John W. Burns|Melissa A. Day|Beverly E. Thorn
Is reduction in pain catastrophizing a therapeutic mechanism specific to cognitive-behavioral therapy for chronic pain?
Rush University Medical Center|University of Alabama|University of Alabama
mechanisms underlying favorable outcomes psychosocial interventions chronic pain unclear theory suggests changes maladaptive cognitions represent therapeutic mechanisms specific cognitivebehavioral therapy cbt illustrate importance examining whether treatments work either uniquely via mechanisms specified theory via mechanisms common different treatments secondary data analysis conducted examine effects reduction pain catastrophizing outcomes following cbt pain education generally reductions pain catastrophizing significantly related outcome improvements irrespective cbt pain education condition results underscore need assess whether mechanisms presumed operate specifically one treatment indeed predict outcomes illustrate importance broadening assessment mechanisms beyond specified theory theoryspecific competing common mechanisms must assessed determine treatments work