A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress

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, W...

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Autores: Sanabria-Mazo, Juan P.|||0000-0003-1688-435X, Colomer-Carbonell, Ariadna|||0000-0001-8923-6316, Fernández-Vázquez, Óscar, Noboa-Rocamora, Georgina, Cardona-Ros, Gemma, McCracken, Lance M.|||0000-0002-9734-0153, Montes-Pérez, Antonio, Castaño Asins, Juan Ramon|||0000-0001-6571-503X, Edo Izquierdo, Sílvia|||0000-0002-6564-3475, Borràs, Xavier|||0000-0003-3972-1385, Sanz Ruiz, Antoni|||0000-0002-7952-4477, Feliu-Soler, Albert|||0000-0003-2810-7670, Luciano, Juan Vicente|||0000-0003-0750-1599
Formato: artículo
Fecha de publicación:2023
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:311180
Acesso em linha:https://ddd.uab.cat/record/311180
https://dx.doi.org/urn:doi:10.3389/fpsyg.2023.1200685
Access Level:acceso abierto
Palavra-chave:Cognitive behavioral therapy
Chronic pain
Distress
Depression
Anxiety
Systematic review
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spelling A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distressSanabria-Mazo, Juan P.|||0000-0003-1688-435XColomer-Carbonell, Ariadna|||0000-0001-8923-6316Fernández-Vázquez, ÓscarNoboa-Rocamora, GeorginaCardona-Ros, GemmaMcCracken, Lance M.|||0000-0002-9734-0153Montes-Pérez, AntonioCastaño Asins, Juan Ramon|||0000-0001-6571-503XEdo Izquierdo, Sílvia|||0000-0002-6564-3475Borràs, Xavier|||0000-0003-3972-1385Sanz Ruiz, Antoni|||0000-0002-7952-4477Feliu-Soler, Albert|||0000-0003-2810-7670Luciano, Juan Vicente|||0000-0003-0750-1599Cognitive behavioral therapyChronic painDistressDepressionAnxietySystematic reviewChronic 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.Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'EducacióUniversitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/311180https://dx.doi.org/urn:doi:10.3389/fpsyg.2023.1200685reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI19/00112Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 ICI20/00080open accesshttp://purl.org/coar/access_right/c_abf2Aquesta url de drets no existeix a la base de dades.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3111802026-06-06T12:50:31Z
dc.title.none.fl_str_mv A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
title A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
spellingShingle A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
Sanabria-Mazo, Juan P.|||0000-0003-1688-435X
Cognitive behavioral therapy
Chronic pain
Distress
Depression
Anxiety
Systematic review
title_short A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
title_full A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
title_fullStr A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
title_full_unstemmed A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
title_sort A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress
dc.creator.none.fl_str_mv Sanabria-Mazo, Juan P.|||0000-0003-1688-435X
Colomer-Carbonell, Ariadna|||0000-0001-8923-6316
Fernández-Vázquez, Óscar
Noboa-Rocamora, Georgina
Cardona-Ros, Gemma
McCracken, Lance M.|||0000-0002-9734-0153
Montes-Pérez, Antonio
Castaño Asins, Juan Ramon|||0000-0001-6571-503X
Edo Izquierdo, Sílvia|||0000-0002-6564-3475
Borràs, Xavier|||0000-0003-3972-1385
Sanz Ruiz, Antoni|||0000-0002-7952-4477
Feliu-Soler, Albert|||0000-0003-2810-7670
Luciano, Juan Vicente|||0000-0003-0750-1599
author Sanabria-Mazo, Juan P.|||0000-0003-1688-435X
author_facet Sanabria-Mazo, Juan P.|||0000-0003-1688-435X
Colomer-Carbonell, Ariadna|||0000-0001-8923-6316
Fernández-Vázquez, Óscar
Noboa-Rocamora, Georgina
Cardona-Ros, Gemma
McCracken, Lance M.|||0000-0002-9734-0153
Montes-Pérez, Antonio
Castaño Asins, Juan Ramon|||0000-0001-6571-503X
Edo Izquierdo, Sílvia|||0000-0002-6564-3475
Borràs, Xavier|||0000-0003-3972-1385
Sanz Ruiz, Antoni|||0000-0002-7952-4477
Feliu-Soler, Albert|||0000-0003-2810-7670
Luciano, Juan Vicente|||0000-0003-0750-1599
author_role author
author2 Colomer-Carbonell, Ariadna|||0000-0001-8923-6316
Fernández-Vázquez, Óscar
Noboa-Rocamora, Georgina
Cardona-Ros, Gemma
McCracken, Lance M.|||0000-0002-9734-0153
Montes-Pérez, Antonio
Castaño Asins, Juan Ramon|||0000-0001-6571-503X
Edo Izquierdo, Sílvia|||0000-0002-6564-3475
Borràs, Xavier|||0000-0003-3972-1385
Sanz Ruiz, Antoni|||0000-0002-7952-4477
Feliu-Soler, Albert|||0000-0003-2810-7670
Luciano, Juan Vicente|||0000-0003-0750-1599
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv 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
dc.subject.none.fl_str_mv Cognitive behavioral therapy
Chronic pain
Distress
Depression
Anxiety
Systematic review
topic Cognitive behavioral therapy
Chronic pain
Distress
Depression
Anxiety
Systematic review
description 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.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/311180
https://dx.doi.org/urn:doi:10.3389/fpsyg.2023.1200685
url https://ddd.uab.cat/record/311180
https://dx.doi.org/urn:doi:10.3389/fpsyg.2023.1200685
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI19/00112
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 ICI20/00080
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Aquesta url de drets no existeix a la base de dades.
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Aquesta url de drets no existeix a la base de dades.
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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