Simplified group cognitive behavioral therapy (CBT) and group pain education (EU) interventions significantly improved pain and physical function compared with usual care in patients treated at low-income clinics, a recent study found. The randomized clinical trial included 290 adults aged 19 to 71 years with mixed chronic pain. CBT and EDU were delivered in 10 weekly, 90-minute group sessions. The primary outcomes was self-reported, postintervention pain intensity; secondary outcomes were physical function and depression. Researchers found:
- Members of the CBT and EDU groups had larger decreases in pain intensity scores between baseline and posttreatment than those receiving usual care.
- At 6-month follow-up, treatment gains were not maintained in the CBT group but were still present in the EDU group.
- Participants in the CBT and EDU interventions had greater posttreatment improved vs usual care in physical function.
- Changes in depression did not differ between either the CBT or EDU group and the usual care group.
Thorn BE, Eyer JC, Van Dyke BP, et al. Literacy-adapted cognitive behavioral therapy versus education for chronic pain at low-income clinics: A randomized controlled trial. [Published online ahead of print February 27, 2018]. Ann Intern Med. doi:10.7326/M17-0972.
This Week's Must Reads
Do Vitamin D Supplements Prevent Cancer, CVD?, N Engl J Med; 2019 Jan 3; Manson, Cook, et al
Nonadherence to Cancer Screenings & Related Mortality, JAMA Intern Med; ePub 2018 Dec 28; Pierre-Victor, et al
Alcohol Consumption After Development of HF, JAMA Netw Open; ePub 2018 Dec 28; Sadhu, et al
Opioid-Involved Overdose Deaths in the US, MMWR; 2019 Jan 4; Scholl, Seth, et al
Assessing the Diet Quality of US Children, Am J Clin Nutrit; ePub 2018 Dec 29; Thomson, et al
Must Reads in Mental Health
Health Care Utilization of a Dementia Care Program, JAMA Intern Med; ePub 2018 Dec 21; Jennings, et al
USPSTF: Screen Adults for Unhealthy Alcohol Use, JAMA; 2018 Nov 13; Curry, et al
Peer Support Impact in Adults with T2D & Depression, Diabetes Care; ePub 2018 Oct 29; Cherrington, et al
Prevalence of Depression & Anxiety in Children, J Pediatr; ePub 2018 Oct 12; Ghandour, et al
MDD Screening Remains Low in Adolescents , J Pediatr; ePub 2018 Sep 21; Sekhar, et al