Group Pain Management Programmes: A Review of Component Analysis and Long-Term Outcome Durability
DOI:
https://doi.org/10.5281/zenodo.22549221Keywords:
Pain management programmes, Interdisciplinary pain rehabilitation, Cognitive-behavioural therapy, Acceptance and commitment therapy, Chronic pain, Treatment durabilityAbstract
Group interdisciplinary pain management programmes combining cognitive-behavioural, graded
activity, and acceptance-based components are widely recommended for persistent non-cancer pain, yet
questions remain about which components carry the treatment effect and how well gains are sustained
once formal supervision ends. This review synthesises the component-analysis and long-term follow-up
literature for group pain management programmes, examining reported contributions of behavioural,
exposure-based, and acceptance-based components to overall outcome, the trajectory of benefit from
immediate post-treatment through 24 months, and completion and dropout patterns that shape which
patients the reported outcomes actually represent.
References
Morley S, Eccleston C, Williams A. "Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache". Pain 80(1999):1-13.
Williams ACC, Fisher E, Hearn L, Eccleston C. "Psychological therapies for the management of chronic pain (excluding headache) in adults". Cochrane Database Syst Rev 8(2020):CD007407.
Eccleston C, Williams ACC, Morley S. "Psychological therapies for the management of chronic pain (excluding headache) in adults". Cochrane Database Syst Rev 2(2009):CD007407.
Guzman J, Esmail R, Karjalainen K, Malmivaara A, Irvin E, Bombardier C. "Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain". BMJ 322(2001):1511-1516.
Kamper SJ, Apeldoorn AT, Chiarotto A, et al. "Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis". BMJ 350(2015):h444.
Scascighini L, Toma V, Dober-Spielmann S, Sprott H. "Multidisciplinary treatment for chronic pain: a systematic review of interventions and outcomes". Rheumatology (Oxford) 47(2008):670-678.
Turk DC. "Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain". Clin J Pain 18(2002):355-365.
Flor H, Fydrich T, Turk DC. "Efficacy of multidisciplinary pain treatment centers: a meta-analytic review". Pain 49(1992):221-230.
Gatchel RJ, Okifuji A. "Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain". J Pain 7(2006):779-793.
Morley S. "Efficacy and effectiveness of cognitive behaviour therapy for chronic pain: progress and some challenges". Pain 152(2011):S99-S106.
Ehde DM, Dillworth TM, Turner JA. "Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research". Am Psychol 69(2014):153-166.
Vlaeyen JWS, Morley S. "Cognitive-behavioral treatments for chronic pain: what works for whom?" Clin J Pain 21(2005):1-8.
Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. "Meta-analysis of psychological interventions for chronic low back pain". Health Psychol 26(2007):1-9.
Jensen MP, Turk DC. "Contributions of psychology to the understanding and treatment of people with chronic pain: why it matters to ALL psychologists". Am Psychol 69(2014):105-118.
Vowles KE, McCracken LM. "Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process". J Consult Clin Psychol 76(2008):397-407.
McCracken LM, Vowles KE. "Acceptance and commitment therapy and mindfulness for chronic pain: model, process, and progress". Am Psychol 69(2014):178-187.
Hann KEJ, McCracken LM. "A systematic review of randomized controlled trials of Acceptance and Commitment Therapy for adults with chronic pain: outcome domains, design quality, and efficacy". J Contextual Behav Sci 3(2014):217-227.
Veehof MM, Trompetter HR, Bohlmeijer ET, Schreurs KMG. "Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review". Cogn Behav Ther 45(2016):5-31.
Turner JA, Anderson ML, Balderson BH, Cook AJ, Sherman KJ, Cherkin DC. "Mindfulness-based stress reduction and cognitive behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial". Pain 157(2016):2434-2444.
Cherkin DC, Sherman KJ, Balderson BH, et al. "Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults with Chronic Low Back Pain: A Randomized Clinical Trial". JAMA 315(2016):1240-1249.
Reneman MF, Dijkstra A, Geertzen JH, Dijkstra PU. "Psychometric properties of chronic pain acceptance questionnaires: a systematic review". Eur J Pain 14(2010):457-465.
Sturgeon JA. "Psychological therapies for the management of chronic pain". Psychol Res Behav Manag 7(2014):115-124.
Nicholas MK, Asghari A, Blyth FM, et al. "Long-term outcomes from training in self-management of chronic pain in an elderly population: a randomised controlled trial". Pain 154(2013):824-835.
Kerns RD, Sellinger J, Goodin BR. "Psychological treatment of chronic pain". Annu Rev Clin Psychol 7(2011):411-434.
Turk DC, Swanson KS, Tunks ER. "Psychological approaches in the treatment of chronic pain patients--when pills, scalpels, and needles are not enough". Can J Psychiatry 53(2008):213-223.
Elbers S, Wittink H, Konings S, et al. "Longitudinal outcome evaluations of Interdisciplinary Multimodal Pain Treatment programmes for patients with chronic primary musculoskeletal pain: A systematic review and meta-analysis". Eur J Pain 26(2022):310-335.
Oosterhaven J, Wittink H, Dekker J, et al. "Predictors of dropout in interdisciplinary chronic pain management programmes: a systematic review". J Rehabil Med 51(2019):2-10.
Huijnen IPJ, Verbunt JA, Peters ML, et al. "Differences in activity-related behaviour among patients with chronic low back pain". Eur J Pain 15(2011):748-755.
Curran C, Williams AC, Potts HW. "Cognitive-behavioral therapy for persistent pain: does adherence after treatment affect outcome?" Eur J Pain 13(2009):178-188.
Waterschoot FPC, Dijkstra PU, Hollak N, de Vries HJ, Geertzen JHB, Reneman MF. "Dose or content? Effectiveness of pain rehabilitation programs for patients with chronic low back pain: a systematic review". Pain 155(2014):179-189.
