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pain interference
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A systematic review of cognitive behavioral therapy-based ... frontiersin.org 14 facts
claimIn both Acceptance and Commitment Therapy (ACT) and Behavioral Activation Treatment for Depression (BATD), improvements in pain interference at follow-up were significantly mediated by improvements at post-treatment in psychological flexibility (Sanabria-Mazo et al., 2023).
claimIncluding remote synchronous video group-based Acceptance and Commitment Therapy (ACT) or Behavioral Activation Treatment for Depression (BATD) as adjuncts to Treatment As Usual (TAU) provides clinical utility for improving pain interference and pain catastrophizing in patients with chronic low back pain (CLBP) and comorbid depressive symptoms.
measurementAcceptance and Commitment Therapy (ACT) demonstrated significant improvement in pain interference compared to Treatment as Usual (TAU) at post-treatment (effect size d = 0.64) and at follow-up (effect size d = 0.73).
measurementBehavioral Activation Therapy for Depression (BATD) was statistically superior to Treatment as Usual (TAU) in improving pain interference only at follow-up, with a medium effect size (d = 0.66).
claimA single study (Torrijos-Zarcero et al., 2021) indicated significant differences in anxiety, pain interference, pain acceptance, pain catastrophizing, and self-compassion at post-treatment in favor of Mindfulness-Based Interventions (MBI) compared to Cognitive Behavioral Therapy (CBT).
measurementBoersma et al. (2019) demonstrated significant changes in the reduction of pain interference in hybrid therapy (exposure in vivo and dialectical behavior therapy) compared to Cognitive Behavioral Therapy (CBT) at post-treatment with a very small effect size (d = 0.02) and at follow-up with a small effect size (d = 0.25).
measurementTorrijos-Zarcero et al. (2021) indicated a significant difference in the reduction of pain interference at post-treatment in favor of Mindfulness-Based Interventions (MBI) compared to Cognitive Behavioral Therapy (CBT), with a very small effect size (d = 0.07).
claimCognitive Behavioral Therapy (CBT) shows evidence of benefit in improving pain interference and pain acceptance at post-treatment, but not at follow-up, with small effect sizes (Buhrman et al., 2015; Gasslander et al., 2022).
claimThe systematic review explored pain-related variables (pain interference, pain intensity, pain acceptance, pain catastrophizing, and pain self-efficacy), emotional functioning (depression, anxiety, and stress), health-related quality of life, behavioral activation, and psychological flexibility.
measurementIn a systematic review, two out of three studies (67%) found significant differences in the reduction of pain interference at post-treatment in favor of Cognitive Behavioral Therapy (CBT) compared to Treatment As Usual (TAU), with small to very small effect sizes (d ranging from 0.22 to 0.12).
measurementStudies by De Jong et al. (2016, 2018) and Gardiner et al. (2019) found no significant differences in pain interference at post-treatment or follow-up when comparing Mindfulness-Based Interventions (MBI) to Treatment As Usual (TAU).
measurementTwo studies (Buhrman et al., 2015; Aragonès et al., 2019) found no significant differences in the reduction of pain interference at follow-up when comparing Cognitive Behavioral Therapy (CBT) to Treatment As Usual (TAU).
referenceA study by Sanabria-Mazo et al. (2023) evaluated the efficacy of Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD) compared to Treatment as Usual (TAU), using an intention-to-treat (ITT) analysis with pre-, post-, and follow-up assessments, focusing on pain interference as the primary outcome.
claimThe systematic review measured outcomes including pain-related variables (pain interference, intensity, acceptance, catastrophizing, and self-efficacy), emotional functioning (depression, anxiety, and stress), health-related quality of life, behavioral activation, and psychological flexibility.