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Papers of the Week

Papers: 11 May 2024 - 17 May 2024

2024 May 12

Eur J Pain


Sudden gains in depression and anxiety during an online pain management programme for chronic pain.


Bisby MA, Correa AB, Trujillo R, Dudeney J, Dear BF


Chronic pain is associated with depression and anxiety symptoms. Pain management programms, delivered face-to-face or via the internet, can effectively help adults manage the impacts of chronic pain. Sudden gains are defined as substantial, rapid, and lasting symptom reductions that occur between consecutive treatment sessions and have been associated with better treatment outcomes in non-pain samples. This study examined whether adults with chronic pain report sudden gains in depression or anxiety symptoms during an 8-week online pain management programme, and whether sudden gains were associated with better treatment outcomes for depression or anxiety. Dominant theories of sudden gains argue that therapists are required for sudden gains to be maintained and improve treatment outcomes.