Adjunctive cognitive behavioural treatment for chronic pain couples improves marital satisfaction but not pain management outcomes

2016 ◽  
Vol 20 (10) ◽  
pp. 1667-1677 ◽  
Author(s):  
S. Ramke ◽  
L. Sharpe ◽  
T. Newton-John
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Marital Satisfaction ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

Individualized Cognitive Behavioural Treatment of Chronic Pain

1986 ◽  
Vol 14 (3) ◽  
pp. 210-225 ◽  
Author(s):  
Beverly E. Thorn ◽  
David A. Williams ◽  
Patrick R. Johnson
Keyword(s):  
Chronic Pain ◽  
Treatment Outcome ◽  
Outcome Measures ◽  
Post Treatment ◽  
Relaxation Techniques ◽  
Behavioural Treatment ◽  
Treatment Assessment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Pre Treatment

Cognitive behavioural treatment for chronic pain was individually tailored based on pre-treatment assessment of the subjective pain experience of each patient. Eight chronic pain patients completed the individualized treatment program which consisted of relaxation techniques, hypnotic deepening strategies, a relabeling hierarchy based upon pain descriptors, positive self-statements, didactic information, and cognitive-restructuring techniques. Patients self-monitored their pain during a two week pre-treatment baseline period, during the eight weeks of treatment and for one week post-treatment. Additional treatment outcome measures were also taken. Compared to baseline data, patients reported positive changes on many of the treatment outcome criteria, including McGill Pain Questionnaire indices, reduction in the number of hours spent in pain, and follow-up questionnaire responses. Treatment outcome measures collected at one week, six months, and 15 months post-treatment all suggested positive treatment gains. The greatest gains were reported at the six month post-treatment assessment suggesting a generalization or practice component to the therapy. Additionally, patients with constant pain were found more refractory to treatment than patients with intermittent pain.

The evaluation of a cognitive behavioural treatment programme in outpatients with chronic pain

1990 ◽  
Vol 34 (1) ◽  
pp. 13-19 ◽  
Author(s):  
J.B. Skinner ◽  
A. Erskine ◽  
S. Pearce ◽  
I. Rubenstein ◽  
M. Taylor ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Treatment Programme ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

scholarly journals Enhancing the Sexual Function of Women Living with Chronic Pain: A Cognitive-Behavioural Treatment Group

2008 ◽  
Vol 13 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Annie Breton ◽  
Colleen M Miller ◽  
Kim Fisher
Keyword(s):  
Chronic Pain ◽  
Treatment Group ◽  
Sexual Function ◽  
Sexual Activity ◽  
Group Treatment ◽  
Rank Test ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Interdisciplinary Rehabilitation

BACKGROUND: Chronic pain significantly impacts women’s quality of life in the domain of sexual function. Treatment aimed at improving the sexual function of women living with chronic pain is minimal or absent within an interdisciplinary rehabilitation pain program.OBJECTIVE: To evaluate a cognitive-behavioural treatment group designed to improve the sexual function of women with chronic pelvic pain, daily headache pain and neuromusculoskeletal pain within an interdisciplinary rehabilitation pain program.METHODS: Participants were 47 women who attended the treatment group. A physical therapist and a psychologist facilitated the group. The participants completed a modified version of the Sexual Activity Questionnaire pregroup and at one month postgroup, and a Treatment Helpfulness Questionnaire at the final group session.RESULTS: All 47 women found the treatment group helpful. Sexual function improved as evidenced by significant differences (Wilcoxon signed-rank test, P<0.05) from pregroup to postgroup on measures of enjoyment, lubrication, satisfaction after sexual activity and satisfaction with frequency. Improvements occurred despite no change in pain level during penetration or fatigue level from pregroup to post-group. Treatment helpfulness results showed that women valued the knowledge and skills gained in the group. Qualitative findings suggest that a cognitive shift, and communication and partner involvement may be mechanisms of change for improved sexual function.CONCLUSIONS: The sexual function of women with chronic pain can be significantly enhanced by a cognitive-behavioural treatment group delivered within an interdisciplinary rehabilitation pain program.

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