A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
ObjectiveChronic pain frequently co-occurs with clinically relevant psychological distress. A systematic review was conducted to identify the efficacy of cognitive behavioral therapy-based interventions for patients with these comorbid conditions.MethodsThe systematic search was carried out in Medli...
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| Format: | Article |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1200685/full |
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| author | Juan P. Sanabria-Mazo Juan P. Sanabria-Mazo Juan P. Sanabria-Mazo Ariadna Colomer-Carbonell Ariadna Colomer-Carbonell Ariadna Colomer-Carbonell Óscar Fernández-Vázquez Óscar Fernández-Vázquez Georgina Noboa-Rocamora Georgina Noboa-Rocamora Gemma Cardona-Ros Lance M. McCracken Antonio Montes-Pérez Juan R. Castaño-Asins Sílvia Edo Xavier Borràs Xavier Borràs Antoni Sanz Albert Feliu-Soler Albert Feliu-Soler Juan V. Luciano Juan V. Luciano Juan V. Luciano |
| author_facet | Juan P. Sanabria-Mazo Juan P. Sanabria-Mazo Juan P. Sanabria-Mazo Ariadna Colomer-Carbonell Ariadna Colomer-Carbonell Ariadna Colomer-Carbonell Óscar Fernández-Vázquez Óscar Fernández-Vázquez Georgina Noboa-Rocamora Georgina Noboa-Rocamora Gemma Cardona-Ros Lance M. McCracken Antonio Montes-Pérez Juan R. Castaño-Asins Sílvia Edo Xavier Borràs Xavier Borràs Antoni Sanz Albert Feliu-Soler Albert Feliu-Soler Juan V. Luciano Juan V. Luciano Juan V. Luciano |
| author_sort | Juan P. Sanabria-Mazo |
| collection | DOAJ |
| description | ObjectiveChronic pain frequently co-occurs with clinically relevant psychological distress. A systematic review was conducted to identify the efficacy of cognitive behavioral therapy-based interventions for patients with these comorbid conditions.MethodsThe systematic search was carried out in Medline, PsycINFO, Web of Science, and Scopus up to March 18th, 2023. Four reviewers independently conducted screenings, extraction, and quality assessment.ResultsTwelve randomized controlled trials and one non-randomized controlled trial involving 1,661 participants that examined the efficacy of Cognitive Behavioral Therapy (nine studies), Mindfulness-based Interventions (three studies), Acceptance and Commitment Therapy (one study), and Behavioral Activation Therapy for Depression (one study) were included. Compared to treatment as usual, six out of eight studies of traditional Cognitive Behavioral Therapy reported significant differences in the reduction of depressive symptoms at post-treatment (d from 1.31 to 0.18) and four out of six at follow-up (d from 0.75 to 0.26); similarly, five out of six reported significant differences in the reduction of anxiety symptoms at post-treatment (d from 1.08 to 0.19) and three out of four at follow-up (d from 1.07 to 0.27). Overall, no significant differences between traditional Cognitive Behavioral Therapy and treatment as usual were reported at post-treatment and follow-up in the studies exploring pain intensity and pain catastrophizing.ConclusionThe available evidence suggests that traditional Cognitive Behavioral Therapy may produce significant benefits for the improvement of depression, anxiety, and quality of life, but not for pain intensity and pain catastrophizing. More evidence is needed to determine the effects of MBI, ACT, and BATD.Systematic review registrationPROSPERO, CRD42021219921. |
| first_indexed | 2024-03-08T21:13:15Z |
| format | Article |
| id | doaj.art-4b4ae291da1c4b6fa428a8fc60d67475 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-08T21:13:15Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-4b4ae291da1c4b6fa428a8fc60d674752023-12-22T04:42:40ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-12-011410.3389/fpsyg.2023.12006851200685A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distressJuan P. Sanabria-Mazo0Juan P. Sanabria-Mazo1Juan P. Sanabria-Mazo2Ariadna Colomer-Carbonell3Ariadna Colomer-Carbonell4Ariadna Colomer-Carbonell5Óscar Fernández-Vázquez6Óscar Fernández-Vázquez7Georgina Noboa-Rocamora8Georgina Noboa-Rocamora9Gemma Cardona-Ros10Lance M. McCracken11Antonio Montes-Pérez12Juan R. Castaño-Asins13Sílvia Edo14Xavier Borràs15Xavier Borràs16Antoni Sanz17Albert Feliu-Soler18Albert Feliu-Soler19Juan V. Luciano20Juan V. Luciano21Juan V. Luciano22Teaching, Research, and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainDepartment of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Barcelona, SpainCentre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, SpainTeaching, Research, and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainDepartment