Cognitive Behavioural Therapy to Optimize Post-Operative Recovery Trial

Conditions:   Pain, Postoperative;   Pain, Acute;   Pain, Chronic;   Fractures, Closed;   Fractures, Open Intervention:   Behavioral: Cognitive Behavioural Therapy Sponsors:   McMaster University;   Canadian Institutes of Health Research (CIHR);   Orthopaedic Trauma Association Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Many people experience pain that lasts more than three months that is neither cancer ÔÇÉrelated nor a headache. The search for a diagnosis and pain relief is often long and can be discouraging.  In this interview, lead author of the recently updated Cochrane ReviewPsychological therapies for the management of chronic pain (excluding headache) in adults  Amanda C de C Williams discusses the findings of this review.Can you tell us about this Cochrane Review and what is new about this update?This review is the third in Cochrane, and the fourth overall, attempting to answer the question of efficacy of psychological i...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
CONCLUSIONS: A brief MI telephone intervention may improve adherence to group CBTs in cancer and chronic pain. PRACTITIONER POINTS: A brief motivational interviewing (MI) telephone intervention may reduce dropout from group cognitive-behavioural therapies (CBTs) for cancer and chronic pain patients when administered after the first group session in routine care. Recipients of this intervention were five times more likely to complete a group CBT programme than those who did not receive it. Therefore, a minimal-dose MI intervention can have clinically important effects on dropout in group CBTs for patients with long-ter...
Source: The British Journal of Clinical Psychology - Category: Psychiatry & Psychology Authors: Tags: Br J Clin Psychol Source Type: research
Abstract Sleep and opioid medications used to treat insomnia and chronic pain are associated with adverse side effects (falls and cognitive disturbance). Although behavioural treatments such as cognitive behavioral therapy for insomnia (CBT-I) and pain (CBT-P) improve sleep and clinical pain, their effects on sleep and opioid medication use are unclear. In this secondary analysis of published trial data, we investigated whether CBT-I and CBT-P reduced reliance on sleep/opioid medication in patients with fibromyalgia and insomnia (FMI). Patients with FMI (n = 113, Mage  = 53.0, SD = 10...
Source: Journal of Sleep Research - Category: Sleep Medicine Authors: Tags: J Sleep Res Source Type: research
This study addresses the problem of long-term opioid use by chronic pain patients. The study involved a secondary analysis of unanalyzed data from a published study of 2 versions of cognitive-behavioural therapy-based interdisciplinary treatment for chronic pain. In this study, we examined whether the use of opioids by 140 chronic pain patients could be ceased sustainably over 12 months after participation in the comprehensive interdisciplinary pain management program aimed at enhancing pain self-management. On admission to the treatment, there were no significant differences between those patients taking or not taking opi...
Source: Pain - Category: Anesthesiology Tags: Clinical Note Source Type: research
Conditions:   Chronic Pain;   Insomnia Interventions:   Behavioral: Education;   Behavioral: Web-based Cognitive Behavioural Therapy (iCBT) Sponsors:   Helsinki University Central Hospital;   Helsinki University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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