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Reducing the threat value of chronic pain: A preliminary replicated single-case study of interoceptive exposure versus distraction in six individuals with chronic back pain
Örebro University, School of Law, Psychology and Social Work.ORCID iD: 0000-0003-2718-7402
Örebro University, School of Law, Psychology and Social Work.ORCID iD: 0000-0001-9429-9012
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0001-5359-0452
2009 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 47, no 8, 721-728 p.Article in journal (Refereed) Published
Abstract [en]

This paper describes a preliminary experimental evaluation of a technique intended to help people suffering from chronic back pain and low pain acceptance to alter the aversiveness or threat value of their persisting pain. Using a multiple baseline cross-over design six individuals with chronic back pain were taught to use a form of interoceptive exposure as well as a relaxation/distraction breathing-based technique in the presence of their pain. Half the participants used one method for three weeks, and then crossed over to the other method for a further three weeks. The other half did the reverse. Assessments were conducted at pre/post treatment and at a three month follow-up. Daily monitoring of pain-related distress was also completed. The results indicated moderately high improvements in pain acceptance across most participants and corresponding declines in pain-related distress. No clear differences occurred between conditions, but the changes on disability and catastrophising scales for most cases were consistent with those reported after more substantial interventions. The study raises some important clinical and methodological issues that could inform future research in this area.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2009. Vol. 47, no 8, 721-728 p.
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-9123DOI: 10.1016/j.brat.2009.05.003ISI: 000268616000013PubMedID: 19486960Scopus ID: 2-s2.0-67650131381OAI: oai:DiVA.org:oru-9123DiVA: diva2:287281
Available from: 2010-01-18 Created: 2010-01-18 Last updated: 2017-02-20Bibliographically approved

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CiteExportLink to record
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Citation style
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