of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Barcelona, SpainCentre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, SpainTeaching, Research, and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainFaculty of Psychology, University of Barcelona, Barcelona, SpainTeaching, Research, and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainFaculty of Psychology, University of Barcelona, Barcelona, SpainTeaching, Research, and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainPsychology Department, Uppsala University, Uppsala, SwedenParc de Salut MAR, Barcelona, SpainParc de Salut MAR, Barcelona, SpainDepartment of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Barcelona, SpainDepartment of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Barcelona, SpainCentre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, SpainDepartment of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Barcelona, SpainCentre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, SpainDepartment of Clinical and Health Psychology, Autonomous University of Barcelona, Barcelona, SpainTeaching, Research, and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainCentre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, SpainDepartment of Clinical and Health Psychology, Autonomous University of Barcelona, Barcelona, SpainObjectiveChronic pain frequently co-occurs with clinically relevant psychological distress. A systematic review was conducted to identify the efficacy of cognitive behavioral therapy-based interventions for patients with these comorbid conditions.MethodsThe systematic search was carried out in Medline, PsycINFO, Web of Science, and Scopus up to March 18th, 2023. Four reviewers independently conducted screenings, extraction, and quality assessment.ResultsTwelve randomized controlled trials and one non-randomized controlled trial involving 1,661 participants that examined the efficacy of Cognitive Behavioral Therapy (nine studies), Mindfulness-based Interventions (three studies), Acceptance and Commitment Therapy (one study), and Behavioral Activation Therapy for Depression (one study) were included. Compared to treatment as usual, six out of eight studies of traditional Cognitive Behavioral Therapy reported significant differences in the reduction of depressive symptoms at post-treatment (d from 1.31 to 0.18) and four out of six at follow-up (d from 0.75 to 0.26); similarly, five out of six reported significant differences in the reduction of anxiety symptoms at post-treatment (d from 1.08 to 0.19) and three out of four at follow-up (d from 1.07 to 0.27). Overall, no significant differences between traditional Cognitive Behavioral Therapy and treatment as usual were reported at post-treatment and follow-up in the studies exploring pain intensity and pain catastrophizing.ConclusionThe available evidence suggests that traditional Cognitive Behavioral Therapy may produce significant benefits for the improvement of depression, anxiety, and quality of life, but not for pain intensity and pain catastrophizing. More evidence is needed to determine the effects of MBI, ACT, and BATD.Systematic review registrationPROSPERO, CRD42021219921.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1200685/fullcognitive behavioral therapychronic paindistressdepressionanxietysystematic review |
| spellingShingle | Juan P. Sanabria-Mazo Juan P. Sanabria-Mazo Juan P. Sanabria-Mazo Ariadna Colomer-Carbonell Ariadna Colomer-Carbonell Ariadna Colomer-Carbonell Óscar Fernández-Vázquez Óscar Fernández-Vázquez Georgina Noboa-Rocamora Georgina Noboa-Rocamora Gemma Cardona-Ros Lance M. McCracken Antonio Montes-Pérez Juan R. Castaño-Asins Sílvia Edo Xavier Borràs Xavier Borràs Antoni Sanz Albert Feliu-Soler Albert Feliu-Soler Juan V. Luciano Juan V. Luciano Juan V. Luciano A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress Frontiers in Psychology cognitive behavioral therapy chronic pain distress depression anxiety systematic review |
| title | A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress |
| title_full | A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress |
| title_fullStr | A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress |
| title_full_unstemmed | A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress |
| title_short | A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress |
| title_sort | systematic review of cognitive behavioral therapy based interventions for comorbid chronic pain and clinically relevant psychological distress |
| topic | cognitive behavioral therapy chronic pain distress depression anxiety systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1200685/full |
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