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Psychological Treatment for Pain Among Cancer Patients by Rational-Emotive Behavior Therapy - Efficacy in both India and Iran

  • Mahigir, Foroogh ;
  • Khanehkeshi, Ali ;
  • Karimi, Ayatollah
  • Published : 2012.09.30

Abstract

The aim of the present study is to find out the influence of rational-emotive behavior therapy (REBT) on pain intensity among cancer patients in India and Iran. The study followed a quasi-experimental, pre-post test, carried out with a sample of 88 cancer patients, aged 21-52 years, referred to the Baharat cancer hospital of Mysore in India and Shahidzade hospital of Behbahan in Iran. They were randomly assigned to the experimental (n=India 21; Iran 22) and control (n=India 22; Iran 23) groups. Pain was measured with the McGill Pain Questionnaire-MPQ (1975), the intervention by REBT has given to the experimental group for 45 days (ten sessions) and at the end of intervention, the pain of patients was again evaluated. Concerning to hypothesis of the study, two independent sample T test and three ways mixed ANOVA is used to analyze the data. Results showed that the experimental group in post test had less pain than the control group, but there were no statistically significant differences between Indian and Iranian patients in pain perception. With respect the outcome of study, it has realized that REBT can be used in hospitals and other psychological clinics to reduce the pain of cancer patients.

Keywords

Intervention;rational emotive behavior therapy (REBT);pain;cancer patients;India;Iran

