Exposure and CBT for chronic back pain: An RCT on differential efficacy and optimal length of treatment

Journal of Consulting and Clinical Psychology
Julia Anna GlombiewskiWinfried Rief

Abstract

Our aim was to establish whether Exposure, a specialized tailored treatment for chronic low back pain, has any advantages over cognitive-behavioral therapy (CBT) among individuals with high fear-avoidance levels. Second, we planned to compare short and long versions of Exposure. Third, we aimed to investigate whether Exposure can be delivered in an outpatient psychological setting. A total of 88 Caucasian participants (55% women) were randomized to three different psychological treatment conditions, Exposure-long, Exposure-short, and CBT. All participants were suffering from chronic pain and elevated levels of pain-related anxiety and disability. The primary outcomes were disability (assessed using two different questionnaires, QBPDS and PDI) and average pain intensity; secondary outcomes included pain-related anxiety, psychological flexibility, coping strategies, and depression. Assessments took place at pretreatment, midtreatment, posttreatment, and 6-month follow-up. Exposure was more effective than CBT at reducing movement-related disability assessed with the QBPDS. Exposure and CBT did not differ in reduction of pain intensity or disability assessed using the PDI. Exposure-short outperformed Exposure-long after 10 sessions...Continue Reading

Associated Clinical Trials

Citations

Jul 12, 2018·Der Schmerz·J A Glombiewski
Oct 16, 2018·European Journal of Pain : EJP·Lea SchemerJulia Anna Glombiewski
Nov 27, 2019·The Clinical Journal of Pain·Tobias KubeJulia Anna Glombiewski
Jun 18, 2020·European Journal of Pain : EJP·Jenny RieckeJulia A Glombiewski
Aug 15, 2020·The Cochrane Database of Systematic Reviews·Amanda C de C WilliamsChristopher Eccleston
Jan 4, 2020·The Clinical Journal of Pain·Tobias KubeJulia A Glombiewski
Jul 9, 2020·Revista brasileira de enfermagem·Érica Brandão de MoraesCibele Andrucioli de Mattos-Pimenta
Dec 11, 2019·Annual Review of Clinical Psychology·Johan W S Vlaeyen, Geert Crombez
Jan 16, 2021·European Journal of Pain : EJP·Anja Carina EmmerichJulia Anna Glombiewski
Apr 2, 2021·Current Pain and Headache Reports·Graham Hadley, Matthew B Novitch
May 25, 2021·The Journal of Pain : Official Journal of the American Pain Society·Rena GatzounisAnn Meulders
Jun 11, 2021·Pain·Angelos-Miltiadis KrypotosJohan W S Vlaeyen

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