A randomized-controlled pilot trial of an online compassionate mind training intervention to help people with chronic pain avoid analgesic misuse
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Dhokia et al 2020 Online CMT for ...
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Abstract
Problematic use of prescribed and over-the-counter analgesics is widespread and increasing among people with chronic pain, but the availability of preventative and treatment services is limited. We evaluated a 21-day online intervention based on compassionate mind training in a prospective, randomized-controlled trial. The participants were 73 adults with concerns about their use of analgesics for chronic pain conditions. Participants completed measures of analgesic use, misuse and dependence, plus self-criticism and self-reassurance (self-inadequacy, self-reassurance and self-hate), cognitive impulsivity (negative urgency, lack of perseverance, lack of premeditation, sensation-seeking and positive urgency) and behavioral impulsivity (delay discounting) at baseline, post-intervention and 1-week post-intervention follow-up. Following baseline assessment, participants were randomized to compassionate mind training (CMT; n=38) or relaxation music (RM; n=35), both delivered online. No adverse events or safety issues were reported and high participant retention and exercise completion rates showed that the intervention was acceptable to participants. Repeated measures analysis of variance showed that by comparison with RM, the CMT group had reduced prescription analgesic use (F=6.123, p=0.015), analgesic dependence (F=14.322, p<.001), self-hate (F=12.218, p<0.001), negative urgency (F=7.323, p=0.006) and lack of perseverance (F=7.453, p=0.001) from baseline to post-intervention, and those improvements were maintained at follow-up. The results show that exercises based on CMT principles and techniques and delivered online can reduce analgesic use, risk of analgesic dependence, and some aspects of self-criticism and impulsivity.Citation
Dhokia, M., Elander, J., Clements, K., & Gilbert, P. (2020). 'A randomized-controlled pilot trial of an online compassionate mind training intervention to help people with chronic pain avoid analgesic misuse. Psychology of Addictive Behaviors', pp. 1-23.Publisher
American Psychological Association (APA)Journal
Psychology of Addictive BehaviorsDOI
10.1037/adb0000579Additional Links
https://psycnet.apa.org/doiLanding?doi=10.1037%2Fadb0000579Type
ArticleLanguage
enISSN
0893-164XEISSN
1939-1501ae974a485f413a2113503eed53cd6c53
10.1037/adb0000579