ABSTRACT

Cognitive-behavior therapy (CBT) is a complex treatment developed from principles of learning theory and empirical studies of cognition. The aims of CBT are to increase physical and occupational activity and to decrease disability and emotional distress through behavioral strategies for managing activity and social interactions, and cognitive strategies to address the subjective and emotional experience of chronic pain. The treatment of choice for the rehabilitation of patients presenting with persistent and unremitting chronic pain is CBT for which the evidence of effectiveness has been reported. Patients commonly complain of cognitive problems, such as difficulties in concentration and focused attention. The success of CBT is critically dependent upon the expertise and experience of the staff. A major goal of CBT is to produce behavior change to enhance patients’ behavioral repertoire and coping strategies. Psychological therapy and, in particular, CBT therapy, for adults with chronic pain are effective treatments for helping patients to manage the deleterious effects of chronic pain.