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Happy Despite Pain: A Randomized Controlled Trial of an 8-week Internet-delivered Positive Psychology Intervention for Enhancing Well-being in Patients with Chronic Pain
Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.
Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.
MEMIC, Maastricht University, Maastricht, the Netherlands.
Department of Methodology and Statistics, and CAPHRI School for Care and Public Health, Maastricht University, Maastricht, the Netherlands.
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2017 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVES: There is preliminary evidence for the efficacy of positive psychology interventions for pain management. The current study examined the effects of an internet-based positive psychology self-help program for patients with chronic musculoskeletal pain and compared it with an internet-based cognitive behavioural program.

METHODS: A randomized controlled trial was carried out with three conditions: an internet-delivered positive psychology program, an internet-delivered cognitive behavioural program and waitlist control. A total of 276 patients were randomized to one of the three conditions and post treatment data were obtained from 206 patients. Primary outcomes were happiness, depression and physical impairments at post-treatment and at six months follow-up. Intention-to-treat analyses were carried out using mixed regression analyses.

RESULTS: Both treatments led to significant increases in happiness and decreases in depression. Physical impairments did not significantly decrease compared to waitlist. Improvements in happiness and depression were maintained until six months follow-up. There were no overall differences in the efficacy of the two active interventions but effects appeared to be moderated by education. Patients with a higher level of education profited more from the positive psychology intervention than from the cognitive behavioural program.

DISCUSSION: The results suggest that an internet-based positive psychology self-help intervention for the management of chronic pain is clinically useful. Because the self-help exercises as used in the current program do not require therapist involvement, dissemination potential is large. Further studies should examine whether it can best be used as stand-alone or add-on treatment combined with established pain treatment programs.

Place, publisher, year, edition, pages
Wolters Kluwer, 2017.
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-57336DOI: 10.1097/AJP.0000000000000494PubMedID: 28379873OAI: oai:DiVA.org:oru-57336DiVA: diva2:1103230
Available from: 2017-05-30 Created: 2017-05-30 Last updated: 2017-05-30Bibliographically approved

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Linton, Steven J.
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School of Law, Psychology and Social Work, Örebro University, Sweden
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CiteExportLink to record
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