Cochrane · systematic review · CD013863
Psychological therapies delivered remotely for the management of chronic pain (excluding headache) in adults
Rosser, BA, Fisher, E, Janjua, S, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
24
current version
GRADE rated
17
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 7 · 29.2%Very low 7 · 29.2%Low 3 · 12.5%Moderate 7 · 29.2%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 compared to TAU (post‐treatment) for the management of chronic pain (excluding headache) in adults
Population: chronic pain (excluding headache) in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity (Higher scores indicate higher pain intensity) CBT vs TAU (post‐treatment) | no estimate extracted | 20 studies · 3206 participants | Moderate Downgraded: inconsistency |
Pain intensity (number of people with ≥ 30% improvement) (Higher scores indicate improvement) CBT vs TAU (post‐treatment) | RR 2.15 [1.62, 2.85] | 5 studies · 1347 participants | Moderate Downgraded: publication bias |
Pain intensity (number of people with ≥ 50% improvement) (Higher scores indicate improvement) CBT vs TAU (post‐treatment) | RR 2.31 [1.14, 4.66] | 4 studies · 1229 participants | Low Downgraded: imprecision, publication bias |
Functional disability (Higher scores indicate higher levels of disability) CBT vs TAU (post‐treatment) | no estimate extracted | 14 studies · 2672 participants | Low Downgraded: inconsistency |
Quality of life (Higher scores indicate improvement) CBT vs TAU (post‐treatment) | no estimate extracted | 7 studies · 1423 participants | Very low Downgraded: inconsistency, publication bias |
Adverse events (number of people with adverse events) (Lower events indicate fewer adverse events) Interventions lasted 10 weeks CBT vs TAU (post‐treatment) | RR 6 [2.2, 16.4] | 1 study · 140 participants | Very low Downgraded: imprecision, indirectness |
CBT compared to TAU (at follow‐up) for the management of chronic pain (excluding headache) in adults
Population: chronic pain (excluding headache) in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity (Higher scores indicate greater pain intensity) CBT vs TAU (at follow‐up) | no estimate extracted | 8 studies · 959 participants | Moderate Downgraded: imprecision |
Pain intensity (number of people with ≥ 30 % improvement) Interventions lasted 13 weeks CBT vs TAU (at follow‐up) | RR 1.7 [0.82, 3.53] | 1 study · 69 participants | Very low Downgraded: imprecision, indirectness |
Pain intensity (number of people with ≥ 50 % improvement) CBT vs TAU (at follow‐up) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Functional disability (Higher scores indicate increased disability) CBT vs TAU (at follow‐up) | no estimate extracted | 3 studies · 461 participants | Moderate Downgraded: imprecision |
Quality of life (Higher scores indicate improvement) CBT vs TAU (at follow‐up) | no estimate extracted | 3 studies · 352 participants | Moderate Downgraded: imprecision |
Adverse events (number of people with adverse events) CBT vs TAU (at follow‐up) | no estimate extracted | 0 studies · 0 participants | Ungraded |
CBT compared to active control (post‐treatment) for the management of chronic pain (excluding headache) in adults
Population: chronic pain (excluding headache) in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity (Higher scores indicate increased pain intensity) CBT vs active control (post‐treatment) | no estimate extracted | 3 studies · 261 participants | Moderate Downgraded: imprecision |
Pain intensity (number of people with ≥ 30% improvement) CBT vs active control (post‐treatment) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Pain intensity (number of people with ≥ 50% improvement) CBT vs active control (post‐treatment) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Functional disability (Higher scores indicate greater disability) CBT vs active control (post‐treatment) | no estimate extracted | 2 studies · 189 participants | Low Downgraded: imprecision |
Quality of life (Higher scores indicate improvement) CBT vs active control (post‐treatment) | no estimate extracted | 3 studies · 261 participants | Moderate Downgraded: imprecision |
Adverse events (Number of people experiencing adverse events)Interventions lasted 8 weeks CBT vs active control (post‐treatment) | no estimate extracted | 1 study · 135 participants | Very low Downgraded: imprecision, indirectness |
CBT compared to active control (at follow‐up) for the management of chronic pain (excluding headache) in adults
Population: chronic pain (excluding headache) in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity (Higher scores indicate greater pain intensity) CBT vs active control (at follow‐up) | no estimate extracted | 1 study · 127 participants | Very low Downgraded: imprecision, indirectness |
Pain intensity (number of people with ≥ 30% improvement) CBT vs active control (at follow‐up) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Pain intensity (number of people with ≥ 50% improvement) CBT vs active control (at follow‐up) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Functional disability (Higher scores indicate greater levels of disability) CBT vs active control (at follow‐up) | no estimate extracted | 1 study · 127 participants | Very low Downgraded: imprecision, indirectness |
Quality of life (Higher scores indicate improvement) CBT vs active control (at follow‐up) | no estimate extracted | 1 study · 127 participants | Very low Downgraded: imprecision, indirectness |
Adverse events CBT vs active control (at follow‐up) | no estimate extracted | 0 studies · 0 participants | Ungraded |