This clinical trial compares two psychological treatments for back pain.
The primary objective is to examine the incremental efficacy of a patient-centered and
tailored self-management treatment approach, Tailored Cognitive-Behavior Therapy (TCBT),
for persons with chronic musculoskeletal pain. TCBT will be compared with a Standard
Cognitive- Behavior Therapy (SCBT) condition. The hypothesis is that TCBT will be
associated with improved outcomes following treatment. Outcome will be assessed by multiple
standardized measures of key domains of the chronic pain experience. Secondary objectives
are to examine the process of successful self-management treatment.
- Chronic back pain for at least 6 months
- Treatment by medication or physical therapy
- Acute or life threatening physical illness
- Current alcohol or substance abuse or dependence
- Current psychosis or suicidal ideation treatment by anesthesiology, chiropractic care