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Effects of Integrating Therapeutic Touch into a Cognitive Behavioral Pain Treatment Program

Report of a Pilot Clinical Trial

University of Southern Maine

Paul Arnstein, Ph.D., R.N., A.P.R.N., B.C., F.N.P.-C.

Boston College

Katherine Cowen Rosa, Ph.D.(c), A.P.R.N., B.C., Q.T.T.T.

Boston College

Carol Wells-Federman, M.S., M.Ed., A.P.R.N., B.C.

WellCare Associates and Roybal Center, New England Research Institute

The purpose of this study was to investigate the effects of offering Therapeutic Touch (TT) as an adjunct to cognitive behavioral therapy (CBT) for people with chronic pain. Patients were randomized to relaxation training (control group) or TT plus relaxation (experimental). Subsequently, all participants attended a CBT program. Preprogram and postprogram data were examined to identify patterns of change in pain intensity, self-efficacy, unitary power, disability, and perceived distress. In addition, patterns of attrition were examined. Patients in this study who were randomized to receive TT fared better in terms of enhanced self-efficacy and unitary power, as well as having lower attrition rates. Trends associated TT with less distress and disability. This pilot study suggests that offering TT as an adjunct to CBT may help to improve clinical outcomes, reduce program attrition, and promote unitary power in those who suffer with chronic pain.

Journal of Holistic Nursing, Vol. 20, No. 4, 367-387 (2002)
DOI: 10.1177/089801002237593


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