The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain / A terapia cognitiva-comportamental causa melhora na qualidade de vida em pacientes com dor crônica musculoesquelética
Arq. neuropsiquiatr
;
70(11): 864-868, Nov. 2012. ilus, tab
Article
in English
| LILACS
| ID: lil-655924
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.RESUMO
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Anxiety
/
Quality of Life
/
Cognitive Behavioral Therapy
/
Depression
/
Musculoskeletal Pain
/
Chronic Pain
Type of study:
Controlled clinical trial
/
Etiology study
Limits:
Female
/
Humans
Language:
English
Journal:
Arq. neuropsiquiatr
Journal subject:
Neurology
/
Psychiatry
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal da Bahia (UFBA)/BR
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