Nicholas Michael K, Wilson Peter H, Goyen Jocelyn
School of Psychology, University of New South Wales, Kensington 2033, NSWAustralia Department of Psychology, University of Sydney, Sydney, NSWAustralia Physiotherapy Department, Westmead Hospital, Westmead 2145, NSWAustralia.
Pain. 1992 Mar;48(3):339-347. doi: 10.1016/0304-3959(92)90082-M.
This study was designed to investigate the relative efficacy of cognitive-behavioral group treatment, including relaxation training, in comparison with a control condition in a sample of 20 outpatients with chronic low back pain. Subjects in both conditions also received the same physiotherapy back-education and exercise program. The control condition included a control for the attention of the therapist in the cognitive-behavioral treatment. The combined psychological treatment and physiotherapy condition displayed significantly greater improvement than the attention-control and physiotherapy condition at post-treatment on measures of other-rated functional impairment, use of active coping strategies, self-efficacy beliefs, and medication use. These differences were maintained at 6 month follow-up on use of active coping strategies and, to a lesser degree, on self-efficacy beliefs and other-rated functional impairment.
