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Rationale for Group Cognitive-Behavioral Therapy

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First appearing in the pain management literature in the early 1980s, group treatment has become a common method of administering CBT for chronic pain (Keefe et al. 2002). RCTs have established the efficacy of group CBT compared with a variety of control conditions, including education groups, relaxation groups, medical treatment as usual, and wait-list controls. These RCTs have shown group CBT to be efficacious in patients with a variety of chronic pain problems, including mixed chronic pain conditions (Ersek et al. 2003; Puder 1988; Subramanian 1991), low back pain (Basler et al. 1997; Cole 1998; Turner et al. 1990), arthritis (Bradley et al. 1985), fibromyalgia (Keel et al. 1998), headache (Figueroa 1982; James et al. 1993; Johnson and Thorn 1989; Kneebone and Martin 1992; Kropp et al. 1997; Scharff and Marcus 1994; Thorn et al. 2007), irritable bowel syndrome (van Dulmen et al. 1996), and pain related to metastatic breast cancer (Goodwin et al. 2001).

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