Randomized trial of cognitive behavior therapy versus supportive psychotherapy for HIV-related peripheral neuropathic pain.
Publication Type | Academic Article |
Authors | Evans S, Fishman B, Spielman L, Haley A |
Journal | Psychosomatics |
Volume | 44 |
Issue | 1 |
Pagination | 44-50 |
Date Published | 01/01/2003 |
ISSN | 0033-3182 |
Keywords | Cognitive Behavioral Therapy, HIV Infections, Peripheral Nervous System Diseases, Psychotherapy |
Abstract | The feasibility and acceptability of cognitive behavior therapy for HIV-related peripheral neuropathic pain was examined and the potential efficacy of the intervention was compared with that of supportive psychotherapy in reducing pain, pain-related interference with functioning, and distress. Sixty-one patients were randomly assigned to receive six weekly sessions of cognitive behavior therapy or supportive psychotherapy. Thirty-three subjects completed the protocol. Both groups showed significant reductions in pain. The cognitive behavior group improved in most domains of pain-related functional interference and distress; the supportive psychotherapy group showed fewer gains. The high dropout rate suggests that psychotherapeutic treatments for HIV-related pain may have limited feasibility and acceptability. |
DOI | 10.1176/appi.psy.44.1.44 |
PubMed ID | 12515837 |