Comparison of cognitive-behavioral group treatment and an alternative non-psychological treatment for chronic low back pain.
This study was designed to investigate the relative efficacy of cognitive-behavioral group treatment, including relaxation training, in comparison with a control condition in a sample of 20 outpatients with chronic low back pain. Subjects in both conditions also received the same physiotherapy back-education and exercise program. The control condition included a control for the attention of the therapist in the cognitive-behavioral treatment. The combined psychological treatment and physiotherapy condition displayed significantly greater improvement than the attention-control and physiotherapy condition at post-treatment on measures of other-rated functional impairment, use of active coping strategies, self-efficacy beliefs, and medication use. These differences were maintained at 6 month follow-up on use of active coping strategies and, to a lesser degree, on self-efficacy beliefs and other-rated functional impairment.
Nicholas
Michael K
MK
School of Psychology, University of New South Wales, Kensington 2033, NSWAustralia Department of Psychology, University of Sydney, Sydney, NSWAustralia Physiotherapy Department, Westmead Hospital, Westmead 2145, NSWAustralia.
Wilson
Peter H
PH
Goyen
Jocelyn
J
D000223:Adaptation, Psychological; D000328:Adult; D001288:Attention; D001416:Back Pain / Q000150:complications / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011569:Psychiatric Status Rating Scales; D012064:Relaxation Therapy; D011795:Surveys and Questionnaires