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From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing

BACKGROUND: Pain catastrophizing (PC) – a pattern of negative cognitive-emotional responses to real or anticipated pain – maintains chronic pain and undermines medical treatments. Standard PC treatment involves multiple sessions of cognitive behavioral therapy. To provide efficient treatment, we dev...

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Autores principales: Darnall, Beth D, Sturgeon, John A, Kao, Ming-Chih, Hah, Jennifer M, Mackey, Sean C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008292/
https://www.ncbi.nlm.nih.gov/pubmed/24851056
http://dx.doi.org/10.2147/JPR.S62329
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author Darnall, Beth D
Sturgeon, John A
Kao, Ming-Chih
Hah, Jennifer M
Mackey, Sean C
author_facet Darnall, Beth D
Sturgeon, John A
Kao, Ming-Chih
Hah, Jennifer M
Mackey, Sean C
author_sort Darnall, Beth D
collection PubMed
description BACKGROUND: Pain catastrophizing (PC) – a pattern of negative cognitive-emotional responses to real or anticipated pain – maintains chronic pain and undermines medical treatments. Standard PC treatment involves multiple sessions of cognitive behavioral therapy. To provide efficient treatment, we developed a single-session, 2-hour class that solely treats PC entitled “From Catastrophizing to Recovery” [FCR]. OBJECTIVES: To determine 1) feasibility of FCR; 2) participant ratings for acceptability, understandability, satisfaction, and likelihood to use the information learned; and 3) preliminary efficacy of FCR for reducing PC. DESIGN AND METHODS: Uncontrolled prospective pilot trial with a retrospective chart and database review component. Seventy-six patients receiving care at an outpatient pain clinic (the Stanford Pain Management Center) attended the class as free treatment and 70 attendees completed and returned an anonymous survey immediately post-class. The Pain Catastrophizing Scale (PCS) was administered at class check-in (baseline) and at 2, and 4 weeks post-treatment. Within subjects repeated measures analysis of variance (ANOVA) with Student’s t-test contrasts were used to compare scores across time points. RESULTS: All attendees who completed a baseline PCS were included as study participants (N=57; F=82%; mean age =50.2 years); PCS was completed by 46 participants at week 2 and 35 participants at week 4. Participants had significantly reduced PC at both time points (P<0001) and large effect sizes were found (Cohen’s d=0.85 and d=1.15). CONCLUSION: Preliminary data suggest that FCR is an acceptable and effective treatment for PC. Larger, controlled studies of longer duration are needed to determine durability of response, factors contributing to response, and the impact on pain, function and quality of life.
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spelling pubmed-40082922014-05-21 From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing Darnall, Beth D Sturgeon, John A Kao, Ming-Chih Hah, Jennifer M Mackey, Sean C J Pain Res Original Research BACKGROUND: Pain catastrophizing (PC) – a pattern of negative cognitive-emotional responses to real or anticipated pain – maintains chronic pain and undermines medical treatments. Standard PC treatment involves multiple sessions of cognitive behavioral therapy. To provide efficient treatment, we developed a single-session, 2-hour class that solely treats PC entitled “From Catastrophizing to Recovery” [FCR]. OBJECTIVES: To determine 1) feasibility of FCR; 2) participant ratings for acceptability, understandability, satisfaction, and likelihood to use the information learned; and 3) preliminary efficacy of FCR for reducing PC. DESIGN AND METHODS: Uncontrolled prospective pilot trial with a retrospective chart and database review component. Seventy-six patients receiving care at an outpatient pain clinic (the Stanford Pain Management Center) attended the class as free treatment and 70 attendees completed and returned an anonymous survey immediately post-class. The Pain Catastrophizing Scale (PCS) was administered at class check-in (baseline) and at 2, and 4 weeks post-treatment. Within subjects repeated measures analysis of variance (ANOVA) with Student’s t-test contrasts were used to compare scores across time points. RESULTS: All attendees who completed a baseline PCS were included as study participants (N=57; F=82%; mean age =50.2 years); PCS was completed by 46 participants at week 2 and 35 participants at week 4. Participants had significantly reduced PC at both time points (P<0001) and large effect sizes were found (Cohen’s d=0.85 and d=1.15). CONCLUSION: Preliminary data suggest that FCR is an acceptable and effective treatment for PC. Larger, controlled studies of longer duration are needed to determine durability of response, factors contributing to response, and the impact on pain, function and quality of life. Dove Medical Press 2014-04-25 /pmc/articles/PMC4008292/ /pubmed/24851056 http://dx.doi.org/10.2147/JPR.S62329 Text en © 2014 Darnall et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Darnall, Beth D
Sturgeon, John A
Kao, Ming-Chih
Hah, Jennifer M
Mackey, Sean C
From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing
title From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing
title_full From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing
title_fullStr From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing
title_full_unstemmed From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing
title_short From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing
title_sort from catastrophizing to recovery: a pilot study of a single-session treatment for pain catastrophizing
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008292/
https://www.ncbi.nlm.nih.gov/pubmed/24851056
http://dx.doi.org/10.2147/JPR.S62329
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