Cochrane · systematic review · CD007407
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, AC de C, Fisher, E, Hearn, L, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Pain, Palliative and Supportive CareAMSTAR 2: not assessed
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
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 14.3%Low 3 · 21.4%Moderate 9 · 64.3%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
Summary of findings: CBT compared with AC for adults with chronic pain
Population: Adults with chronic pain (excluding headache)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity at the end of treatment as measured by multiple scales including VAS, BPI, AIMS, numerical rating scale, MPI Higher scores indicate higher pain intensity Summary of findings: CBT vs AC | no estimate extracted | 23 studies · 3235 participants | Moderate Downgraded: risk of bias |
Pain intensity at Summary of findings: CBT vs AC | no estimate extracted | 16 studies · 2362 participants | Moderate Downgraded: risk of bias |
Disability at the end of treatment as measured by multiple scales including RMDQ, AIMS Higher scores indicate higher levels of disability Summary of findings: CBT vs AC | no estimate extracted | 19 studies · 2543 participants | Moderate Downgraded: risk of bias |
Disability at Summary of findings: CBT vs AC | no estimate extracted | 15 studies · 1919 participants | Low Downgraded: risk of bias |
Distress at the end of treatment as measured by multiple scales including BDI, DASS and CES‐D Higher scores indicate higher levels of distress Summary of findings: CBT vs AC | no estimate extracted | 24 studies · 3297 participants | Moderate Downgraded: risk of bias |
Distress at Summary of findings: CBT vs AC | no estimate extracted | 16 studies · 2363 participants | Moderate Downgraded: risk of bias |
Adverse events Higher scores indicate higher numbers of AEs Summary of findings: CBT vs AC | no estimate extracted | 3 studies · 689 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |
Summary of findings: CBT compared with TAU for adults with chronic pain
Population: Adults with chronic pain (excluding headache)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity at the end of treatment as measured by multiple scales including VAS, BPI, AIMS, numerical rating scale, MPI Higher scores indicate higher pain intensity Summary of findings: CBT vs TAU | no estimate extracted | 29 studies · 2572 participants | Moderate Downgraded: risk of bias |
Pain intensity at Summary of findings: CBT vs TAU | no estimate extracted | 15 studies · 1674 participants | Moderate Downgraded: risk of bias |
Disability at the end of treatment as measured by multiple scales including AIMS, ODI, FIQ, MPI Higher scores indicate higher levels of disability Summary of findings: CBT vs TAU | no estimate extracted | 28 studies · 2524 participants | Low Downgraded: risk of bias |
Disability at Summary of findings: CBT vs TAU | no estimate extracted | 15 studies · 1581 participants | Low Downgraded: risk of bias |
Distress at the end of treatment as measured by multiple scales including BDI, CES‐D, SCL‐90R, HADS Higher scores indicate higher levels of distress Summary of findings: CBT vs TAU | no estimate extracted | 27 studies · 2559 participants | Moderate Downgraded: risk of bias |
Distress at Summary of findings: CBT vs TAU | no estimate extracted | 16 studies · 1757 participants | Moderate Downgraded: risk of bias |
Adverse events Higher scores indicate higher numbers of AEs Summary of findings: CBT vs TAU | no estimate extracted | 8 studies · 1314 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |