Cognitive-Behavioral Therapy for Individuals With Chronic Pain Efficacy, Innovations, and Directions for Research

被引：595

作者：

Ehde, Dawn M. ^{[1
]}

Dillworth, Tiara M. ^{[2
]}

Turner, Judith A. ^{[1
,2
]}

机构：

[1] Univ Washington, Dept Rehabil Med, Seattle, WA 98104 USA

[2] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98104 USA

来源：

AMERICAN PSYCHOLOGIST | 2014年 / 69卷 / 02期

关键词：

chronic pain; cognitive-behavioral therapy; LOW-BACK-PAIN; RANDOMIZED CONTROLLED-TRIALS; TRAUMATIC BRAIN-INJURY; OLDER-ADULTS; PRIMARY-CARE; PHYSICAL-THERAPY; PSYCHOLOGICAL INTERVENTIONS; MUSCULOSKELETAL PAIN; MANAGEMENT PROGRAM; START BACK;

D O I：

10.1037/a0035747

中图分类号：

B84 [心理学];

学科分类号：

010107 [宗教学];

摘要：

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, telephone-delivered) and treatments based on CBT principles that are delivered by health professionals other than psychologists show promise for chronic pain problems. This article reviews (a) the evidence base for CBT as applied to chronic pain, (b) recent innovations in target populations and delivery methods that expand the application of CBT to underserved populations, (c) current limitations and knowledge gaps, and (d) promising directions for improving CBT efficacy and access for people living with chronic pain.

引用

页码：153 / 166

页数：14

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