Literature Review Of Cognitive-Behavioral Therapy

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Literature Review
Much of the literature and research related to the use of cognitive-behavioral therapy in the treatment of chronic pain is rather new. Overall, upon reviewing the available literature, it appears as though research is focused on determining what particular chronic pain populations experience the most success with CBT-based treatments. To begin, Loebach Wetherell et al. (2016) recently published the results of their study on the impact of age on the efficacy of CBT and acceptance and commitment therapy (ACT) in the treatment of chronic pain. The 114 individuals who participated in this study were between the ages of 18 and 89. In order to be included in this study, subjects had to have been suffering from nonmalignant, chronic pain for a minimum of six months and have a minimum score of 5 on the severity and interference subscales of the Brief Pain Inventory (BPI) (Loebach Wetherell, Petkus, et al., 2016, p. 303). Following a medical and psychiatric evaluation, subjects were randomized into groups that would receive either CBT or ACT. After completing a four to six-week pretreatment phase, study participants attended weekly, 90-minute CBT or ACT group sessions over an eight-week period. Blinded-research assistants performed assessments at various points throughout the treatment phase, as well as after treatments were completed. Participants’ responses to treatment were evaluated via the BPI interference subscale, which aims to assess the affect of
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