Comparison of cognitive-behavioral group treatment and an alternative non-psychological treatment for chronic low back pain

Pain. 1992 Mar;48(3):339-347. doi: 10.1016/0304-3959(92)90082-M.


This study was designed to investigate the relative efficacy of cognitive-behavioral group treatment, including relaxation training, in comparison with a control condition in a sample of 20 outpatients with chronic low back pain. Subjects in both conditions also received the same physiotherapy back-education and exercise program. The control condition included a control for the attention of the therapist in the cognitive-behavioral treatment. The combined psychological treatment and physiotherapy condition displayed significantly greater improvement than the attention-control and physiotherapy condition at post-treatment on measures of other-rated functional impairment, use of active coping strategies, self-efficacy beliefs, and medication use. These differences were maintained at 6 month follow-up on use of active coping strategies and, to a lesser degree, on self-efficacy beliefs and other-rated functional impairment.

Publication types

  • Comparative Study

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attention
  • Back Pain / complications
  • Back Pain / psychology
  • Back Pain / therapy*
  • Behavior Therapy*
  • Cognitive Behavioral Therapy*
  • Depressive Disorder / complications
  • Depressive Disorder / psychology
  • Exercise Therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Physical Therapy Modalities
  • Psychiatric Status Rating Scales
  • Relaxation Therapy
  • Surveys and Questionnaires