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  • Enhancing the Biopsychosocial Approach to Perioperative Care: A Pilot Randomized Trial of the Perioperative Pain Self-Management (PePS) Intervention. Annals of surgery Hadlandsmyth, K. n., Conrad, M. n., Steffensmeier, K. S., Van Tiem, J. n., Obrecht, A. n., Cullen, J. J., Vander Weg, M. W. 2020; Publish Ahead of Print

    Abstract

    The current study aimed to pilot the Perioperative Pain Self-management (PePS) intervention, based on principles of CBT, to determine feasibility and preliminary efficacy for preventing chronic pain and long-term opioid use.Surgery can precipitate the development of both chronic pain and long-term opioid use. Cognitive behavioral therapy (CBT) can reduce distress and improve functioning among patients with chronic pain. Adapting CBT to target acute pain management in the post-operative period may impact longer-term post-operative outcomes.This was a mixed-methods randomized controlled trial in a mixed surgical sample with assignment to standard care (SC) or PePS, with primary outcomes at 3-months post-surgery. The sample consisted of rural-dwelling United States Military Veterans.Logistic regression analyses found a significant effect of PePS on odds of moderate-severe pain (on average over the last week) at 3-months post-surgery, controlling for pre-operative moderate-severe pain: Adjusted odds ratio = 0.25 (95% CI: 0.07 - 0.95, p?

    View details for DOI 10.1097/SLA.0000000000004671

    View details for PubMedID 33351478

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