Psychological Interventions in Chronic Low Back Pain: A Systematic Review

Background and Aim: Chronic low Back Pain (CLBP) is one of the most common musculoskeletal disorders with possible psychological consequences for the patients. This study aimed to review all evidence on the effectiveness of psychological interventions in improving the mental status of people with CL...

Full description

Bibliographic Details
Main Authors: Sajjad Saadat, Mozaffar Hosseininezhad, Seyed Sepehr Khatami, Reza Ghasemi Jobaneh
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2021-04-01
Series:Iranian Journal of Neurosurgery
Subjects:
Online Access:http://irjns.org/article-1-265-en.pdf
_version_ 1797778263610753024
author Sajjad Saadat
Mozaffar Hosseininezhad
Seyed Sepehr Khatami
Reza Ghasemi Jobaneh
author_facet Sajjad Saadat
Mozaffar Hosseininezhad
Seyed Sepehr Khatami
Reza Ghasemi Jobaneh
author_sort Sajjad Saadat
collection DOAJ
description Background and Aim: Chronic low Back Pain (CLBP) is one of the most common musculoskeletal disorders with possible psychological consequences for the patients. This study aimed to review all evidence on the effectiveness of psychological interventions in improving the mental status of people with CLBP and providing recommendations for future therapeutic interventions. Methods and Materials/Patients: This systematic review was conducted on the articles published from January 2010 to December 2020. The keywords included “psychology”, “intervention”, “low back pain”, “chronic disease”, “quality of life”, “empowerment”, “psychotherapy”, “psychological interventions”, “clinical trials”, and “randomized clinical trials” in the indexing databases of Magiran, PubMed, Scopus, and Google Scholar. Of the total 1740 articles found, 14 articles were selected for review. Results: The results showed that Cognitive-Behavioral Therapy (CBT) and its combination therapies with mindfulness techniques played an influential role in improving psychological status and quality of life, and reducing pain perception in CLBP patients. The lack of RCT (randomized controlled trial) research and follow-up to assess long-term outcomes are the main limitations of the studies conducted in Iran. Conclusion: It is recommended that psychological interventions be considered alongside medical therapies to improve CLBP patients’ adjustment to chronic condition and their quality of life. Researchers and therapists should consider treatment programs based on RCT plans and long-term follow-up.
first_indexed 2024-03-12T23:14:44Z
format Article
id doaj.art-b9b7f91b4005421fbd87daa0d8d6df6e
institution Directory Open Access Journal
issn 2423-6497
2423-6829
language English
last_indexed 2024-03-12T23:14:44Z
publishDate 2021-04-01
publisher Guilan University of Medical Sciences
record_format Article
series Iranian Journal of Neurosurgery
spelling doaj.art-b9b7f91b4005421fbd87daa0d8d6df6e2023-07-17T13:33:37ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292021-04-01726774Psychological Interventions in Chronic Low Back Pain: A Systematic ReviewSajjad Saadat0Mozaffar Hosseininezhad1Seyed Sepehr Khatami2Reza Ghasemi Jobaneh3 Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Department of Neurology, Neurosciences Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Department of Counseling, Faculty of Education & Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran Background and Aim: Chronic low Back Pain (CLBP) is one of the most common musculoskeletal disorders with possible psychological consequences for the patients. This study aimed to review all evidence on the effectiveness of psychological interventions in improving the mental status of people with CLBP and providing recommendations for future therapeutic interventions. Methods and Materials/Patients: This systematic review was conducted on the articles published from January 2010 to December 2020. The keywords included “psychology”, “intervention”, “low back pain”, “chronic disease”, “quality of life”, “empowerment”, “psychotherapy”, “psychological interventions”, “clinical trials”, and “randomized clinical trials” in the indexing databases of Magiran, PubMed, Scopus, and Google Scholar. Of the total 1740 articles found, 14 articles were selected for review. Results: The results showed that Cognitive-Behavioral Therapy (CBT) and its combination therapies with mindfulness techniques played an influential role in improving psychological status and quality of life, and reducing pain perception in CLBP patients. The lack of RCT (randomized controlled trial) research and follow-up to assess long-term outcomes are the main limitations of the studies conducted in Iran. Conclusion: It is recommended that psychological interventions be considered alongside medical therapies to improve CLBP patients’ adjustment to chronic condition and their quality of life. Researchers and therapists should consider treatment programs based on RCT plans and long-term follow-up.http://irjns.org/article-1-265-en.pdfpsychologypsychotherapylow back painsystematic review
spellingShingle Sajjad Saadat
Mozaffar Hosseininezhad
Seyed Sepehr Khatami
Reza Ghasemi Jobaneh
Psychological Interventions in Chronic Low Back Pain: A Systematic Review
Iranian Journal of Neurosurgery
psychology
psychotherapy
low back pain
systematic review
title Psychological Interventions in Chronic Low Back Pain: A Systematic Review
title_full Psychological Interventions in Chronic Low Back Pain: A Systematic Review
title_fullStr Psychological Interventions in Chronic Low Back Pain: A Systematic Review
title_full_unstemmed Psychological Interventions in Chronic Low Back Pain: A Systematic Review
title_short Psychological Interventions in Chronic Low Back Pain: A Systematic Review
title_sort psychological interventions in chronic low back pain a systematic review
topic psychology
psychotherapy
low back pain
systematic review
url http://irjns.org/article-1-265-en.pdf
work_keys_str_mv AT sajjadsaadat psychologicalinterventionsinchroniclowbackpainasystematicreview
AT mozaffarhosseininezhad psychologicalinterventionsinchroniclowbackpainasystematicreview
AT seyedsepehrkhatami psychologicalinterventionsinchroniclowbackpainasystematicreview
AT rezaghasemijobaneh psychologicalinterventionsinchroniclowbackpainasystematicreview