Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain
The aim of the present study was to examine (a) whether a cognitive-behavioral treatment (differentially) affects pain coping and cognition; and (b) whether changes in pain coping and cognition during treatment mediate treatment outcome. Participants in this randomized clinical trial were 148 patien...
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| Veröffentlicht in: | European journal of pain 2004-06, Vol.8 (3), p.211-219 |
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| container_title | European journal of pain |
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| creator | Spinhoven, Philip ter Kuile, Moniek Kole-Snijders, Ank M.J Hutten Mansfeld, Menno den Ouden, Dirk-Jan Vlaeyen, Johan W.S |
| description | The aim of the present study was to examine (a) whether a cognitive-behavioral treatment (differentially) affects pain coping and cognition; and (b) whether changes in pain coping and cognition during treatment mediate treatment outcome. Participants in this randomized clinical trial were 148 patients with chronic low back pain attending a multidisciplinary treatment program consisting of operant-behavioral treatment plus cognitive coping skills training (
N=59) or group discussion (
N=58) or allocated to a waiting list control condition (
N=31). Patients improved with respect to level of depression, pain behavior and activity tolerance at posttreatment and 12-month follow-up. Treatment also resulted in a short- and long-term decrease in catastrophizing and an enhancement of internal pain control. Changes in catastrophizing and to a lesser degree in internal pain control mediated the reduction in level of depression and pain behavior following treatment. The use of behavioral and cognitive interventions aimed at decreasing catastrophizing thoughts about the consequences of pain and promoting internal expectations of pain control possibly constitute an important avenue of change irrespective of the type of treatment. |
| doi_str_mv | 10.1016/j.ejpain.2003.08.003 |
| format | Article |
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N=59) or group discussion (
N=58) or allocated to a waiting list control condition (
N=31). Patients improved with respect to level of depression, pain behavior and activity tolerance at posttreatment and 12-month follow-up. Treatment also resulted in a short- and long-term decrease in catastrophizing and an enhancement of internal pain control. Changes in catastrophizing and to a lesser degree in internal pain control mediated the reduction in level of depression and pain behavior following treatment. The use of behavioral and cognitive interventions aimed at decreasing catastrophizing thoughts about the consequences of pain and promoting internal expectations of pain control possibly constitute an important avenue of change irrespective of the type of treatment.</description><identifier>ISSN: 1090-3801</identifier><identifier>EISSN: 1532-2149</identifier><identifier>DOI: 10.1016/j.ejpain.2003.08.003</identifier><identifier>PMID: 15109971</identifier><language>eng</language><publisher>Oxford, UK: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Anxiety - etiology ; Anxiety - psychology ; Anxiety - therapy ; Back pain ; Catastrophizing ; Chronic Disease ; Cognition ; Cognitive Therapy - methods ; Cognitive Therapy - statistics & numerical data ; Depression - etiology ; Depression - psychology ; Depression - therapy ; Female ; Humans ; Low Back Pain - psychology ; Low Back Pain - therapy ; Male ; Middle Aged ; Multidisciplinary treatment ; Pain control ; Pain coping ; Patient Compliance ; Recovery of Function - physiology ; Treatment Outcome</subject><ispartof>European journal of pain, 2004-06, Vol.8 (3), p.211-219</ispartof><rights>2003 European Federation of Chapters of the International Association for the Study of Pain</rights><rights>2004 European Federation of Chapters of the International Association for the Study of Pain</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5586-676d0de5d74744dfaf07c725adc0c3f9aa1e18b8e7aee04e5d29c0aebdfa32f23</citedby><cites>FETCH-LOGICAL-c5586-676d0de5d74744dfaf07c725adc0c3f9aa1e18b8e7aee04e5d29c0aebdfa32f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ejpain.2003.08.003$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ejpain.2003.08.003$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15109971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spinhoven, Philip</creatorcontrib><creatorcontrib>ter Kuile, Moniek</creatorcontrib><creatorcontrib>Kole-Snijders, Ank M.J</creatorcontrib><creatorcontrib>Hutten Mansfeld, Menno</creatorcontrib><creatorcontrib>den Ouden, Dirk-Jan</creatorcontrib><creatorcontrib>Vlaeyen, Johan W.S</creatorcontrib><title>Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain</title><title>European journal of pain</title><addtitle>Eur J Pain</addtitle><description>The aim of the present study was to examine (a) whether a cognitive-behavioral treatment (differentially) affects pain coping and cognition; and (b) whether changes in pain coping and cognition during treatment mediate treatment outcome. Participants in this randomized clinical trial were 148 patients with chronic low back pain attending a multidisciplinary treatment program consisting of operant-behavioral treatment plus cognitive coping skills training (
N=59) or group discussion (
N=58) or allocated to a waiting list control condition (
