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related 3.91 — strongly supporting 14 facts
Anxiety and chronic pain are frequently comorbid conditions, with research indicating that individuals with chronic pain are more likely to experience anxiety and vice versa [1], [2]. They are often treated together using interventions like Cognitive Behavioral Therapy (CBT) [3], [4], [5], [6], and are commonly studied together in clinical trials and systematic reviews [7], [8], [9], [10], [11], [12], [13].
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A systematic review of cognitive behavioral therapy-based ... frontiersin.org 13 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.
referenceBoersma et al. (2019) conducted a randomized controlled trial evaluating the efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients who also suffer from comorbid anxiety and depression.
referenceThe study by Ólason et al. (2018) in Iceland evaluated the efficacy of CBT combined with treatment as usual (TAU) versus TAU alone for patients with chronic pain and depression or anxiety.
procedureThe systematic review search strategy utilized a Boolean search string combining three categories: (1) pain-related terms (e.g., chronic pain, neuropathic pain, fibromyalgia), (2) psychological distress terms (e.g., depression, anxiety, stress, emotional regulation), and (3) intervention terms (e.g., psychotherapy, cognitive behavioral therapy, mindfulness, acceptance and commitment therapy).
referenceIn a study by Torrijos-Zarcero et al. (2021) in Spain, patients with chronic pain, depression, and anxiety were treated in a randomized controlled trial comparing Mindfulness-Based Stress Reduction (MSC) (n=62) against Cognitive Behavioral Therapy (CBT) (n=61) using weekly face-to-face sessions.
claimDifferent forms of Cognitive Behavioral Therapy (CBT) are frequently applied to chronic pain and related conditions like anxiety and depression, and appear effective when explored independently, according to research by Churchill et al. (2013), Cuijpers et al. (2013), Buhrman et al. (2016), and Pasarelu et al. (2017).
referenceSnyder and Handrup (2018) discuss the challenges involved in the treatment of patients with comorbid chronic pain, depression, and anxiety.
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.
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.
referenceÓlason et al. (2018) conducted a randomized controlled trial with a 3-year follow-up on the use of cognitive behavioral therapy for depression and anxiety within an interdisciplinary rehabilitation program for chronic pain, published in the International Journal of Behavioral Medicine.
referenceBuhrman et al. (2015) studied the use of individualized guided internet-delivered cognitive behavior therapy for patients suffering from chronic pain with comorbid depression and anxiety.
measurementThe CBT intervention in the Ólason et al. (2018) study consisted of 12 sessions of 45 minutes each, delivered by a multidisciplinary team including psychologists, nurses, occupational therapists, and social workers, and experienced a 34% dropout rate.
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.
Mind and Body Approaches for Stress and Anxiety frontlineerdallas.com 1 fact
measurementA 2018 systematic review of 9 studies with 278 total participants found that while biofeedback for anxiety and depression in children and adolescents with long-term physical conditions (such as chronic pain, asthma, cancer, and headache) appears promising, it cannot currently be recommended for clinical use in place of or in addition to current treatments.