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Cognitive-behavior therapy (CBT) is a complex treatment developed from principles of learning theory and empirical studies of cognition. Effective implementation of CBT should be based on an explicit treatment protocol, careful attention to multidisciplinary teamwork, and supervision.

Chronic pain patients frequently experience comorbid symptoms of anxiety and depression. Patients' approach to pain is construed as one of inappropriate and ineffective problem solving.

The aims of CBT are to increase physical and occupational activity and to decrease disability and emotional distress through behavioral strategies for managing activity and social interactions, and cognitive strategies to address the subjective and emotional experience of chronic pain.

CBT is delivered via a collaborative engagement between the patient and the therapist or therapeutic team. CBT is an effective treatment for chronic pain as judged by evidence from meta-analyses of randomized controlled trials (RCT).

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