Reduction of Pain Catastrophizing Mediates the Outcome of Both Physical and Cognitive-Behavioral Treatment in Chronic Low Back Pain

Change in Psychosocial Distress Associated With Pain and Functional Status Outcomes in Patients With Lumbar Impairments Referred to Physical Therapy Services

“…For example, PD and pain catastrophizing showed positive changes during active physical therapy treatments for patients with nonspecific low back pain of more than 3 months. 36,50 The physical therapy treatment was described as active because it consisted of active exercises, including stretching, strengthening, and/or aerobics, manual physical therapy techniques as indicated, and general avoidance of passive modalities. The treatment did not include specific cognitive behavioral interventions explicitly targeting the patient's catastrophizing, somatization, or depressive symptoms.…”

“…The authors suggested that these psychological factors might be inadvertently addressed by active rehabilitation programs, which might positively change a patient's misconception regarding activity and pain or hurt-versus-harm concepts. 36,50 Recently, Fritz et al 16 demonstrated that patients classified with high-risk psychosocial profiles at intake had higher levels of disability at intake and greater predicted improvements in functional outcomes at discharge. The authors hypothesized that patients classified into a high-risk PD subgroup may have the potential to benefit from active physical therapy services.…”

The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management

“…Thoughts may change substantially or not very much during treatment and in either case good outcomes can be achieved. 13,72,84,85,83 Psychological Flexibility and Chronic Pain 18…”

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

“…In numerous investigations, reductions in catastrophizing have been identified as a significant determinant of successful rehabilitation outcome [26,27,30]. The approach used in PGAP-Tel (and PGAP) to reduce catastrophizing includes education, the use of disclosure and validation techniques, thought monitoring/re-appraisal, goal setting, and activity participation.…”