A randomized-controlled pilot trial of an online compassionate mind training intervention to help people with chronic pain avoid analgesic misuse
Journal article
Authors | Dhokia, Mayoor, Elander, James, Clements, Keith and Gilbert, Paul |
---|---|
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. |
Keywords | Analgesic misuse; dependence; chronic pain; compassionate mind training; RCT |
Year | 2020 |
Journal | Psychology of Addictive Behaviors |
Publisher | American Psychological Association (APA) |
ISSN | 0893-164X |
1939-1501 | |
Digital Object Identifier (DOI) | https://doi.org/10.1037/adb0000579 |
Web address (URL) | http://hdl.handle.net/10545/624710 |
hdl:10545/624710 | |
Publication dates | 09 Apr 2020 |
Publication process dates | |
Deposited | 17 Apr 2020, 13:21 |
Accepted | 06 Mar 2020 |
Contributors | University of Derby |
File | File Access Level Open |
File | File Access Level Open |
https://repository.derby.ac.uk/item/93670/a-randomized-controlled-pilot-trial-of-an-online-compassionate-mind-training-intervention-to-help-people-with-chronic-pain-avoid-analgesic-misuse
Download files
268
total views139
total downloads15
views this month6
downloads this month