Couple therapy improves mental well-being in chronic low back pain patients. A controlled, five year follow-up study

Saarijärvi, Simo; Alanen, Erkki; Rytökoski, U.; Hyyppä, Markku T.

doi:10.1016/0022-3999(92)90054-6

Cited by 24 publications

(15 citation statements)

References 25 publications

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“…Five sessions of couple therapy compared with no psychosocial intervention had no effect on somatic measures for orthopedic disorders at 12‐months follow‐up and only improved marital communication. However, at 5‐year follow‐up, psychological distress was significantly decreased in the Finnish intervention group and increased in the control group (Saarijärvi, 1991; Saarijärvi, Alanen, Rytökoski, & Hyppä, 1992; Saarijärvi, Lahti, & Lahti, 1989; Saarijärvi, Rytökoski, & Alanen, 1991). In another trial, six sessions of systemic (solution‐focused) IT, compared with a control group without psychosocial intervention, led to an improved adaptation to the orthopedic illnesses and—2 months later—to a significantly higher percentage of patients who had returned to work (Cockburn, Thomas, & Cockburn, 1997).…”

Section: Resultsmentioning

confidence: 96%

The Efficacy of Systemic Therapy With Adult Patients: A Meta‐Content Analysis of 38 Randomized Controlled Trials

Sydow¹,

et al. 2010

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Systemic therapy is a widely used psychotherapy approach. Yet there exist few systematic reviews on its efficacy. A meta-content analysis was performed to analyze the efficacy of systemic therapy for the treatment of mental disorders in adulthood. All randomized (or matched) controlled trials (RCT) evaluating systemic/systems oriented therapy in various settings (family, couple, individual, group, multifamily group therapy) with adult index patients suffering from mental disorders were identified by database searches and cross-references in other reviews. Inclusion criteria were: index patient diagnosed with a DSM or ICD listed mental disorder, trial published in any language up to the end of 2008. The RCTs were content analyzed according to their research methodology, interventions applied, and results. Thirty-eight trials published in English, German, Spanish, and Chinese were identified, 34 of them showing systemic therapy to be efficacious for the treatment of mood disorders, eating disorders, substance use disorders, mental and social factors related to medical conditions and physical disorders, and schizophrenia. Systemic therapy may also be efficacious for anxiety disorders. Results were stable across follow-up periods of up to 5 years. There is a sound evidence-base for the efficacy of systemic therapy for adult index patients with mental disorders in at least five diagnostic groups.

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Section: Resultsmentioning

confidence: 96%

The Efficacy of Systemic Therapy With Adult Patients: A Meta‐Content Analysis of 38 Randomized Controlled Trials

Sydow¹,

et al. 2010

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“…At 5 years of follow-up, psychological distress had decreased significantly in the marital therapy group. 60 Although not documented directly in this study, perhaps the remediation of negative partner responses and the decreasing of pain behavior displays acted to reduce couple distress.…”

Section: Discussionmentioning

confidence: 94%

The Mediating Role of Depression and Negative Partner Responses in Chronic Low Back Pain and Relationship Satisfaction

Waxman

Tripp

Flamenbaum

2008

The Journal of Pain

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“…Cancer, hypertension, and osteoarthritis were represented in this group of studies. A total of ten studies (59%) found no differences between groups [30, 35–38, 43, 53, 57–59, 62, 63, 67]. The remaining study on obese spouses of adults with Type 2 diabetes found an advantage of couple intervention over patient psychosocial intervention in terms of weight loss and eating behaviors but an advantage of patient psychosocial intervention for enhanced partner support [42],…”

Section: Resultsmentioning

confidence: 99%

Review and Meta-analysis of Couple-Oriented Interventions for Chronic Illness

et al. 2010

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Background Evidence continues to build for the impact of the marital relationship on health as well as the negative impact of illness on the partner. Targeting both patient and partner may enhance the efficacy of psychosocial or behavioral interventions for chronic illness. Purpose The purpose of this report is to present a cross-disease review of the characteristics and findings of studies evaluating couple-oriented interventions for chronic physical illness. Methods We conducted a qualitative review of 33 studies and meta-analyses for a subset of 25 studies. Results Identified studies focused on cancer, arthritis, cardiovascular disease, chronic pain, HIV, and Type 2 diabetes. Couple interventions had significant effects on patient depressive symptoms (d=0.18, p<0.01, k=20), marital functioning (d=0.17, p<0.01, k=18), and pain (d=0.19, p<0.01, k=14) and were more efficacious than either patient psychosocial intervention or usual care. Conclusions Couple-oriented interventions have small effects that may be strengthened by targeting partners’ influence on patient health behaviors and focusing on couples with high illness-related conflict, low partner support, or low overall marital quality. Directions for future research include assessment of outcomes for both patient and partner, comparison of couple interventions to evidence-based patient interventions, and evaluation of mechanisms of change.

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Couple therapy improves mental well-being in chronic low back pain patients. A controlled, five year follow-up study

Cited by 24 publications

References 25 publications

The Efficacy of Systemic Therapy With Adult Patients: A Meta‐Content Analysis of 38 Randomized Controlled Trials

The Efficacy of Systemic Therapy With Adult Patients: A Meta‐Content Analysis of 38 Randomized Controlled Trials

The Mediating Role of Depression and Negative Partner Responses in Chronic Low Back Pain and Relationship Satisfaction

Review and Meta-analysis of Couple-Oriented Interventions for Chronic Illness

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