Cognitive Behavioral Therapy for Chronic Pain


Thorn, B. E. (2018). Cognitive behavioral therapy for chronic pain. Journal of Health Service Psychology, 44, 25–32.


Over one third of Americans report chronic pain of one type or another. The causes of chronic pain are multi-faceted, and often do not involve identifiable tissue damage. Opioid therapy for chronic pain has a high risk for opioid dependency, addiction, and possible death. CBT is a proven alternative intervention. This article describes a 10-session CBT program for the treatment of chronic pain.

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Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Oxford, England: International Universities Press.

Bergbom, S., Boersma, K., & Linton, S. J. (2012). Both early and late changes in psychological variables relate to treatment outcome for musculoskeletal pain patients at risk for disability.Behaviour Research and Therapy, 50(11), 726-734.

Bruns, D., Mueller, K., & Warren, P. A. (2012). Biopsychosocial law, health care reform, and the control of medical inflation in Colorado. Rehabilitation Psychology, 57(2), 81-97.

Castonguay, L. G., Constantino, M. J., & Holtforth, M. G. (2006). The working alliance: Where are we and where should we go?Psychotherapy: Theory, Research, Practice, Training, 43, 271-279.

Clarke, C. L., Ryan, C. G., & Martin, D. J. (2011). Pain neurophysiology education for the management of individuals with chronic low back pain: A systematic review and meta-analysis. Manual Therapy, 16(6), 544-549.

Day, M. A., Jensen, M. P., Ehde, D. M., & Thorn, B. E. (2014). Toward a theoretical model for mindfulness-based pain management. The Journal of Pain, 15(7), 691-703.

Day, M., Thorn, B.E., Ward, L.C., Rubin, N., Hickman, S., Scogin, F., & Kilgo, G. (2014). Mindfulness-based cognitive therapy for the treatment of headache pain: A pilot study. Clinical Journal of Pain, 2(9), 941-952.

Dowell D, Haegerich TM, Chou R. (2016). CDC guideline for prescribing opioids for chronic pain in the United states. Journal of the American Medical Association. 315(15):1624-1645.

Hoffman, B. M., Papas, R. K., Chatkoff, D. K., & Kerns, R. D. (2007). Meta-analysis of psychological interventions for chronic low back pain. Health Psychology, 26(1), 1-9.

James, L.D., Thorn, B.E., & Williams, D.A. (1993). Goal specification in cognitive behavioral therapy for chronic headache pain. Behavioral Therapy, 24, 305-320.

Johnson, P.R. & Thorn, B.E. (1989). Cognitive behavioral treatment of chronic headache:  group vs. individual treatment format. Headache, 29, 358-365.

International Association for the Study of Pain. (2014). Classification of chronic pain, second edition (revised). Descriptions of chronic pain syndromes and definitions of pain terms. Retrieved from

Institute of Medicine [IOM]. (2011). Relieving pain in America: A blueprint for transforming prevention, care, education, and research. Washington, DC: The National Academies Press.

Lumley, M.A., Sklar, E.R., & Carty, J.N. (2012). Emotional disclosure interventions for chronic pain: From the laboratory to the clinic. Translational Behavioral Medicine: Practice, Policy, Research, 2, 73-81.

Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory.Science, 150(3699), 971-979.

Morley, S. (2011). Efficacy and effectiveness of cognitive behaviour therapy for chronic pain: Progress and some challenges. Pain, 152(3, Supplement), S99-S106.

Okifuji, A., & Turk, D. C. (2015). Behavioral and cognitive–behavioral approaches to treating patients with chronic pain: Thinking outside the pill box. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 33(3), 218-238.

Qaseem A, Wilt TJ, McLean RM, Forciea MA. (2017) Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain. Annals of Internal Medicine. 166(7): 514-530.

Seminowicz, D. A., Shpaner, M., Keaser, M. L., Krauthamer, G. M., Mantegna, J., Dumas, J. A., . . . Naylor, M. R. (2013). Cognitive-behavioral therapy increases prefrontal cortex gray matter in patients with chronic pain. The Journal of Pain, 14(12), 1573-1584.

Slavin‐Spenny, O. M., Cohen, J. L., Oberleitner, L. M., & Lumley, M. A. (2011). The effects of different methods of emotional disclosure: Differentiating post‐traumatic growth from stress symptoms. Journal of Clinical Psychology, 67(10), 993-1007.

Thorn, B.E. (2017). Cognitive Therapy for Chronic Pain: A Step-by-Step Guide, 2nd edition. Guilford Publications.

Thorn, B.E., Day, M.A., Burns, J., Kuhajda, M., Gaskins, S., Sweeney, J., … Cabbil, C. (2011). Randomized trial of group cognitive-behavioral therapy compared to a pain education control for low literacy rural people with chronic pain. Pain, 152, 2710-2720.

Thorn, B.E., Eyer, J.C., Van Dyke, B. P., Torres, C.A., Burns, J.W., Kim, M. …. Tucker, D.H. (in press) Literacy-Adapted Cognitive-Behavioral Therapy vs Education for Chronic Pain at Low-Income Clinics: A Randomized Controlled Trial. Annals of Internal Medicine.

Thorn, B. E., Pence, L.B., Ward, L.C., Kilgo, G., Clements, K.L., Cross, T.H., …  Tsui, P.W. (2007). A randomized clinical trial of cognitive behavioral treatment targeted at the reduction of catastrophizing in chronic headache sufferers. Journal of Pain, 68(12), 938-949.

VA/DoD (2017). Clinical practice guideline for opioid therapy for chronic pain. The Opioid Therapy for Chronic Pain Work Group, Department of Veterans Affairs, Department of Defense, Office of Quality and Performance, Office of Evidence Based Practice. Accessed at on 2 August 2017.

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