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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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Cites
Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006) · European Journal of Pain · doi:10.1016/j.ejpain.2005.06.009 · Cited by 5,486
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634
Fear-avoidance model of chronic musculoskeletal pain: 12 years on
Vlaeyen, J. W. S., & Linton, S. J. (2012) · Pain · doi:10.1016/j.pain.2011.12.009 · Cited by 1,281
Multidisciplinary rehabilitation for chronic low back pain: systematic review
Guzmán, J., Esmail, R., Karjalainen, K., Malmivaara, A., Irvin, E., & Bombardier, C. (2001) · BMJ · doi:10.1136/bmj.322.7301.1511 · Cited by 941
Interdisciplinary chronic pain management: Past, present, and future.
Gatchel, R. J., McGeary, D. D., McGeary, C. A., & Lippe, B. (2014) · American Psychologist · doi:10.1037/a0035514 · Cited by 856
Meta-analysis of psychological interventions for chronic low back pain
Hoffman, B. M., Papas, R. K., Chatkoff, D. K., & Kerns, R. D. (2007) · Health Psychology · doi:10.1037/0278-6133.26.1.1 · Cited by 844 · cited 1×
“Our review produced more positive findings on reducing health care use than comparable reviews, both of consultations for chronic low back pain (Hoffman et al.(24) and Kamper et al.”
BackgroundClinical Effectiveness and Cost-Effectiveness of Treatments for Patients With Chronic Pain
Turk, D. C. (2002) · Clinical Journal of Pain · doi:10.1097/00002508-200211000-00003 · Cited by 638
Fersum, K. V., O’Sullivan, P., Skouen, J. S., Smith, A. J., & Kvåle, A. (2012) · European Journal of Pain · doi:10.1002/j.1532-2149.2012.00252.x · Cited by 490
“Attention” to pain in persons with chronic pain: A behavioral approach
McCracken, L. M. (1997) · Behavior Therapy · doi:10.1016/s0005-7894(97)80047-0 · Cited by 483
Chronic pain and frequent use of health care
Blyth, F., MARCH, L. M., Brnabic, A. J. M., & Cousins, M. J. (2004) · Pain · doi:10.1016/j.pain.2004.05.020 · Cited by 309
Schmidt, S., Grossman, P., Schwarzer, B., Jena, S., Naumann, J., & Walach, H. (2011) · PAIN · doi:10.1016/j.pain.2010.10.043 · Cited by 297 · cited 1×
“measured either outcome, and four provided data.(35,39,50,52)”
Health anxiety in Australia: prevalence, comorbidity, disability and service use
Sunderland, M., Newby, J. M., & Andrews, G. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.111.103960 · Cited by 280
Psychological therapies (Internet-delivered) for the management of chronic pain in adults
Eccleston, C., Fisher, E., Craig, L., Duggan, G. B., Rosser, B. A., & Keogh, E. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010152.pub2 · Cited by 271
Flor, H., & Birbaumer, N. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.4.653 · Cited by 211
Alaranta, H., Rytökoski, U., Rissanen, A., Talo, S., Rönnemaa, T., Puukka, P. J., Karppi, S. ‐., Videman, T., Kallio, V., & SLÄTIS, P. (1994) · Spine · doi:10.1097/00007632-199406000-00007 · Cited by 202
Keeley, P., Creed, F. H., Tomenson, B., Todd, C. J., Borglin, G., & Dickens, C. M. (2007) · Pain · doi:10.1016/j.pain.2007.05.015 · Cited by 200
Inpatient vs. outpatient pain management: results of a randomised controlled trial
de Williams, C. A. C., Richardson, P. H., Nicholas, M. K., Pither, C. E., Harding, V. R., Ridout, K. L., Ralphs, J. A., Richardson, I. H., Justins, D. M., & Chamberlain, J. H. (1996) · Pain · doi:10.1016/0304-3959(96)02996-x · Cited by 199
