Chronic Low-Back Pain: What Does Cognitive Coping Skills Training Add to Operant Behavioral Treatment? Results of a Randomized Clinical Trial

This study examined the supplemental value of a cognitive coping skills training when added to an operant- behavioral treatment for chronic low-back pain patients. The complete treatment package (OPCO) was compared with an operant program + group discussion (OPDI) and a waiting-list control (WLC). A...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1999-12, Vol.67 (6), p.931-944
Main Authors: Kole-Snijders, Ank M. J, Vlaeyen, Johan W. S, Goossens, Mariëlle E. J. B, Rutten-van Mölken, Maureen P. M. H, Heuts, Peter H. T. G, van Eek, Hugo, van Breukelen, Gerard
Format: Article
Language:English
Subjects:
Activity Level
Adaptation, Psychological
Adult
Back Pain
Behavior Modification
Behavior therapy. Cognitive therapy
Biological and medical sciences
Chronic Disease
Chronic illnesses
Chronic low back pain
Chronic Pain
Clinical outcomes
Clinical trials
Cognitive Behavioral Therapy - methods
Cognitive behaviour therapy
Cognitive coping
Cognitive Techniques
Conditioning, Operant
Coping Behavior
Emotional States
Female
Human
Humans
Low Back Pain - diagnosis
Low Back Pain - psychology
Male
Medical sciences
Netherlands
Operant Conditioning
Pain Management
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Severity of Illness Index
Skills training
Surveys and Questionnaires
Therapy
Training
Treatments
Citations: Items that cite this one
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Summary:This study examined the supplemental value of a cognitive coping skills training when added to an operant- behavioral treatment for chronic low-back pain patients. The complete treatment package (OPCO) was compared with an operant program + group discussion (OPDI) and a waiting-list control (WLC). After the WL period, the WLC patients received a less protocolized operant program usually provided in Dutch rehabilitation centers (OPUS). Regression analyses showed that, compared with WLC, both OPCO and OPDI led to less negative affect, higher activity tolerance, less pain behavior, and higher pain coping and pain control. At posttreatment, OPCO led to better pain coping and pain control than OPDI. Calculation of improvement rates revealed that OPCO and OPDI had significantly more improved patients than OPUS on all the dependent variables. The discussion includes findings regarding treatment credibility, compliance, and contamination bias.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.67.6.931