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related 4.64 — strongly supporting 24 facts
Chronic pain and psychological distress share a complex, bidirectional relationship where each condition acts as a risk factor for the other, as evidenced by [1], [2], and [3]. Their frequent comorbidity, which exceeds 60% in clinical practice [4], leads to increased functional impairment [5] and poorer treatment outcomes [6], necessitating integrated management strategies [7].
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A systematic review of cognitive behavioral therapy-based ... frontiersin.org 22 facts
referenceBisby et al. (2022) investigated whether internet-delivered pain management programs can reduce psychological distress in patients with chronic pain, specifically exploring the relationships between anxiety, depression, pain intensity, and disability.
claimThe systematic review included studies involving adults (≥ 18 years) with non-oncologic chronic pain lasting longer than 12 weeks and clinically relevant psychological distress.
claimThe relationship between chronic pain and psychological distress is complex and bidirectional, as noted by Wittchen et al. (2011).
claimThe systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and psychological distress was limited by a lack of trials with low risk of bias (RoB), making it premature to conclude the magnitude of efficacy for these interventions.
referenceIn a study by Gasslander et al. (2022) in Sweden, patients with chronic pain (CP) and psychological distress were treated with either online CBT or Treatment As Usual (TAU) in weekly sessions.
referenceA systematic review of cognitive behavioral therapy-based interventions for patients with comorbid chronic pain and psychological distress was conducted using searches in Medline, PsycINFO, Web of Science, and Scopus up to March 18th, 2023.
claimSnyder and Handrup (2018) assert that the concurrent appearance of chronic pain and significant psychological distress requires attention from researchers, clinicians, and policymakers, and demands effective management strategies to improve the health and well-being of affected individuals.
claimRoberts et al. (2018) state that the multidimensional nature of chronic pain and psychological distress, which includes sensory, affective, and behavioral dimensions, presents a challenge for the design and delivery of interventions.
claimThe comorbidity of psychological distress and chronic pain generates a higher degree of functional impairment than the presence of either condition alone, according to Mansfield et al. (2016).
claimThe comorbidity of chronic pain and psychological distress is a complex problem with a multifactorial aetiology that causes substantial health and social impacts.
claimRayner et al. (2016) demonstrate that individuals with chronic pain are more likely to experience psychological distress (such as anxiety and depression), and individuals with psychological distress are more likely to report chronic pain.
measurementAccording to epidemiological studies, the comorbidity between chronic pain and psychological distress in clinical practice is higher than 60%.
perspectiveFuture research on psychosocial therapies for chronic pain and psychological distress should identify the core elements that drive therapeutic effects, determine which ingredients are effective for specific patients, and assess the variance explained by universal factors shared by all therapies.
perspectiveMore randomized controlled trials (RCTs) based on Mindfulness-Based Interventions (MBI), Acceptance and Commitment Therapy (ACT), and Behavioral Activation Treatment for Depression (BATD) are needed to determine the overall efficacy of these interventions for patients with comorbid chronic pain and psychological distress.
claimTraditional cognitive behavioral therapy (CBT) improves depression, anxiety, and quality of life in patients with comorbid chronic pain and clinically relevant psychological distress, but does not improve pain intensity or pain catastrophizing.
claimThe systematic review titled 'A systematic review of cognitive behavioral therapy-based ...' aims to examine the efficacy of CBT-based interventions for patients with comorbid chronic pain and clinically relevant psychological distress, noting that this specific efficacy has been scarcely assessed in previous literature.
measurementA systematic review of CBT-based interventions for patients with chronic pain and clinically relevant psychological distress analyzed twelve Randomized Controlled Trials (RCTs) and one non-RCT published between 2011 and 2023, finding positive but modest results.
claimSnyder and Handrup (2018) report that the presence of psychological distress in patients with chronic pain increases pain complaints and reduces quality of life.
claimDepression and anxiety are among the most diagnosed mental health conditions in people with chronic pain, and comorbid pain and psychological distress are associated with a poorer prognosis and higher therapy resistance compared to either condition alone.
claimKroenke et al. (2011) found that the comorbidity of psychological distress and chronic pain negatively influences the response to both pharmacological and non-pharmacological treatments.
claimCBT targeting populations with chronic pain and comorbid psychological distress shows more modest effects than CBT targeting either condition separately, according to Sanabria-Mazo et al. (2020).
claimChronic pain and clinical psychological distress involve shared neurobiological and psychosocial processes, as stated by Hooten (2016).
Associations between pain intensity, psychosocial factors ... - Nature nature.com 2 facts
claimPsychological distress is a recognized risk factor for the development of chronic pain, and persistent psychological distress and lifetime stressors are implicated in the progression of chronic pain.
claimThe authors hypothesize that psychosocial factors, including pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy, are linked to pain-related disability in patients with chronic pain.