Key takeaways:

Online dialectical behavioral therapy was linked to improved depression symptoms and reduced pain intensity at 12 weeks.

The dialectical behavioral therapy skills included mindfulness and distress tolerance.

Perspective from David D. Clarke, MD

Adults with chronic pain who received online dialectical behavioral therapy experienced improved emotional dysregulation compared with adults who continued treatment as usual, according to a study published in JAMA Network Open .

“Emotion dysregulation effectively means difficulty in bringing up positive emotions and a tendency to damp down negative emotions,” Nell Norman-Nott, PhD , research fellow at University of New South Wales in Sydney, Australia and head of the Emotional Recovery Program for Chronic Pain at th

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