Absence from work and return to work in people with back pain: a systematic review and meta-analysis
Wynne‐Jones, G., Cowen, J., Jordan, J. L., Uthman, O. A., Main, C. J., Glozier, N., & van der Windt, D. (2013) · Occupational and Environmental Medicine · doi:10.1136/oemed-2013-101571 · Cited by 193
A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain
Jensen, I. B., Bergström, G., Ljungquist, T., & Bodin, L. (2005) · Pain · doi:10.1016/j.pain.2005.03.005 · Cited by 188
Sullivan, M. J. L., Ward, L. C., Tripp, D., French, D. J., Adams, H., & Stanish, W. D. (2005) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-005-5944-7 · Cited by 182
Operant behavioral treatment of fibromyalgia: a controlled study
Thieme, K., Gromnica‐Ihle, E., & Flor, H. (2003) · Arthritis Care & Research · doi:10.1002/art.11124 · Cited by 181
Marhold, C., Linton, S. J., & Melin, L. (2001) · Pain · doi:10.1016/s0304-3959(00)00431-0 · Cited by 168
Sattel, H. C., Lahmann, C., Gündel, H., Guthrie, E., Kruse, J., Noll‐Hussong, M., Ohmann, C., Ronel, J., Sack, M., Sauer, N., et al. (2011) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.111.093526 · Cited by 167
Jensen, I. B., Bergström, G., Ljungquist, T., Bodin, L., & Nygren, Å. (2001) · Pain · doi:10.1016/s0304-3959(00)00420-6 · Cited by 162
Measuring sick leave: a comparison of self-reported data on sick leave and data from company records
van Poppel, M. N. M. (2002) · Occupational Medicine · doi:10.1093/occmed/52.8.485 · Cited by 153
A scale for rating the quality of psychological trials for pain
Yates, S. L., Morley, S., Eccleston, C., & de C. Williams, A. C. (2005) · Pain · doi:10.1016/j.pain.2005.06.018 · Cited by 150
Kääpä, E., Frantsi, K., Sarna, S. J., & Malmivaara, A. V. (2006) · Spine · doi:10.1097/01.brs.0000200104.90759.8c · Cited by 150
Turk, D. C., Rudy, T. E., Kubinski, J. A., Zaki, H. S., & Greco, C. M. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.1.139 · Cited by 149
Prediction of Sickness Absence in Patients with Chronic Low Back Pain: A Systematic Review
Kuijer‐Siebelink, W., Groothoff, J. W., Brouwer, S., Geertzen, J. H. B., & Dijkstra, P. U. (2006) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-006-9021-8 · Cited by 134
Examining the evidence about psychological treatments for chronic pain: Time for a paradigm shift?
Morley, S., Williams, A., & Eccleston, C. (2013) · Pain · doi:10.1016/j.pain.2013.05.049 · Cited by 123
Turk, D. C., Rudy, T. E., Kubinski, J. A., et al. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.64.1.139 · Cited by 121
Overmeer, T., Boersma, K., Denison, E., & Linton, S. J. (2011) · Physical Therapy · doi:10.2522/ptj.20100079 · Cited by 101
Outpatient group treatment of chronic pain: Effects of spouse involvement.
Moore, J. E., & Chaney, E. F. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.53.3.326 · Cited by 100
Effects of a cognitive-behavioral pain-management program.
Johansson, C., Dahl, J., Jannert, M., Melin, L., & Andersson, G. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00079-5 · Cited by 86
Patterns of sickness absence a decade after pain-related multidisciplinary rehabilitation
Busch, H., Bodin, L., Bergström, G., & Jensen, I. B. (2011) · Pain · doi:10.1016/j.pain.2011.02.004 · Cited by 73
Opioids in the UK: what's the problem?
