Efficacy of a Psychological Single-Session Intervention in Non-Cardiac Chest Pain: Are Chest Pain Perceptions Relevant?

Schroeder S, Achenbach S, Martin A (2020)

Publication Type: Journal article

Publication year: 2020

Journal

Journal of Psychology / Zeitschrift für Psychologie Hogrefe

Book Volume: 228

Pages Range: 130-140

Journal Issue: 2

DOI: 10.1027/2151-2604/a000406

Abstract

Despite medical reassurance, non-cardiac chest pain (NCCP) frequently persists. Psychological interventions seem promising, but single-session interventions (SSI) are under-studied. To analyze the efficacy of a SSI focusing on chest pain perceptions in a randomized controlled trial (RCT), and to identify predictors of pain persistence. Individuals presenting with NCCP to a cardiology unit were randomly assigned to SSI (N = 54) or treatment as usual (N = 59). Follow-up assessments were 1 month (FU1) and 6 months (FU2) later. Primary outcome measures were chest pain (German Pain Questionnaire) and chest pain perceptions (IPQ-B, Reassurance Scale). Two by Three ANOVAs revealed significant improvements over time, but against expectation no significant interaction with group. Health concern and cardiac attribution following cardiac testing predicted FU2 chest pain (p's ≤ .018). These predictors could serve as markers to identify individuals with a risk for persisting complaints, a group that may benefit from interventions addressing dysfunctional illness perceptions.

Authors with CRIS profile

Stephan Achenbach Lehrstuhl für Innere Medizin II

Involved external institutions

Bergische Universität Wuppertal DE Germany (DE) Otto-Friedrich-Universität Bamberg DE Germany (DE)

How to cite

APA:

Schroeder, S., Achenbach, S., & Martin, A. (2020). Efficacy of a Psychological Single-Session Intervention in Non-Cardiac Chest Pain: Are Chest Pain Perceptions Relevant? Journal of Psychology / Zeitschrift für Psychologie, 228(2), 130-140. https://doi.org/10.1027/2151-2604/a000406

MLA:

Schroeder, Stefanie, Stephan Achenbach, and Alexandra Martin. "Efficacy of a Psychological Single-Session Intervention in Non-Cardiac Chest Pain: Are Chest Pain Perceptions Relevant?" Journal of Psychology / Zeitschrift für Psychologie 228.2 (2020): 130-140.

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