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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
Maastricht Univ, Dept Clin Psychol Sci, POB 816, NL-6200 MD Maastricht, Netherlands..
Maastricht Univ, Dept Clin Psychol Sci, POB 816, NL-6200 MD Maastricht, Netherlands..
Maastricht Univ, MEMIC, Maastricht, Netherlands..
Maastricht Univ, Dept Methodol & Stat, Maastricht, Netherlands.;Maastricht Univ, CAPHRI Sch Care & Publ Hlth, Maastricht, Netherlands..
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2017 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 33, no 11, p. 962-975Article in journal (Refereed) Published
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-behavioral program.

Materials and Methods: A randomized controlled trial was carried out with 3 conditions: an internet-delivered positive psychology program, an internet-delivered cognitive-behavioral program and waitlist control. A total of 276 patients were randomized to 1 of the 3 conditions and posttreatment data were obtained from 206 patients. Primary outcomes were happiness, depression, and physical impairments at posttreatment and at 6-month 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 with waitlist. Improvements in happiness and depression were maintained until 6-month follow-up. There were no overall differences in the efficacy of the 2 active interventions but effects seemed to be moderated by education. Patients with a higher level of education profited slightly more from the positive psychology intervention than from the cognitive-behavioral program.

Discussion: The results suggest that an internet-based positive psychology and cognitive-behavioral self-help interventions for the management of chronic pain are 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
LIPPINCOTT WILLIAMS & WILKINS , 2017. Vol. 33, no 11, p. 962-975
Keywords [en]
positive psychology intervention, cognitive-behavior therapy, internet-based treatment, randomized controlled trial, chronic pain
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-337103DOI: 10.1097/AJP.0000000000000494ISI: 000412425200002PubMedID: 28379873OAI: oai:DiVA.org:uu-337103DiVA, id: diva2:1168957
Available from: 2017-12-22 Created: 2017-12-22 Last updated: 2017-12-22Bibliographically approved

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