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Gepubliceerd in:

21-09-2017

Developing a typology of patient-generated behavioral goals for cognitive behavioral therapy for chronic pain (CBT-CP): classification and predicting outcomes

Auteurs: Alicia A. Heapy, Laura Wandner, Mary A. Driscoll, Kathryn LaChappelle, Rebecca Czlapinski, Brenda T. Fenton, John D. Piette, James E. Aikens, Mary R. Janevic, Robert D. Kerns

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2018

Abstract

Patient-generated treatment goals describe what patients value, yet the content of these goals, and the relationship among goal types, goal accomplishment, and treatment outcomes has received little examination. We used inductive sorting to categorize patient-generated goals made by 147 adults receiving cognitive-behavioral therapy for chronic pain. The resulting goal categories were: Physical Activity (29.0%), Functional Status (24.6%), Wellness (16.3%), Recreational Activities (11.3%), House/Yard Work (9.7%), Socializing (7.1%), and Work/School (2.0%). Next, we examined associations between number of goals by category, goal accomplishment, and clinically meaningful improvements in pain-related interference, pain intensity and depressive symptoms. Improvement in all outcome domains was related to goal accomplishment. Additionally, depressive symptoms were related to number of Physical Activity, House/Yard Work, Recreational Activities, and Wellness goals, whereas improved pain-intensity was significantly related to House/Yard Work. Classifying patient-generated goals facilitates investigation of the relationships among goal type, goal accomplishment and treatment outcomes.

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Titel: Developing a typology of patient-generated behavioral goals for cognitive behavioral therapy for chronic pain (CBT-CP): classification and predicting outcomes
Auteurs: Alicia A. Heapy
Laura Wandner
Mary A. Driscoll
Kathryn LaChappelle
Rebecca Czlapinski
Brenda T. Fenton
John D. Piette
James E. Aikens
Mary R. Janevic
Robert D. Kerns
Publicatiedatum: 21-09-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2018
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-017-9885-4

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