Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research.

@article{Ehde2014CognitivebehavioralTF,
  title={Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research.},
  author={Dawn M. Ehde and Tiara M Dillworth and Judith Axler Turner},
  journal={The American psychologist},
  year={2014},
  volume={69 2},
  pages={
          153-66
        }
}
Over the past three decades, cognitive-behavioral therapy (CBT) has become a first-line psychosocial treatment for individuals with chronic pain. Evidence for efficacy in improving pain and pain-related problems across a wide spectrum of chronic pain syndromes has come from multiple randomized controlled trials. CBT has been tailored to, and found beneficial for, special populations with chronic pain, including children and older adults. Innovations in CBT delivery formats (e.g., Web-based… 
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References

SHOWING 1-10 OF 188 REFERENCES
Tailoring cognitive-behavioral treatment for cancer pain.
Mediators, moderators, and predictors of therapeutic change in cognitive–behavioral therapy for chronic pain
Randomized trial of group cognitive behavioral therapy compared with a pain education control for low-literacy rural people with chronic pain
Training and dissemination of cognitive behavior therapy for depression in adults: a preliminary examination of therapist competence and client outcomes.
TLDR
Therapists showed significant increases in total scores from pretraining to 6 months posttraining, increases that were maintained at 12 months and demonstrates that an empirically supported treatment can be implemented in a community mental health center and may result in improved outcomes.
Physical Therapists’ Use of Cognitive-Behavioral Therapy for Older Adults With Chronic Pain: A Nationwide Survey
TLDR
Although only a minority of physical therapists reported use of some CBT techniques when treating older patients with chronic pain, their interest in incorporating these techniques into practice is substantial, and concerns with their skill level using the techniques, time constraints, and reimbursement constitute barriers to use of the interventions.
Psychological therapies for the management of chronic pain
  • J. Sturgeon
  • Psychology, Medicine
    Psychology research and behavior management
  • 2014
TLDR
The theoretical distinctiveness, therapeutic targets, and effectiveness of these approaches as well as mechanisms and individual differences that factor into treatment response and pain-related dysfunction and distress are explored.
Psychological therapies for the management of chronic and recurrent pain in children and adolescents.
TLDR
Analyses revealed psychological therapies to be beneficial for children with chronic pain on seven outcomes, and the impact of psychological therapies on depression and anxiety, which were previously combined as 'mood'.
Interactive voice response technology for symptom monitoring and as an adjunct to the treatment of chronic pain
TLDR
This review summarizes the advantages and disadvantages of IVR technology, provides evidence for the efficacy of the method in monitoring and managing chronic pain, and addresses potential future directions that the technology may take as a therapeutic intervention in its own right.
A trial of an activating intervention for chronic back pain in primary care and physical therapy settings
Self-management intervention for chronic pain in older adults: A randomised controlled trial
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