A recent study in JAMA Psychiatry has reported psychological treatment aimed at changing patients' beliefs about the causes and threat value of pain in patients with chronic back pain (CBP) to be associated with substantial and durable pain relief.
Chronic back pain is a leading cause of disability whose treatment is often ineffective. 85% of cases are of primary CBP for which peripheral etiology cannot be identified, and maintenance factors include avoidance, fear, and beliefs that pain indicates injury.
Yoni K. Ashar, Department of Psychiatry, Weill Cornell Medical College, New York City, New York, and colleagues aimed to test whether a psychological treatment (pain reprocessing therapy [PRT]) aiming to shift patients' beliefs about the causes and threat value of pain provides substantial and durable pain relief from primary CBP and to investigate treatment mechanism in a randomized clinical trial.
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