the availability of precise and practical measures of treatment outcomes, the importance of which has been noted in the Veterans Health Administration's (VHA's) National Pain Initiative. This paper presents the results of a 5-year collaborative effort to develop and validate a comprehensive and efficient self-report measure of pain treatment outcomes. Two samples of veterans (957 total subjects) undergoing inpatient Key words: chronic pain, outcomes assessment, pain assessment, psychological test, rehabilitation outcome.

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“…The use of cognitive behavioral principles to address pain began to gain traction in the 1980s. Designed to promote a shift from a sense of helplessness and hopelessness to a greater degree of personal control and pain self-effi cacy in the management of pain, Kerns and colleagues demonstrated that a brief, goal-oriented, structured intervention could effectively reduce the impact of pain on functioning and emotional distress (Kerns et al 1986 ).…”

Section: The Role Of Psychology In Managing Chronic Painmentioning

confidence: 99%

Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient Care

Driscoll

Kerns

2016

Advances in Experimental Medicine and Biology

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Chronic pain is a significant public health concern. For many, chronic pain is associated with declines in physical functioning and increases in emotional distress. Additionally, the socioeconomic burden associated with costs of care, lost wages and declines in productivity are significant. A large and growing body of research continues to support the biopsychosocial model as the predominant framework for conceptualizing the experience of chronic pain and its multiple negative impacts. The model also informs a widely accepted and empirically supported approach for the optimal management of chronic pain. This chapter briefly articulates the historical foundations of the biopsychosocial model of chronic pain followed by a relatively detailed discussion of an empirically informed, integrated, multimodal and interdisciplinary treatment approach. The role of mental health professionals, especially psychologists, in the management of chronic pain is particularly highlighted.

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Comparison of Cognitive-Behavioral and Behavioral Approaches to the Outpatient Treatment of Chronic Pain

Cited by 63 publications

References 0 publications

A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy

A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy

Development and validation of the Pain Outcomes Questionnaire-VA

Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient Care

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