Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi; 2014;3(1):46-52
Bel ağrısı olan hastaların ağrılarında bilişsel davranışçı terapinin etkinliği
S Banth, MD Ardebil
Panjab University, India
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Effectiveness of cognitive behavioural therapy on pain of patients with low back pain
Background: Chronic low back pain is a major health problem and has high comorbidity with psychological related
disorders. As there is no consensus about the effectiveness of psychotherapy methods for chronic pain, so our target
in this study was to assess the efficacy of cognitive behavioral therapy (CBT) as a psychological intervention on pain of
female patients with nonspecific chronic low back pain (NSCLBP).
Methods: 88 patients suffering from NSCLBP were randomly assigned to experimental and control groups, CBT (CBT+
usual medical care) and usual medical care, respectively. The subjects were referred from physiotherapy centres of
Ardebil (northwest of Iran), assessed at three time frames; before, after and four weeks after intervention by pain Mac Gil
Pain questionnaire. Data obtained from the final sample (N=48) analysed by SPSS software.
Results: The results of ANCOVA revealed that subjects in the CBT group in comparison to control group indicated
significant improvements in pain. Effect sizes were .72 and .78 for post test 1 and post test 2 of evaluation respectively.
Conclusion: CBT as a psychotherapy including cognitive restructuring, relaxation and daily home works was effective on
physical on several pain senses of female Iranian patients with NSCLBP.