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
Back to Top