Brief cognitive-behavioral audiotape interventions for cancer-related pain: Immediate but not long-term effectiveness.

Full Abstract

BACKGROUND:
Few studies have evaluated cognitive-behavioral interventions as an adjunct treatment for chronic cancer-related pain. A randomized clinical trial was performed evaluating the efficacy of 3 brief cognitive-behavioral techniques:
relaxation, distraction, and positive mood interventions.

METHODS:
Fifty-seven patients with chronic cancer-related pain taking opioid medications were randomly assigned to either the relaxation, distraction, positive mood, or waiting-list control group. The patients in the 3 intervention groups received audiotapes of the cognitive-behavioral technique and were asked to practice regularly at home. The tapes were supplemented with written instructions and follow-up telephone calls.

RESULTS:
Patients in the relaxation and distraction groups reported significantly reduced pain intensity immediately after listening to the tapes. The pain reduction was not maintained, however. At the 2-week follow-up assessment, no significant differences in pain intensity or interference were found among the treatment groups. The groups also did not differ with regard to secondary outcome measures assessing quality of life, mood, self-efficacy, and other symptoms. The results of qualitative interviews indicated that patients often had difficulty focusing on the audiotapes and preferred their own methods of pain reduction.

CONCLUSIONS:
Brief relaxation and distraction audiotape interventions produced immediate pain reductions but not longer-term pain relief. Additional research with a more individualized intervention is needed to evaluate cognitive-behavioral interventions for cancer pain control.Copyright 2006 American Cancer Society.

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Author information

Author/s: Anderson, Karen O (KO); Cohen, Marlene Z (MZ); Mendoza, Tito R (TR); Guo, Hong (H); Harle, Margaret T (MT); Cleeland, Charles S (CS);

Affiliation: Department of Symptom Research, Division of Internal Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA. koanderson(-atsign-)mdanderson.org

Grants: R01 CA 73005 (Agency:NCI NIH HHS)

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural

Journal: Cancer (Cancer), published in United States. (Language: eng)

Reference: 2006-Jul; vol 107 (issue 1) : pp 207-14

Dates: Created 2006/06/22; Completed 2006/08/16; Revised 2007/11/14;

PMID: 16708359, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Cognitive Therapy
Humans
Neoplasms - complications

Pain - psychology; therapy
Palliative Care
Tape Recording
Treatment Outcome

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