Chronic back pain: cognitive-behavioral therapy is effective
People with chronic pain in the lower back can reap the benefits of a long-term cognitive behavioral therapy, according to a study published in The Lancet. Because the way a person thinks about this disease changes the way it adapts.
Zara Hansen and his colleagues at Warwick University have conducted the study with 701 people suffering from daily pain and stiffness in the lower back.
They were randomly assigned to receive standard therapy (medications against pain, advice to stay active) or the same treatment plus a cognitive-behavioral therapy (individual sessions and six group sessions focusing on behavior and beliefs about physical activity as well as negative thoughts).
After three months, the impact of therapy was comparable to that reported with other conventional treatments for back pain such as exercise, acupuncture, manipulation and treatment. After a year, however, those who received therapy reported improved twice as much of their pain (59% versus 31%).
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