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Happy Despite Pain A Randomized Controlled Trial of an 8-Week Internet-delivered Positive Psychology Intervention for Enhancing Well-being in Patients With Chronic Pain
Maastricht University, Netherlands.
Maastricht University, Netherlands.
Maastricht University, Netherlands.
Maastricht University, Netherlands.
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2017 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 33, no 11, 962-975 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: There is preliminary evidence for the efficacy of positive psychology interventions for pain management. The current study examined the effects of an internet-based positive psychology self-help program for patients with chronic musculoskeletal pain and compared it with an internet-based cognitive-behavioral program. Materials and Methods: A randomized controlled trial was carried out with 3 conditions: an internet-delivered positive psychology program, an internet-delivered cognitive-behavioral program and waitlist control. A total of 276 patients were randomized to 1 of the 3 conditions and posttreatment data were obtained from 206 patients. Primary outcomes were happiness, depression, and physical impairments at posttreatment and at 6-month follow-up. Intention-to-treat analyses were carried out using mixed regression analyses. Results: Both treatments led to significant increases in happiness and decreases in depression. Physical impairments did not significantly decrease compared with waitlist. Improvements in happiness and depression were maintained until 6-month follow-up. There were no overall differences in the efficacy of the 2 active interventions but effects seemed to be moderated by education. Patients with a higher level of education profited slightly more from the positive psychology intervention than from the cognitive-behavioral program. Discussion: The results suggest that an internet-based positive psychology and cognitive-behavioral self-help interventions for the management of chronic pain are clinically useful. Because the self-help exercises as used in the current program do not require therapist involvement, dissemination potential is large. Further studies should examine whether it can best be used as stand-alone or add-on treatment combined with established pain treatment programs.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS , 2017. Vol. 33, no 11, 962-975 p.
Keyword [en]
positive psychology intervention; cognitive-behavior therapy; internet-based treatment; randomized controlled trial; chronic pain
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-142140DOI: 10.1097/AJP.0000000000000494ISI: 000412425200002PubMedID: 28379873OAI: oai:DiVA.org:liu-142140DiVA: diva2:1151716
Note

Funding Agencies|VICI innovative research grant from the Netherlands Organization of Scientific Research (NWO) The Hague The Netherlands; [453-07-005]

Available from: 2017-10-24 Created: 2017-10-24 Last updated: 2017-10-24

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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More styles
Language
  • de-DE
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