A Brief Intervention for Chronic Pain in Primary Care

• Insomnia Severity Index[ Time Frame: 5 weeks post-baseline ]
  This measure assess difficulty with sleep. Total scores range from 0-28, with greater numbers indicating greater sleep difficulty.
• Pain Catastrophizing Scale[ Time Frame: 5 weeks post-baseline ]
  This measure assesses catastrophizing thoughts about pain. Total scores range from 0-52 with higher scores indicating greater catastrophizing. The three subscales are rumination (range= 0-16), magnification (range= 0-12), and helplessness (range= 0-24).
• Satisfaction with Life Scale[ Time Frame: 5 weeks post-baseline ]
  This measure assesses how satisfied a patient is with their life. Total scores range from 7-35 with higher scores indicating greater satisfaction.
• Health care utilization[ Time Frame: Six months after baseline ]
  The number of primary and specialty care visits, prescriptions written, emergency room visits, and hospital admissions

The purpose of this research study is to investigate potential benefits of a behavioral intervention for co-occurring chronic pain and distress that is delivered in a primary care clinic.

• Behavioral: Psychotherapy
  Participants will complete 5, 60 minutes sessions. At each session, participants will learn strategies that have been shown to improve pain functioning and/or mood for patients who have chronic pain. The intervention will be delivered in the patient's primary care clinic.

• Experimental: Intervention Group
  Participants will engage in a 5 session psychotherapy intervention focused on improving pain and mood.
• No Intervention: Control Group
  Patients will receive treatment as usual from their care providers.