Journal ArticleDOI
Systematic review of randomised controlled trials of psychological therapy for chronic pain in children and adolescents, with a subset meta-analysis of pain relief.
Christopher Eccleston,Stephen Morley,Amanda C. de C. Williams,Louise Yorke,Kiki Mastroyannopoulou +4 more
TLDR
A systematic review and subset meta‐analysis of published randomised controlled trials of psychological therapies for children and adolescents with chronic pain indicates that the psychological treatments examined are effective in reducing the pain of headache.Abstract:
A systematic review and subset meta-analysis of published randomised controlled trials of psychological therapies for children and adolescents with chronic pain is reported. A search of four computerised abstracting services recovered 123 papers from which 28 potential trials were identified. Eighteen met the criteria for inclusion in the review. The majority of these papers reported brief behavioural and cognitive behavioural interventions for children with headache and many were conducted in community (i.e. school) settings. Meta-analysis was applicable for 12 headache trials and one trial of recurrent abdominal pain using the Pain Index. The odds-ratio for a 50% reduction in pain was 9.62 and the number needed to treat was 2.32, indicating that the psychological treatments examined are effective in reducing the pain of headache. The quality of the 18 trials retrieved is narratively reviewed and suggestions for the development of trials in this field are made.read more
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Journal ArticleDOI
Psychological therapies for the management of chronic pain (excluding headache) in adults
TL;DR: Overall there is an absence of evidence for behaviour therapy, except a small improvement in mood immediately following treatment when compared with an active control, and benefits of CBT emerged almost entirely from comparisons with treatment as usual/waiting list, not with active controls.
Journal ArticleDOI
Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research.
TL;DR: The evidence base for CBT as applied to chronic pain is reviewed, recent innovations in target populations and delivery methods that expand the application of CBT to underserved populations are reviewed, and promising directions for improving CBT efficacy and access are reviewed.
Journal ArticleDOI
Coping or acceptance: What to do about chronic pain?
TL;DR: Results showed that coping variables were relatively weakly related to acceptance of pain and relatively unreliably related to pain adjustment variables, and acceptance of chronic pain was associated with less pain, disability, depression and pain‐related anxiety, higher daily uptime, and better work status.
Journal ArticleDOI
The child version of the pain catastrophizing scale (PCS-C): a preliminary validation
Geert Crombez,Patricia Bijttebier,Christopher Eccleston,T Mascagni,Gustaaf Mertens,Liesbet Goubert,Liesbet Goubert,Katrien Verstraeten +7 more
TL;DR: The Pain Catastrophizing Scale for Children was adapted for use in children, and its construct and predictive validity was investigated in two studies, revealing that catastrophizing about pain had a unique contribution in predicting pain intensity beyond gender and age.
Journal ArticleDOI
Mediators, moderators, and predictors of therapeutic change in cognitive-behavioral therapy for chronic pain.
TL;DR: The results provide further support for cognitive–behavioral models of chronic pain and point to the potential benefits of interventions to modify specific pain‐related beliefs in CBT and in other health care encounters.
References
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B. S. Everitt,Joseph L. Fleiss +1 more
Journal ArticleDOI
Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache
TL;DR: Cognitive-behavioural treatments based on the principle of cognitive behavioural therapy are effective and are associated with significant effect sizes on all domains of measurement.
Journal ArticleDOI
The epidemiology of chronic pain in the community
TL;DR: Backward stepwise logistic-regression modelling identified age, sex, housing tenure, and employment status as significant predictors of the presence of chronic pain in the community.