A study depicted that in individuals suffering from chronic low back pain, the addition of RFCBT to their usual pharmacological therapy yields positive effects.

A randomized controlled trial was carried to explore the efficacy of RFCBT on pain alleviation, depression, anxiety in participants suffering from chronic low back pain. The study cohort included 30 patients (age between 20-55 years) diagnosed with chronic low back pain. Subjects were randomly assigned into either intervention (n=15) or control (n=15) groups.

All participants utilized their prescribed medicines for pain-alleviation, but the intervention cohort was given 12 weekly RFCBT sessions (manualized psychotherapy to alter the unconstructive rumination to constructive rumination). The chronic pain grade questionnaire and Depression Anxiety and Stress scale-21 were given as pre-tests and again administered after three and six months as post-test and the follow-up evaluations, respectively.

RFCBT considerably declined pain severity (F1=7.17), depression (F1=23.01), and anxiety (F1=25.7) in patients suffering from chronic low back pain. This advantage may be the consequence of targeting rumination as the pivotal element of pain catastrophizing. Thus, RFCBT was effective for mitigating pain, depression, and anxiety in individuals having chronic low back pain.