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An umbrella review of the literature on the effectiveness of psychological interventions for pain reduction.
Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, University Campus, 45110, Ioannina, Greece.
Lab of Cognitive Neuroscience, School of Psychology, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
Department of Psychiatry, University of Ioannina School of Medicine, University Campus, 45110, Ioannina, Greece.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, University Campus, 45110, Ioannina, Greece.
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2017 (English)In: BMC Psychology, E-ISSN 2050-7283, Vol. 5, no 1, article id 31Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Psychological interventions are widely implemented for pain management and treatment, but their reported effectiveness shows considerable variation and there is elevated likelihood for bias.

METHODS: We summarized the strength of evidence and extent of potential biases in the published literature of psychological interventions for pain treatment using a range of criteria, including the statistical significance of the random effects summary estimate and of the largest study of each meta-analysis, number of participants, 95% prediction intervals, between-study heterogeneity, small-study effects and excess significance bias.

RESULTS: Thirty-eight publications were identified, investigating 150 associations between several psychological interventions and 29 different types of pain. Of the 141 associations based on only randomized controlled trials, none presented strong or highly suggestive evidence by satisfying all the aforementioned criteria. The effect of psychological interventions on reducing cancer pain severity, pain in patients with arthritis, osteoarthritis, rheumatoid arthritis, breast cancer, fibromyalgia, irritable bowel syndrome, self-reported needle-related pain in children/adolescents or with chronic musculoskeletal pain, chronic non-headache pain and chronic pain in general were supported by suggestive evidence.

CONCLUSIONS: The present findings reveal the lack of strong supporting empirical evidence for the effectiveness of psychological treatments for pain management and highlight the need to further evaluate the established approach of psychological interventions to ameliorate pain.

Place, publisher, year, edition, pages
2017. Vol. 5, no 1, article id 31
Keyword [en]
Pain, Pain management, Psychological interventions, Psychology, Umbrella review
National Category
Occupational Therapy Other Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-146133DOI: 10.1186/s40359-017-0200-5PubMedID: 28859685OAI: oai:DiVA.org:liu-146133DiVA, id: diva2:1194049
Available from: 2018-03-28 Created: 2018-03-28 Last updated: 2018-03-28

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