Evaluation of Cognitive Behavioral Therapy on Improving Pain, Fear Avoidance, and Self-Efficacy in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis.
Evaluation of Cognitive Behavioral Therapy on Improving Pain, Fear Avoidance, and Self-Efficacy in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis.
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DOI：
10.1155/2022/4276175
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发表时间：
2022
影响因子：
2.9
通讯作者：
Wang C
中科院分区：
文献类型：
--
作者：
Yang J;Lo WLA;Zheng F;Cheng X;Yu Q;Wang C
认知行为疗法(CBT)通常用于慢性下腰痛(CLBP)患者的疼痛管理计划。然而，CBT的好处仍不清楚。本综述调查了CBT对慢性阻塞性肺疾病患者疼痛、残疾、恐惧回避和自我效能的有效性。检索的数据库包括PubMed、EMBASE、Web of Science、Cochrane Library和CogcINFO。纳入研究CBT对成人慢性阻塞性肺疾病疗效的随机对照试验。关于疼痛、残疾、恐惧回避和自我效能的结果的数据被保留。根据CBT与对照组(等待名单/常规护理、积极治疗)和同时CBT与单独CBT的亚组分析CBT对治疗后的影响。使用了随机效应模型，并探索了统计异质性。纳入文章22篇。结果表明，CBT在改善残疾(SMD−0.44，95%CI−0.71至−0.17，P<；0.05)、疼痛(SMD−0.32，95%CI−0.57至−0.06，P<；0.05)、恐惧回避(SMD−1.24，95%CI−2.25至−0.23，P<；0.05)、自我效能(SMD 0.27，95%CI 0.15至0.40，P<；0.05)方面优于其他疗法。0.05)干预后。在所有的随访中，CBT与其他疗法的疗效没有不同。亚组分析表明，CBT联合其他干预措施有利于单独使用其他干预措施来减少疼痛和残疾(P<；0.05)。CBT在改善CLBP患者的疼痛、残疾、恐惧回避和自我效能方面有益于CLBP患者。建议进一步研究CBT的长期益处。这项荟萃分析已在Propero注册(注册号为CRD42021224837)。
Cognitive-behavioral therapy (CBT) is commonly adopted in pain management programs for patients with chronic low back pain (CLBP). However, the benefits of CBT are still unclear. This review investigated the effectiveness of CBT on pain, disability, fear avoidance, and self-efficacy in patients with CLBP. Databases including PubMed, EMBASE, Web of Science, Cochrane Library, and PsycINFO were searched. RCTs examining the effects of CBT in adults with CLBP were included. The data about the outcome of pain, disability, fear avoidance, and self-efficacy were retained. Subgroup analysis about the effects of CBT on posttreatment was conducted according to CBT versus control groups (waiting list/usual care, active therapy) and concurrent CBT versus CBT alone. A random-effects model was used, and statistical heterogeneity was explored. 22 articles were included. The results indicated that CBT was superior to other therapies in improving disability (SMD −0.44, 95% CI −0.71 to −0.17, P < 0.05), pain (SMD −0.32, 95% CI −0.57 to −0.06, P < 0.05), fear avoidance (SMD −1.24, 95% CI −2.25 to −0.23, P < 0.05), and self-efficacy (SMD 0.27, 95% CI 0.15 to 0.40, P < 0.05) after intervention. No different effect was observed between CBT and other therapies in all the follow-up terms. Subgroup analysis suggested that CBT in conjunction with other interventions was in favor of other interventions alone to reduce pain and disability (P < 0.05). CBT is beneficial in patients with CLBP for improving pain, disability, fear avoidance, and self-efficacy in CLBP patients. Further study is recommended to investigate the long-term benefits of CBT. This meta-analysis is registered with Prospero (registration number CRD42021224837).
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影响因子：
13.8
作者：
Darnall BD;Roy A;Chen AL;Ziadni MS;Keane RT;You DS;Slater K;Poupore-King H;Mackey I;Kao MC;Cook KF;Lorig K;Zhang D;Hong J;Tian L;Mackey SC
通讯作者：
Mackey SC
影响因子：
1.7
作者：
de Moraes Vieira, Erica Brandao;Salvetti, Marina de Goes;de Mattos Pimenta, Cibele Andrucioli
通讯作者：
de Mattos Pimenta, Cibele Andrucioli
影响因子：
3.2
作者：
Mansell, Gemma;Storheim, Kjersti;Grotle, Margreth
通讯作者：
Grotle, Margreth
DOI：
10.1001/jama.2016.2323
发表时间：
2016-03-22
期刊：
JAMA
影响因子：
--
作者：
Cherkin DC;Sherman KJ;Balderson BH;Cook AJ;Anderson ML;Hawkes RJ;Hansen KE;Turner JA
通讯作者：
Turner JA
影响因子：
7.4
作者：
Gould, Hilary M.;Atkinson, Joseph Hampton;Rutledge, Thomas
通讯作者：
Rutledge, Thomas