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The aim of the present study was to investigate if guided Internet-delivered Cognitive-behavioral Therapy (CBT) would help chronic pain patients who had previously undergone a multidisciplinary treatment but still have residual problems.
The present study investigates Internet-delivered CBT as a tertiary intervention. This is motivated by the fact that many pain patients relapse after rehabilitation and some may be in need of additional treatment. The persons who fulfills the inclusion criteria undergoes a structured telephone interview. The study is a experimental design with a treatment and an active control group measured before and after a treatment period. The control group were invited to participate in a moderated online discussion forum. Follow up data was collected six months after the treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Internet delivered CBT | Experimental | Internet delivered cognitive behavioral intervention, 8 weeks treatment. |
|
| No intervention | No Intervention | Waitlist |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Guided Internet-based cognitive behavioural treatment | Behavioral | Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance. |
| Measure | Description | Time Frame |
|---|---|---|
| The Coping Strategies Questionnaire (CSQ) | The CSQ contains 50 items divided in eight scales that measures different cognitive and behavioral coping strategies. The different coping strategies are: diverting attention, re-interpreting pain sensations, coping self-statements, ignoring sensations, praying and hoping, catastrophizing, increased behavioral activities and pain behavior (Rosenthiel & Keefe, 1983). Change from baseline in the different subscales pre- and post treatment. | One week pre treatment, one week post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital Anxiety and Depression Scale, HADS | HADS is a 14-item questionnaire, and is designed to measure anxiety and depression in non-psychiatric patients. | One week pre treatment, one week post treatment |
| Multidimensional Pain Inventory, MPI |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gerhard Andersson, Professor | Linkoeping University | Study Director |
| Monica Buhrman, MSc | Uppsala University | Principal Investigator |
| Timo Hursti, PhD | Uppsala University | Study Chair |
| Torsten Gordh, Professor | Uppsala University | Study Chair |
| Anna Fredriksson, MSc | Uppsala University | Study Chair |
| Gunnel Edström, MSc | Uppsala University | Study Chair |
| Dorna Shaffi, MSc | Uppsala University | Study Chair |
| Carolina Törnqvist, MSc | Uppsala University | Study Chair |
| Brjann Ljotsson, PhD | Karolinska Institutet, Stockholm | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uppsala University | Uppsala | Sweden |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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MPI, assess psychosocial and behavioural consequences of pain. It´s divided into 2 sections and consisting of 8 scales. These are: Pain Severity, Interference, Life Control, Affective Distress, Support, Punishing Responses, Solicitous Responses and Distracting Responses.
| One week pre treatment, one week post treatment |
| Pain and Impairment Relationship Scale (PAIRS) | PAIRS consist of 15 personal statements that reflect thoughts, attitudes and opinions about pain. The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort. | One week pre treatment, one week post treatment |
| Quality of Life Inventory (QOLI) | QOLI contains 32 items for assessing life satisfaction. The assessment yields an overall score and profile in 16 areas of life; health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighborhood and community. Each item is rated in terms of importance and satisfaction. | One week pre treatment, one week post after treatment |
| Chronic Pain Acceptance Questionnaire (CPAQ) | CPAQ contains 20 items divided in two scales, engagement and willingness. CPAQ measures acceptance in relation to chronic pain. | One week pre treatment, one week post treatment |