Behavioral treatment of chronic low back pain: Clinical outcome and individual differences in pain relief
- 1 October 1981
- journal article
- research article
- Published by Wolters Kluwer Health in Pain
- Vol. 11 (2), 221-231
- https://doi.org/10.1016/0304-3959(81)90007-5
Abstract
The response of 111 chronic low back pain patients to a comprehensive behavioral treatment program emphasizing relaxation procedures is examined. Over the course of treatment, significant reductions were obtained on measures of subjective tension, EMG [electromyograph] activity and pain. Many patients also decreased their intake of analgesic/narcotic agents and reported an increase in activity level. To examine individual differences in pain relief, the 28 patients who had the greatest decreases in pain were compared to those who had the least decrases in pain. Patients with the best outcome in terms of pain relief were significantly more likely to show improvements in other outcome measures. These patients rated their pain initially as more severe, had continuous pain for fewer years and were less likely to be on disability or to have had multiple surgical procedures. Results are discussed in the light of recent data from other behavioral treatment studies with chronic low back pain patients, and implications for behavioral assessment and treatment are discussed.This publication has 9 references indexed in Scilit:
- Behavioral treatment of chronic pain: variables affecting treatment efficacyPain, 1980
- The behavioral management of chronic pain: Long-term follow-up with comparison groupsPain, 1980
- Assessing benefits of the pain center: Why some patients regressPain, 1980
- The MMPI as a predictor of response to conservative treatment for low back painJournal of Clinical Psychology, 1979
- Results of Behavior Modification in the Treatment of Chronic PainPsychosomatic Medicine, 1979
- Multidisciplinary treatment of chronic pain: long-term follow-up of low-back pain patients ★Pain, 1977
- The dissatisfied patient with chronic painPain, 1977
- Behavioral methods for chronic pain and illnessPain, 1977
- The Pain Drawing as an Aid to the Psychologic Evaluation of Patients With Low-Back PainSpine, 1976