Cochrane · systematic review · CD003968
Psychological therapies for the management of chronic and recurrent pain in children and adolescents
Fisher, E, Law, E, Dudeney, J, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
14
No studies
1
Included studies
NR
No studies 1 · 6.7%Ungraded 0 · 0%Very low 10 · 66.7%Low 4 · 26.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 3 versionsSummary of findings
Population: Children and adolescents with chronic pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain: 50% reduction in headache frequency Post‐treatment Lower scores = fewer headaches | RR 2.35 [1.67, 3.3] | 15 studies · 644 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Pain: 50% reduction in headache frequency | RR 2.73 [0.98, 7.63] | 5 studies · 223 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Disability Post‐treatment Lower scores = lower reported disability | no estimate extracted | 6 studies · 446 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Disability | no estimate extracted | 3 studies · 209 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Anxiety Post‐treatment Lower scores = lower reported anxiety | no estimate extracted | 7 studies · 439 participants | Very low Downgraded: risk of bias |
Anxiety | no estimate extracted | 4 studies · 271 participants | Very low Downgraded: risk of bias |
Depression Post‐treatment Lower scores = lower reported depression | no estimate extracted | 6 studies · 400 participants | Very low Downgraded: risk of bias |
Summary of findings
Population: Children and adolescents with chronic pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain Post‐treatment Lower scores = lower reported pain intensity | no estimate extracted | 16 studies · 1210 participants | Very low Downgraded: risk of bias, inconsistency, publication bias |
Pain | no estimate extracted | 9 studies · 763 participants | Very low Downgraded: risk of bias, inconsistency, publication bias |
Disability Post‐treatment Lower scores = lower reported disability | no estimate extracted | 14 studies · 1226 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Disability | no estimate extracted | 9 studies · 866 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Anxiety Post‐treatment Lower scores = lower reported anxiety | no estimate extracted | 8 studies · 883 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Anxiety | no estimate extracted | 8 studies · 805 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Depression Post‐treatment Lower scores = lower reported depression | no estimate extracted | 8 studies · 757 participants | Very low Downgraded: risk of bias, inconsistency, publication bias |
CI: Confidence interval. | no estimate extracted | NR | No studies |