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Cognitive-behavioral pain management for elderly nursing home residents
Cook AJ
The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 1998 Jan;53(1):P51-P59
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

A cognitive-behavioral pain management program for elderly nursing home residents with chronic pain was compared with an attention/support control treatment in a randomized pre-/post-comparison group design with follow-up. Thirteen women and nine men, ranging in age from 61 to 98 (M 77.2), from two large nursing homes participated in the treatment programs through 10 weekly group sessions. Results revealed that the subjects who received the cognitive-behavioral training reported less pain and pain-related disability, although the two programs were perceived as equally credible both before and after treatment. No significant treatment effects were found for depression and physician medication ratings. Treatment effects were maintained at 4-month follow-up, despite an overall increase in reported pain. Findings indicate that elderly nursing home residents with chronic pain and without serious cognitive impairment can benefit substantially from training in cognitive and behavioral pain management strategies that are known to be effective with younger age groups and the community-resident elderly population.
Copyright the Gerontological Society of America. Reproduced by permission of the publisher.

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