Cochrane · systematic review · CD012051

Interventions for treating persistent pain in survivors of torture

Baird, E, Williams, ACDC, Hearn, L, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
7
current version
GRADE rated
3
No studies
4
Included studies
NR
No studies 4 · 57.1%Ungraded 0 · 0%Very low 3 · 42.9%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

CBT with biofeedback ± physical exercise versus waiting list control for pain in torture survivors

Population: adult torture survivors with chronic pain
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain relief At least 30% pain relief or pain < 5/10 Scales: VRS 0‐6; SFMPQ‐PRI (0‐45)
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extracted2 studies · 58 participantsVery low
Downgraded: risk of bias
Adverse effects, including dropout and attrition
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extractedNRNo studies
Reduced use of analgesics
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extractedNRNo studies
Reduction in disability Pain Coping Questionnaire behavioural subscale (12 items: 0‐7); WHODAS‐II (12 items: 1‐5)
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extracted2 studies · 57 participantsVery low
Downgraded: risk of bias
Quality of life
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extractedNRNo studies
Reduction in distress PDS (17 items: 0‐3) HTQ‐Part IV (30 items: 1‐4)
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extracted2 studies · 58 participantsVery low
Downgraded: risk of bias
Global improvement, satisfaction
CBT with biofeedback ± physical exercise vs waiting list control
no estimate extractedNRNo studies