The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain
Document title: The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000353312
ISSN: 0004-282X
Authors: 1
1
1
1
Institutions: 1Universidade Federal da Bahia, Complexo Universitario Professor Edgard Santos, Salvador, Bahia. Brasil
Year:
Season: Nov
Volumen: 70
Number: 11
Pages: 864-868
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. OBJECTIVE: To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain. METHODS: A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment. RESULTS: When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025). CONCLUSIONS: The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment
Portuguese abstract Dor crônica provoca incapacidade funcional e compromete a vida afetiva, social e econômica de um sujeito. OBJETIVO: Estudar a eficácia da terapia cognitiva-comportamental (TCC) em um grupo de pacientes com dor crônica. MÉTODOS: Um ensaio clínico randomizado com dois grupos paralelos de 93 pacientes foi realizado. Destes, 48 foram submetidos à TCC e 45 continuaram o tratamento padrão. Foram aplicadas as escalas visual analógica de dor, hospitalar de ansiedade e depressão e de qualidade de vida SF-36 antes e após dez semanas do tratamento. RESULTADOS: Ao comparar o Grupo Controle e a TCC, o último apresentou redução dos sintomas depressivos (p=0,031), melhora nos domínios 'limitações físicas' (p=0,012), 'estado geral de saúde' (p=0,045) e 'limitações por aspectos emocionais' (p=0,025). CONCLUSÕES: A TCC foi eficaz e causou mais melhora nos domínios da qualidade de vida, quando comparada com o Grupo Controle, após dez semanas de tratamento
Disciplines: Medicina
Keyword: Neurología,
Psiquiatría,
Terapéutica,
Dolor crónico,
Depresión,
Ansiedad,
Terapia cognitiva-conductual
Keyword: Medicine,
Neurology,
Psychiatry,
Therapeutics,
Chronic pain,
Depression,
Anxiety,
Cognitive behavior therapy
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