References

  1. Antonio MH, Lutgendorf S (2000). Psychosocial factors and disease progression in cancer. J Curr Dir Psychol Sci, 16, 42-6.
  2. Barkin RL, Lubenow TR, Bruehl S, et al (1996). Management of Chronic Pain. Part II. Disease-a-Month, 42, 461-507.
  3. Berman BM, Swyers JP (1999). Complementary medicine treatments for fibromyalgia syndrome. Best Practice & Res in Clinical Rheumatology, 13, 487-92. https://doi.org/10.1053/berh.1999.0039
  4. Bernard ME, Ellis A, Terjesen MD (2006). Rational-emotive behavioral approaches to childhood disorders. J History, Theory, Practice, And Res, 23, 43-59.
  5. Bernabei R, Gambassi G, Lapane K, et al (1998). Management of pain in elderly patients with cancer. J Am Med Assoc, 279, 23. https://doi.org/10.1001/jama.279.1.23
  6. Bradley LA, McKendree-Smith NL (2002). Central nervous system mechanisms of pain in fibromyalgia and other musculoskeletal disorders: behavioral and psychologic treatment approaches. Current Opinion in Rheumatology, 14, 45-51. https://doi.org/10.1097/00002281-200201000-00009
  7. Cappeliez P (2000). Presentation of pain and response to group cognitive therapy with older adults. J Clinical Gerontology, 6, 156-74.
  8. Carroll D, Seers K (1998). Relaxation for the relief of chronic pain: a systematic review. J Advanced Nursing, 27, 476-87. https://doi.org/10.1046/j.1365-2648.1998.00551.x
  9. DePalma MT, Weisse CT (1997). Psychological influences on pain perception and non-pharmacologic approaches to the treatment of pain. J Hand Therapy, 10, 183-91. https://doi.org/10.1016/S0894-1130(97)80072-5
  10. Dryden W (2003). Rational Emotive Behavior Therapy. J Theoretical Developments Brunner, 18, 43-57.
  11. Ebrahimi A (2007). Effectiveness of cognition, behavior therapy on pain of cancer patients. PhD thesis (Unpublished). University of Esfahan, Iran.
  12. Ellis A (2001). Overcoming Destructive Beliefs, Feeling and Behaviors. Amherst, NY: Prometheus Books.
  13. Ellis A (2003). Early theories and practices of rational emotive behavior theory and how they have been augmented and revised during the last three decades. J Rational-Emotive Cognitive-Behavior Therapy, 21, 3-4. https://doi.org/10.1023/A:1024178816817
  14. Gabriel J (2004). The Biology of Cancer. 2nd ed. John Wiley: London.
  15. Good M (1996). Effects of relaxation and music on postoperative pain: a review. J of Advanced Nursing, 24, 905-14. https://doi.org/10.1111/j.1365-2648.1996.tb02925.x
  16. Hoffman BM, Papas RK, Chatkoff DK, Kerns RD (2007). Metaanalysis of psychological interventions for chronic low back pain. Health Psychol, 26, 1-9. https://doi.org/10.1037/0278-6133.26.1.1
  17. Kerns RD, Sellinger J, Goodin BR (2010). Psychological treatment of chronic pain. Annu Rev Clin Psychol, 7, 411-34.
  18. Kush FR, Fleming LM (2000). An innovative approach to shortterm group cognitive therapy in the combined treatment of anxiety and pain. J Group Dynamics, 4, 176-83. https://doi.org/10.1037/1089-2699.4.2.176
  19. Lang EV, Benotsch EG, et al (2000). Adjunctive nonpharmacological analgesia for invasive medical procedures: a randomized trial. Lancet, 355, 1486-90. https://doi.org/10.1016/S0140-6736(00)02162-0
  20. Lustman P, Griffith L, Freedland K, Kissel SS, Clouse R (1998). Cognitive behavior therapy for pain in type 2 diabetes Mellitus. J Annals of Internal Med, 129, 613-31. https://doi.org/10.7326/0003-4819-129-8-199810150-00005
  21. Melzak R (1975). The McGill Pain Questionnaire: Major properties and scoring methods. J Pain, 1, 277-99. https://doi.org/10.1016/0304-3959(75)90044-5
  22. Melzack R (1999). Pain and stress: a new perspective. In: Gatchel RJ, Turk DC, editors. Psychosocial Factors in Pain: Critical Perspectives. New York: Guilford Press, 89-106.
  23. Melzack R, Wall PD (1965). Pain mechanisms: a new theory. Science, 150, 971-9. https://doi.org/10.1126/science.150.3699.971
  24. Morales LS. Assessing Patient Experiences with Assessing Healthcare in Multi-Cultural Settings 2001; from http://www.rand.org/publications/RGSD/ RGSD157/ Routledge.
  25. National Institutes of Health (2011). Fact sheet: pain management. Available from: http://www.ninr.nih.gov/NR/rdonlyres/DC0351 A6-7029-4FE0- BEEA-7EFC3D1B23AE/ 0/Pain.pdf.
  26. Reiter RC (1998). Evidence-based management of chronic pelvic pain. Clin Obstets Gynecol, 41, 422-35. https://doi.org/10.1097/00003081-199806000-00023
  27. Rusy LM, Weisman SJ (2000). Complementary therapies for acute pediatric pain management. Pediatric Clinics North America, 47, 589-99. https://doi.org/10.1016/S0031-3955(05)70227-3
  28. Sellick SM, Zaza C (1998). Critical review of 5 nonpharmacologic strategies for managing cancer pain. Cancer Prevent Control, 2, 7-14.
  29. Souhami R, Tobias J (2003). Cancer and its Management. 2003. 4th ed. Blackwell Science: Oxford.
  30. Syrjala KL, Donaldson GW, Davies MW, Kippes ME, Carr JE (1995). Relaxation and imagery and cognitive-behavioral training reduce pain during cancer treatment: A controlled clinical trial. J Pain, 63, 189-98. https://doi.org/10.1016/0304-3959(95)00039-U
  31. Thomas EM, Weiss SM (2000). Nonpharmacological interventions with chronic cancer pain in adults. Cancer Control, 7, 157-64.
  32. Tobias J, Eaton K (2001). Living with Cancer. 2001; 2nd ed. Bloomsbury: London.
  33. Van Tulder MW, Ostelo R, Vlaeyen JW, et al (2001). Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Back Review Group. Spine, 26, 270-81. https://doi.org/10.1097/00007632-200102010-00012
  34. Yucha C, Montgomery D (2008). Evidence-based practice in biofeedback and neurofeedback. Wheat Ridge, CO: AAPB; 2008.

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