Literacy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain
Authors: Katherine Rediger, D.R. Bailey Miles
Journal: Annals of Internal Medicine (2018)

Letters18 September 2018Literacy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic PainKatherine Rediger, MSN, CRNP and D.R. Bailey Miles, MDKatherine Rediger, MSN, CRNPJohns Hopkins Community Physicians and Johns Hopkins University School of Nursing, Baltimore, Maryland (K.R.)Search for more papers by this author and D.R. Bailey Miles, MDJohns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0347 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We appreciate Thorn and colleagues' (1) randomized controlled trial comparing literacy-adapted, simplified group cognitive behavioral therapy (CBT) with group pain education and usual care. As the authors note, chronic pain is a common problem that disproportionately affects groups with low socioeconomic status (SES); finding an effective intervention for these persons is thus essential (1, 2).Behavioral economics is a useful lens through which to examine the treatment of chronic pain in populations with low SES. Persons who face scarcity (including those struggling with poverty) are mentally taxed and may have reduced cognitive capacity, or “bandwidth” (3). Although ...References1. Thorn BE, Eyer JC, Van Dyke BP, Torres CA, Burns JW, Kim M, et al. Literacy-adapted cognitive behavioral therapy versus education for chronic pain at low-income clinics: a randomized controlled trial. Ann Intern Med. 2018;168:471-80. [PMID: 29482213]. doi:10.7326/M17-0972 LinkGoogle Scholar2. Janevic MR, McLaughlin SJ, Heapy AA, Thacker C, Piette JD. Racial and socioeconomic disparities in disabling chronic pain: findings from the health and retirement study. J Pain. 2017;18:1459-67. [PMID: 28760648] doi:10.1016/j.jpain.2017.07.005 CrossrefMedlineGoogle Scholar3. Mullainathan S, Shafir E. Scarcity: Why Having Too Little Means So Much. New York: Henry Holt; 2013. Google Scholar4. Mani A, Mullainathan S, Shafir E, Zhao J. Poverty impedes cognitive function. Science. 2013;341:976-80. [PMID: 23990553] doi:10.1126/science.1238041 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins Community Physicians and Johns Hopkins University School of Nursing, Baltimore, Maryland (K.R.)Johns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0347. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoLiteracy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain at Low-Income Clinics Beverly E. Thorn , Joshua C. Eyer , Benjamin P. Van Dyke , Calia A. Torres , John W. Burns , Minjung Kim , Andrea K. Newman , Lisa C. Campbell , Brian Anderson , Phoebe R. Block , Bentley J. Bobrow , Regina Brooks , Toya T. Burton , Jennifer S. Cheavens , Colette M. DeMonte , William D. DeMonte , Crystal S. Edwards , Minjeong Jeong , Mazheruddin M. Mulla , Terence Penn , Laura J. Smith , and Deborah H. Tucker Literacy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain Beverly E. Thorn , Lisa C. Campbell , Benjamin P. Van Dyke , Andrea K. Newman , and Calia A. Torres Metrics 18 September 2018Volume 169, Issue 6Page: 422KeywordsBehavioral economicsCognitive behavior therapyConflicts of interestDisclosureEmotionsFearLiteracyPopulation statisticsSocioeconomic status ePublished: 18 September 2018 Issue Published: 18 September 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...