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Guided Internet-delivered cognitive behavioural therapy for chronic pain patients who have residual symptoms after rehabilitation treatment: Randomized controlled trial
Uppsala University, Sweden .
Uppsala University, Sweden .
Uppsala University, Sweden .
Uppsala University, Sweden .
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2013 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 17, no 5, 753-765 p.Article in journal (Refereed) Published
Abstract [en]

Background Chronic pain can be treated with cognitive behavioural therapy delivered in multidisciplinary settings. However, relapse is likely, and there is a need for cost-effective secondary interventions for persons with residual problems after rehabilitation. The aim of the present study was to investigate the effects of a guided Internet-delivered cognitive behavioural intervention for patients who had completed multidisciplinary treatment at a pain management unit. Methods A total of 72 persons with residual pain problems were included in the study and were randomized to either treatment for 8 weeks or to a control group who were invited to participate in a moderated online discussion forum. The participants had different chronic pain conditions, and a majority were women (72%). Twenty-two percent of the participants dropped out of the study before the post-treatment assessment. Results Intent-to-treat analyses demonstrated differences on the catastrophizing subscale of the Coping Strategies Questionnaire (Cohens d=0.70), in favour of the treatment group but a small within-group effect. Differences were also found on other measures of pain-related distress, anxiety and depressive symptoms. A 6-month follow-up exhibited maintenance of improvements. Conclusions We conclude that Internet-delivered treatment can be partly effective for persons with residual problems after completed pain rehabilitation.

Place, publisher, year, edition, pages
Elsevier , 2013. Vol. 17, no 5, 753-765 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-91533DOI: 10.1002/j.1532-2149.2012.00244.xISI: 000316810000013OAI: diva2:618325

Funding Agencies|Multidisciplinary Pain Center at Uppsala University Hospital||Linkoping University||Swedish Council for Working and Life Research||Rehsam/Vardalsstiftelsen||

Available from: 2013-04-26 Created: 2013-04-26 Last updated: 2014-08-28

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Andersson, Gisela
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NISAL - National Institute for the Study of Ageing and Later LifeFaculty of Arts and Sciences
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