Pain Coping Skills Training Before Total Knee Arthroplasty: A Multisite RCT (ptinquest.libsyn.com)

• Preoperative CBT did not improve post-TKA outcomes in high-catastrophizing patients.
• The study contrasts with earlier quasi-experimental findings.
• Pain catastrophizing remains a critical target, but intervention timing and intensity may need adjustment.

"A randomized trial examined pain coping skills training (CBT) for patients with high pain catastrophizing before TKA. Despite prior quasi-experimental evidence suggesting benefit, the RCT found no significant improvement in pain or function postoperatively. The findings highlight the complexity of psychological interventions in surgical populations and the need for more tailored approaches."