Editorial Manager(tm) for Translational Behavioral Medicine: Practice, Policy and Research Manuscript Draft Manuscript Number: Title: Unique and Common Therapeutic Mechanisms in Psychosocial Treatments for Chronic Pain: A Conceptual and Empirical Exploration
نویسندگان
چکیده
Background: Mechanisms underlying favorable outcomes of psychosocial interventions for chronic pain are unclear. Theory suggests changes in maladaptive cognitions represent therapeutic mechanisms specific to cognitive-behavioral therapy (CBT). Acquired knowledge of pain-related information may represent a mechanism specific to Pain Education. Purpose: We illustrate the importance of examining whether treatments work either uniquely via mechanisms specified by theory or via mechanisms common to different treatments. Methods: Secondary data analysis was conducted to examine the effects of CBT and Pain Education mechanisms. Results: Generally, reductions in catastrophizing were significantly related to outcome improvements irrespective of condition. Knowledge acquired predicted decreases in pain intensity and disability in Pain Education only. Conclusions: Results underscore the need to assess whether our presumed mechanisms predict outcomes, and illustrate the importance of broadening the assessment of mechanisms beyond those specified by theory. Theory-specific, competing, and common mechanisms must all be assessed to determine why our treatments work. *Blinded Manuscript (Without Author Contact Information)
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