Cochrane · systematic review · CD011118
Psychological therapies (remotely delivered) 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 · 2019 · 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 14 · 100%Low 0 · 0%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
Summary of findings for children with headache conditions
Population: children or adolescents with headaches
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Achievement of at least 50% reduction in headache severity Post‐treatment Higher scores indicate more children with reduced headache | RR 2.02 [1.35, 3.01] | 7 studies · 379 participants | Very low Downgraded: inconsistency, indirectness |
Achievement of at least 50% reduction in headache severity | RR 1.76 [0.88, 3.52] | 4 studies · 230 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Disability Post‐treatment Lower scores indicate lower levels of disability | no estimate extracted | 5 studies · 440 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Disability | no estimate extracted | 3 studies · 341 participants | Very low Downgraded: imprecision, indirectness |
Depression Post‐treatment Lower scores indicate lower levels of depression | no estimate extracted | 4 studies · 422 participants | Very low Downgraded: imprecision, indirectness |
Anxiety Post‐treatment Lower scores indicate lower levels of anxiety | no estimate extracted | 3 studies · 380 participants | Very low Downgraded: imprecision, indirectness |
Anxiety | no estimate extracted | 3 studies · 360 participants | Very low Downgraded: imprecision, indirectness |
Summary of findings for children with mixed chronic pain conditions
Population: children or adolescents with mixed chronic pain conditions
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity Post‐treatment Lower scores indicate lower levels of pain intensity | no estimate extracted | 5 studies · 501 participants | Very low Downgraded: imprecision, inconsistency |
Pain intensity | no estimate extracted | 2 studies · 301 participants | Very low Downgraded: imprecision, inconsistency |
Disability Post‐treatment Lower scores indicate lower levels of disability | no estimate extracted | 3 studies · 363 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Disability | no estimate extracted | 1 study · 269 participants | Very low Downgraded: imprecision |
Depression Post‐treatment Lower scores indicate lower levels of depression | no estimate extracted | 2 studies · 317 participants | Very low Downgraded: imprecision |
Anxiety Post‐treatment Lower scores indicate lower levels of anxiety | no estimate extracted | 2 studies · 370 participants | Very low Downgraded: imprecision, inconsistency |
Anxiety | no estimate extracted | 1 study · 269 participants | Very low Downgraded: imprecision |