Predicting Response to Cognitive-behavioral Therapy in a Sample of HIV-positive Patients with Chronic Pain

Overview

Journal J Behav Med

Specialty Social Sciences

Date 2009 Feb 24

PMID 19234779

Citations 17

Authors

Michael A Cucciare

John T Sorrell

Jodie A Trafton

Affiliations

Soon will be listed here.

Abstract

Introduction: The primary aim of this study was to examine the role of patient characteristics in predicting response to treatment in a sample of HIV-positive patients receiving 12 weekly sessions of a CBT-based pain management protocol.

Method: A pre/post test single group design was used. Pain-related functioning was assessed at baseline and 12 weeks post-treatment using the Pain Outcomes Questionnaire-VA. DATA ANALYSIS AND RESULTS: Multivariate regression analysis showed that higher baseline levels of pain-related anxiety were related to greater improvement in pain-related functioning at post-treatment, and non-Caucasian participants reported a greater response to treatment when compared to Caucasian participants. Attendance to CBT treatment sessions focused on progressive muscle relaxation and cognitive reconceptualization of pain were also related to treatment outcome.

Conclusion: Non-Caucasian patients reporting higher levels of pain-related anxiety may respond particularly well to treatment. Treatment sessions focused on progressive muscle relaxation and cognitive reconceptualization of pain may be particularly helpful.

Citing Articles

Prevalence, correlates, and quality-of-life outcomes of major or persistent pain among women living with HIV in Metro Vancouver, Canada.

Ly S, Shannon K, Braschel M, Zhou H, Krusi A, Deering K Harm Reduct J. 2024; 21(1):10.

PMID: 38218886 PMC: 10788033. DOI: 10.1186/s12954-023-00859-x.

Improving functioning in HIV+ patients with chronic pain and comorbid depression: Protocol for a randomized clinical trial testing a collaborative behavioral health intervention based on behavioral activation.

Pinkston M, Busch A, Stein M, Baker J, Caviness C, Herman D Contemp Clin Trials. 2022; 119:106842.

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Pharmacologic and Non-Pharmacologic Treatments for Chronic Pain Used by Patients with Pain, HIV, and Depression.

Uebelacker L, Cherenack E, Busch A, Baker J, Pinkston M, Gleason N AIDS Behav. 2021; 26(3):864-873.

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Pain Sensitivity, Negative Affect, and Alcohol Use Disorder Status: A Moderated Mediation Study of Emotion Dysregulation.

Kopera M, Trucco E, Suszek H, Kobylinski P, Wisniewski P, Wojnar M J Clin Med. 2021; 10(6).

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Managing pain in HIV/AIDS: a therapeutic relationship is as effective as an exercise and education intervention for rural amaXhosa women in South Africa.

Jackson K, Wadley A, Parker R BMC Public Health. 2021; 21(1):302.

PMID: 33546647 PMC: 7866667. DOI: 10.1186/s12889-021-10309-7.

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