Stannard, C. F. (2013) · BMJ · doi:10.1136/bmj.f5108 · Cited by 71
Ralphs, J. A., de C Williams, A. C., Richardson, P. H., Pither, C. E., & Nicholas, M. K. (1994) · Pain · doi:10.1016/0304-3959(94)90166-x · Cited by 70
Rème, S. E., Shaw, W. S., Steenstra, I. A., Woiszwillo, M. J., Pransky, G., & Linton, S. J. (2012) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-012-9370-4 · Cited by 59
Cost-Utility of a Psychoeducational Intervention in Fibromyalgia Patients Compared With Usual Care
Luciano, J. V., Sabés-Figuera, R., Cardeñosa, E., Peñarrubia‐María, M. T., Fernández‐Vergel, R., García‐Campayo, J., Knapp, M. R. J., & Serrano‐Blanco, A. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e318270f99a · Cited by 59
de Boer, M. J., Versteegen, G. J., Vermeulen, K. M., Sanderman, R., & Struys, M. M. R. F. (2014) · European Journal of Pain · doi:10.1002/ejp.509 · Cited by 51
Assessing the prevalence of opioid misuse, abuse, and addiction in chronic pain
Ballantyne, J. C. (2015) · Pain · doi:10.1097/j.pain.0000000000000105 · Cited by 49
van Eijk‐Hustings, Y., Kroese, M., Tan, F. E. S., Boonen, A. E. R. C. H., Bessems-Beks, M., & Landewé, R. (2012) · Clinical Rheumatology · doi:10.1007/s10067-012-2100-7 · Cited by 48
Costs of moderate to severe chronic pain in primary care patients – a study of the ACCORD Program
Lalonde, L., Martin, É., Berbiche, D., Perreault, S., Lussier, D., & Choinière, M. (2014) · Journal of Pain Research · doi:10.2147/jpr.s55388 · Cited by 48
Chronic Pain and Health Services Utilization
Azevedo, L. F., Costa‐Pereira, A., Mendonça, L., Dias, C. C., & Castro‐Lopes, J. M. (2013) · Medical Care · doi:10.1097/mlr.0b013e3182a53e4e · Cited by 45
Self-Management of Persistent Neck Pain
Gustavsson, C., Denison, E., & von Koch, L. (2011) · Spine · doi:10.1097/brs.0b013e3182028b04 · Cited by 42
Lumley, M. A., Keefe, F. J., Mosley-Williams, A., Rice, J. R., McKee, D., Waters, S. J., Partridge, R. T., Carty, J. N., Coltri, A. M., Kalaj, A., et al. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0036958 · Cited by 41
Geraets, J. J. X. R., Goossens, M. E. J. B., de Bruijn, C. P. C., de Groot, I. J. M., Köke, A. J. A., Pelt, R. A. G. B., van der Heijden, G. J. M. G., Dinant, G., & van den Heuvel, W. J. (2006) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462306050860 · Cited by 41
Adapting principles of chronic pain self-management to the workplace
Shaw, W. S., Tveito, T. H., Geehern-Lavoie, M., Huang, Y.-H., Nicholas, M. K., Reme, S. E., Wagner, G. R., & Pransky, G. (2011) · Disability and Rehabilitation · doi:10.3109/09638288.2011.615372 · Cited by 30
Beale, M., Cella, M., & de C. Williams, A. C. (2011) · Pain · doi:10.1016/j.pain.2011.06.007 · Cited by 29
Lindell, O., Johansson, S.-E., & Strender, L.-E. (2008) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-9-172 · Cited by 28
Jensen, I. B., Dahlquist, C., Nygren, Å., Royen, E., & Stenberg, M. (1997) · Journal of Occupational Rehabilitation · doi:10.1023/b:joor.0000010858.70743.21 · Cited by 26
Can a pain management programme approach reduce healthcare use? Stopping the revolving door
Clare, A., Andiappan, M., MacNeil, S., Bunton, T., & Jarrett, S. (2013) · British Journal of Pain · doi:10.1177/2049463713484907 · Cited by 23
Sleptsova, M., Woessmer, B., Grossman, P., & Langewitz, W. A. (2013) · Swiss Medical Weekly · doi:10.4414/smw.2013.13875 · Cited by 20
Intrusive pain and worry about health in older men: The CHAMP study
Blyth, F., Cumming, R. G., Nicholas, M. K., Creasey, H. M., Handelsman, D. J., Couteur, D. G. L., Naganathan, V., Sambrook, P. N., Seibel, M. J., & Waite, L. M. (2010) · Pain · doi:10.1016/j.pain.2010.11.022 · Cited by 19
A behavioural treatment for chronic shoulder complaints: Concepts, development, and study design
Geraets, J. J. X. R., Goossens, M. E. J. B., de Bruijn, C. P. C., Köke, A. J. A., de Bie, R. A., Pelt, R. A. G. B., van den Heuvel, W. J., & van der Heijden, G. J. M. G. (2004) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60246-4 · Cited by 19
Nielson, W. R., & MacDermid, J. C. (2005) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-005-0869-9 · Cited by 7
Research works printed but not linked: 2
- Adams, 2003, What affects return to work for graduates of a pain management programme with chronic upper limb pain J Occup R, ehabil, 13, 91
- Kamper, 2014, Multidisciplinary treatment for back pain., Cochrane Database Syst Rev, 9, CD000963
Cited by
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Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605
Self-citationPsychological Interventions for the Treatment of Chronic Pain in Adults
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Finnes, A., Enebrink, P., Ghaderi, A., Dahl, J., Nager, A., & Öst, L.-G. (2019) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-018-1380-x · Cited by 99
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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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