The DOI matches its Crossref record, with a small difference in title or year; 55 of the 56 references it cites were found in a registry or an index, and 1 are not checked yet.
Effectiveness of psychological interventions for chronic pain on health care use and work absence: systematic review and meta-analysis
Abstract
Psychological interventions for chronic pain and its consequences have been shown to improve mood, disability, pain, and catastrophic thinking, but there has been no systematic review specifically of their effects on health care use or time lost from work as treatment outcomes in mixed chronic pain. We conducted a systematic review and meta-analysis to evaluate the effectiveness of psychological therapies for chronic pain (excluding headache) in adults for these outcomes. We used searches from 2 previous systematic reviews and updated them. Eighteen randomized controlled trials were found that reported health care use (15 studies) and work loss (9 studies) as outcomes. Fourteen studies provided data for meta-analysis. There were moderate effects for psychological interventions compared with active controls, treatment as usual and waiting list controls in reducing health care use, with confidence in the findings. No benefits were found for medication reduction, but with less confidence in this result. Analysis of work loss showed no significant effects of psychological interventions over comparisons, but the use of many different metrics necessitated fragmenting the planned analyses, making summary difficult. The results are encouraging for the potential of routine psychological intervention to reduce posttreatment health care use, with associated cost savings, but it is likely that the range and complexity of problems affecting work necessitate additional intervention over st…
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“There are no data here on health care reduction but an extension of the previous systematic review and meta-analysis showed fewer consultations and interventions aNer psychologically-based treatment (Pike 2016).”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Pike 2016
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Metadata
- Authors
- Pike, A., Hearn, L., & de C Williams, A. C.
- Affiliations
- University of Oxford (GB)
- ORCID
- Hearn, Leslie
- Venue
- Pain
- Published
- 2016-04
- Volume
- 157
- Issue
- 4
- Pages
- 777-785
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2192010017
- Cited by
- 42
- References
- 55
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 10 · 2019: 5 · 2018: 6 · 2017: 6 · 2016: 1
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- chronic pain, psychological intervention, health care utilization, absenteeism, lost workdays, medication reduction, cost reduction, group psychological intervention
- MeSH terms
- Mental Disorders, Delivery of Health Care, Humans, Cognitive Behavioral Therapy, Treatment Outcome, Chronic Pain, Pain Management
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