A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
Sanabria-Mazo, Juan P. (Parc Sanitari Sant Joan de Déu)
Colomer-Carbonell, Ariadna (Parc Sanitari Sant Joan de Déu)
Fernández-Vázquez, Óscar (Parc Sanitari Sant Joan de Déu)
Noboa-Rocamora, Georgina (Parc Sanitari Sant Joan de Déu)
Cardona-Ros, Gemma (Parc Sanitari Sant Joan de Déu)
McCracken, Lance M (Uppsala Universitet. Psychology Department)
Montes-Pérez, Antonio (Parc de Salut MAR de Barcelona)
Castaño Asins, Juan Ramon (Parc de Salut MAR de Barcelona)
Edo Izquierdo, Sílvia (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Borràs, Xavier (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Sanz Ruiz, Antoni (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Feliu-Soler, Albert (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Luciano, Juan V. (Parc Sanitari Sant Joan de Déu)
Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació
Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut

Data:	2023
Descripció:	18 pàg.
Resum:	Chronic pain frequently co-occurs with clinically relevant psychological distress. A systematic review was conducted to identify the efficacy of cognitive behavioral therapy-based interventions for patients with these comorbid conditions. The systematic search was carried out in Medline, PsycINFO, Web of Science, and Scopus up to March 18th, 2023. Four reviewers independently conducted screenings, extraction, and quality assessment. Twelve randomized controlled trials and one non-randomized controlled trial involving 1,661 participants that examined the efficacy of Cognitive Behavioral Therapy (nine studies), Mindfulness-based Interventions (three studies), Acceptance and Commitment Therapy (one study), and Behavioral Activation Therapy for Depression (one study) were included. Compared to treatment as usual, six out of eight studies of traditional Cognitive Behavioral Therapy reported significant differences in the reduction of depressive symptoms at post-treatment (d from 1. 31 to 0. 18) and four out of six at follow-up (d from 0. 75 to 0. 26); similarly, five out of six reported significant differences in the reduction of anxiety symptoms at post-treatment (d from 1. 08 to 0. 19) and three out of four at follow-up (d from 1. 07 to 0. 27). Overall, no significant differences between traditional Cognitive Behavioral Therapy and treatment as usual were reported at post-treatment and follow-up in the studies exploring pain intensity and pain catastrophizing. The available evidence suggests that traditional Cognitive Behavioral Therapy may produce significant benefits for the improvement of depression, anxiety, and quality of life, but not for pain intensity and pain catastrophizing. More evidence is needed to determine the effects of MBI, ACT, and BATD.
Ajuts:	Instituto de Salud Carlos III PI19/00112 Instituto de Salud Carlos III ICI20/00080
Nota:	Altres ajuts: Co-financed with European Union ERDF funds. JS-M has a PFIS predoctoral contract from the ISCIII (FI20/00034). AC-C has a FI predoctoral contract from AGAUR (FI_B/00216)
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Cognitive behavioral therapy ; Chronic pain ; Distress ; Depression ; Anxiety ; Systematic review
Publicat a:	Frontiers in psychology, Vol. 14 (december 2023) , art. e1200685, ISSN 1664-1078

DOI: 10.3389/fpsyg.2023.1200685
PMID: 38187407

18 p, 843.9 KB

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