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Rumination-focused cognitive-behavioral therapy (RFCBT) can
be used for effective management of chronic low back pain patients.
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.
Galen Medical Journal
Rumination-Focused Cognitive-Behavioral Therapy for Chronic Low Back Pain: A Randomized Controlled Trial
Ali Soleymani et al.
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