| Guided Internet-delivered cognitive behavioural therapy for chronic pain patients who have residual symptoms after rehabilitation treatment: Randomized controlled trial. | |
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MedLine Citation:
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PMID: 23139021 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Chronic pain can be treated with cognitive behavioural therapy delivered in multidisciplinary settings. However, relapse is likely, and there is a need for cost-effective secondary interventions for persons with residual problems after rehabilitation. The aim of the present study was to investigate the effects of a guided Internet-delivered cognitive behavioural intervention for patients who had completed multidisciplinary treatment at a pain management unit. METHODS: A total of 72 persons with residual pain problems were included in the study and were randomized to either treatment for 8 weeks or to a control group who were invited to participate in a moderated online discussion forum. The participants had different chronic pain conditions, and a majority were women (72%). Twenty-two percent of the participants dropped out of the study before the post-treatment assessment. RESULTS: Intent-to-treat analyses demonstrated differences on the catastrophizing subscale of the Coping Strategies Questionnaire (Cohen's d = 0.70), in favour of the treatment group but a small within-group effect. Differences were also found on other measures of pain-related distress, anxiety and depressive symptoms. A 6-month follow-up exhibited maintenance of improvements. CONCLUSIONS: We conclude that Internet-delivered treatment can be partly effective for persons with residual problems after completed pain rehabilitation. |
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Authors:
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M Buhrman; A Fredriksson; G Edström; D Shafiei; C Tärnqvist; B Ljótsson; T Hursti; T Gordh; G Andersson |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-9 |
Journal Detail:
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Title: European journal of pain (London, England) Volume: - ISSN: 1532-2149 ISO Abbreviation: Eur J Pain Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-11-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9801774 Medline TA: Eur J Pain Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 European Federation of International Association for the Study of Pain Chapters. |
Affiliation:
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Department of Psychology, Uppsala University, Uppsala, Sweden. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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