Outcomes Associated with a Cognitive-Behavioral Chronic Pain Management Program Implemented in Three Public HIV Primary Care Clinics View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-09-27

AUTHORS

Jodie A. Trafton, John T. Sorrell, Mark Holodniy, Heather Pierson, Percy Link, Ann Combs, Dennis Israelski

ABSTRACT

In patients with HIV/AIDS, chronic pain is common and analgesics pose serious risks. Cognitive-behavioral therapies (CBT) provide an alternative. This study evaluated feasibility and impact of a CBT-based pain management program in three public primary care clinics for HIV patients. The program included a workbook and 12-weeks of group CBT sessions. HIV-positive patients with chronic moderate to severe pain were invited to participate in the program and were assessed at enrollment, 6, 12, and 24 weeks. Despite only moderate group attendance, program enrollment was associated with significant improvements in pain intensity, pain-related functioning, anxiety and acceptance, and mental health. At 24 weeks, effect sizes for pain outcomes were −0.83 for pain intensity and −0.43 for functioning. The pattern of change in outcomes was consistent with predictions based on cognitive-behavioral theory. Effects were observed at all clinics. Adding CBT-based pain management into primary care may provide important benefits for patients with HIV/AIDS. More... »

PAGES

158-173

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11414-011-9254-y

DOI

http://dx.doi.org/10.1007/s11414-011-9254-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000097814

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21947662


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