N=31). Patients improved with respect to level of depression, pain behavior and activity tolerance at posttreatment and 12-month follow-up. Treatment also resulted in a short- and long-term decrease in catastrophizing and an enhancement of internal pain control. Changes in catastrophizing and to a lesser degree in internal pain control mediated the reduction in level of depression and pain behavior following treatment. The use of behavioral and cognitive interventions aimed at decreasing catastrophizing thoughts about the consequences of pain and promoting internal expectations of pain control possibly constitute an important avenue of change irrespective of the type of treatment.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety - etiology</subject><subject>Anxiety - psychology</subject><subject>Anxiety - therapy</subject><subject>Back pain</subject><subject>Catastrophizing</subject><subject>Chronic Disease</subject><subject>Cognition</subject><subject>Cognitive Therapy - methods</subject><subject>Cognitive Therapy - statistics & numerical data</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Depression - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Low Back Pain - psychology</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidisciplinary treatment</subject><subject>Pain control</subject><subject>Pain coping</subject><subject>Patient Compliance</subject><subject>Recovery of Function - physiology</subject><subject>Treatment Outcome</subject><issn>1090-3801</issn><issn>1532-2149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1v1DAQxSMEoqXwHyDkE7eEcb6cXJDQqiwtFVR8SlwsrzNhvU3sYDstReJ_Z5as4IY4jaX5vSe_N0nymEPGgdfPdhnuJmVslgMUGTQZjTvJMa-KPM152d6lN7SQFg3wo-RBCDsAKAUU95MjXtGqFfw4-blSUYXo3bQ1P4z9ypTtmLERvVUD2_sz7SztB6YCG7EzKjofmOuZm6N2IxLN4hbZOA_RdCZoMw3GKn_LokcVR7RxT-utd9ZoNrgbtlH66rf3w-Rer4aAjw7zJPn48vTD6lV68XZ9tnpxkeqqauq0FnUHHVadKEVZdr3qQWiRV6rToIu-VYojbzYNCoUIJYF5q0HhhtAi7_PiJHm6-E7efZsxRDnSR3EYlEU3Byl4I6BqBIHlAmrvQvDYy8mbkcJIDnJfu9zJpXa5r11CI2mQ7MnBf95QR39Fh54JaBfgxgx4-1-m8vT8MqfkpE0XrQkRv__RKn8la1GISn5-s5bvXn_68n59zuUl8c8XHqnRa4Ne0k3QarqdRx1l58y_0_wCzTa62Q</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>Spinhoven, Philip</creator><creator>ter Kuile, Moniek</creator><creator>Kole-Snijders, Ank M.J</creator><creator>Hutten Mansfeld, Menno</creator><creator>den Ouden, Dirk-Jan</creator><creator>Vlaeyen, Johan W.S</creator><general>Elsevier Ltd</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200406</creationdate><title>Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain</title><author>Spinhoven, Philip ; ter Kuile, Moniek ; Kole-Snijders, Ank M.J ; Hutten Mansfeld, Menno ; den Ouden, Dirk-Jan ; Vlaeyen, Johan W.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5586-676d0de5d74744dfaf07c725adc0c3f9aa1e18b8e7aee04e5d29c0aebdfa32f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety - etiology</topic><topic>Anxiety - psychology</topic><topic>Anxiety - therapy</topic><topic>Back pain</topic><topic>Catastrophizing</topic><topic>Chronic Disease</topic><topic>Cognition</topic><topic>Cognitive Therapy - methods</topic><topic>Cognitive Therapy - statistics & numerical data</topic><topic>Depression - etiology</topic><topic>Depression - psychology</topic><topic>Depression - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Low Back Pain - psychology</topic><topic>Low Back Pain - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidisciplinary treatment</topic><topic>Pain control</topic><topic>Pain coping</topic><topic>Patient Compliance</topic><topic>Recovery of Function - physiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spinhoven, Philip</creatorcontrib><creatorcontrib>ter Kuile, Moniek</creatorcontrib><creatorcontrib>Kole-Snijders, Ank M.J</creatorcontrib><creatorcontrib>Hutten Mansfeld, Menno</creatorcontrib><creatorcontrib>den Ouden, Dirk-Jan</creatorcontrib><creatorcontrib>Vlaeyen, Johan W.S</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spinhoven, Philip</au><au>ter Kuile, Moniek</au><au>Kole-Snijders, Ank M.J</au><au>Hutten Mansfeld, Menno</au><au>den Ouden, Dirk-Jan</au><au>Vlaeyen, Johan W.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain</atitle><jtitle>European journal of pain</jtitle><addtitle>Eur J Pain</addtitle><date>2004-06</date><risdate>2004</risdate><volume>8</volume><issue>3</issue><spage>211</spage><epage>219</epage><pages>211-219</pages><issn>1090-3801</issn><eissn>1532-2149</eissn><abstract>The aim of the present study was to examine (a) whether a cognitive-behavioral treatment (differentially) affects pain coping and cognition; and (b) whether changes in pain coping and cognition during treatment mediate treatment outcome. 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N=59) or group discussion (
N=58) or allocated to a waiting list control condition (
N=31). Patients improved with respect to level of depression, pain behavior and activity tolerance at posttreatment and 12-month follow-up. Treatment also resulted in a short- and long-term decrease in catastrophizing and an enhancement of internal pain control. Changes in catastrophizing and to a lesser degree in internal pain control mediated the reduction in level of depression and pain behavior following treatment. The use of behavioral and cognitive interventions aimed at decreasing catastrophizing thoughts about the consequences of pain and promoting internal expectations of pain control possibly constitute an important avenue of change irrespective of the type of treatment.</abstract><cop>Oxford, UK</cop><pub>Elsevier Ltd</pub><pmid>15109971</pmid><doi>10.1016/j.ejpain.2003.08.003</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adolescent Adult Anxiety - etiology Anxiety - psychology Anxiety - therapy Back pain Catastrophizing Chronic Disease Cognition Cognitive Therapy - methods Cognitive Therapy - statistics & numerical data Depression - etiology Depression - psychology Depression - therapy Female Humans Low Back Pain - psychology Low Back Pain - therapy Male Middle Aged Multidisciplinary treatment Pain control Pain coping Patient Compliance Recovery of Function - physiology Treatment Outcome |
| title | Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain |
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