Cited by 292Pain Management and Opioid UseCancer survivorship and carePediatric Pain Management Techniques

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Meta-Analysis of Psychosocial Interventions to Reduce Pain in Patients With Cancer

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Sheinfeld Gorin, Sherri, Krebs, Paul, Badr, Hoda, Janke, Elizabeth Amy, Jim, Heather S.L., Spring, Bonnie, Mohr, David C., Berendsen, Mark A., Jacobsen, Paul B.·2012·Journal of Clinical Oncology

DOI 10.1200/jco.2011.37.0437PMC PMC6815997

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Abstract

Purpose: Pain is one of the most common, burdensome, and feared symptoms experienced by patients with cancer. American Pain Society standards for pain management in cancer recommend both pharmacologic and psychosocial approaches. To obtain a current, stable, and comprehensive estimate of the effect of psychosocial interventions on pain—an important clinical topic—we conducted a meta-analysis of randomized controlled studies among adult patients with cancer published between 1966 and 2010. Methods: Three pairs of raters independently reviewed 1,681 abstracts, with a systematic process for reconciling disagreement, yielding 42 papers, of which 37 had sufficient data for meta-analysis. Studies were assessed for quality using a modified seven-item Physiotherapy Evidence Database (PEDro) coding scheme. Pain severity and interference were primary outcome measures. Results: Study participants (N = 4,199) were primarily women (66%) and white (72%). The weighted averaged effect size across studies for pain severity (38 comparisons) was 0.34 (95% CI, 0.23 to 0.46; P < .001), and the effect size for pain interference (four comparisons) was 0.40 (95% CI, 0.21 to 0.60; P < .001). Studies that monitored whether treatment was delivered as intended had larger effects than those that did not (P = .04). Conclusion: Psychosocial interventions had medium-size effects on both pain severity and interference. These robust findings support the systematic implementation of quality-controlled psychosocial interventions as part of a multimodal approach to the management of pain in patients with cancer.

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Nipple-Sparing Mastectomy Incisions for Cancer Extirpation Prospective Cohort Trial: Perfusion, Complications, and Patient Outcomes
Odom, E. B., Parikh, R. P., Um, G. T., Kantola, S. W., Cyr, A. E., Margenthaler, J. A., Tenenbaum, M. M. J., & Myckatyn, T. M. (2018) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000004498 · Cited by 37
Coping Skills Training and Acceptance and Commitment Therapy for Symptom Management: Feasibility and Acceptability of a Brief Telephone-Delivered Protocol for Patients With Advanced Cancer
Plumb Vilardaga, J. C., Winger, J. G., Teo, I., Owen, L., Sutton, L. M., Keefe, F. J., & Somers, T. J. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.09.005 · Cited by 36
Meta-analysis of psychosocial interventions on survival time in patients with cancer
Oh, P. J., Shin, S. R., Ahn, H. S., & Kim, H. (2015) · Psychology and Health · doi:10.1080/08870446.2015.1111370 · Cited by 36
“, 2012) and increase well-being of cancer patients (Faller et al., 2013; Newell, Sanson-Fisher, & Savolainen, 2002; Oh & Lee, 2013; Osborn et al., 2006; Gorin et al., 2012), its effectiveness in prolonging survival when added to a standard regimen remains controversial.”
BackgroundMethodInfluential
Retaining Critical Therapeutic Elements of Behavioral Interventions Translated For Delivery via the Internet: Recommendations and an Example Using Pain Coping Skills Training
Rini, C. K., Porter, L. S., Somers, T. J., McKee, D. C., & Keefe, F. J. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3374 · Cited by 35
“For example, studies of behavioral approaches to treating persistent musculoskeletal pain, cancer pain, and other types of persistent pain are yielding growing evidence for the efficacy of interventions based on cognitive behavioral therapies (CBT; eg, [9,11-13])—the most commonly researched and used psychotherapeutic…”
Chronic pain severity, impact, and opioid use among patients with cancer: An analysis of biopsychosocial factors using the CHOIR learning health care system
Azizoddin, D. R., Schreiber, K. L., Beck, M. R., Enzinger, A. C., Hruschak, V., Darnall, B. D., Edwards, R. R., Allsop, M. J., Tulsky, J. A., Boyer, E. W., et al. (2021) · Cancer · doi:10.1002/cncr.33645 · Cited by 35
Exercise for perinatal depressive symptoms: A systematic review and meta-analysis of randomized controlled trials in perinatal health services
Morres, I. D., Tzouma, N.-A., Hatzigeorgiadis, A., Κrommidas, C., Kotronis, K. V., Dafopoulos, K. C., Theodorakis, Y., & Comoutos, N. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.124 · Cited by 34
Nonpharmacologic Pain Interventions: A Review of Evidence-Based Practices for Reducing Chronic Cancer Pain
Eaton, L. H., Brant, J. M., McLeod, K., & Yeh, C. H. (2017) · Clinical journal of oncology nursing · doi:10.1188/17.cjon.s3.54-70 · Cited by 33
“Rustoen et al., 2012 Home visits and telephone interviews 179 patients with metastatic bone pain; RCT Statistically significant improvement in pain – Rustoen et al., 2014 Home visits and telephone interviews 147 patients with metastatic bone pain; RCT No difference between groups No blinding; attrition was less than 1…”
Influential
The Association of Pain With Smoking and Quit Attempts in an Electronic Diary Study of Cancer Patients Trying to Quit
Aigner, C. J., Cinciripini, P. M., Anderson, K. O., Baum, G. P., Gritz, E. R., & Lam, C. Y. (2015) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntv118 · Cited by 32
Survivorship: Pain Version 1.2014
Denlinger, C. S., Ligibel, J. A., Are, M., Baker, K. S., Demark‐Wahnefried, W., Friedman, D. L., Goldman, M. E., Jones, L. W., King, A. A., Ku, G., et al. (2014) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2014.0054 · Cited by 30
Cancer in Other Words? The Role of Metaphor in Emotion Disclosure in Cancer Patients
Lanceley, A., & Clark, J. M. (2013) · British Journal of Psychotherapy · doi:10.1111/bjp.12023 · Cited by 34
“A major portion of this work was done at UCLH/UCL within the ‘women’s health theme’ of the NIHR UCLH/UCL Comprehensive Biomedical Research Centre supported by the Department of Health.”
BackgroundMethod
Pain and quality of life in T urkish cancer patients
Ovayolu, N., Ovayolu, Ö., Serçe, S., Tuna, D., Çöçelli, L. P., & Sevinç, A. (2013) · Nursing and Health Sciences · doi:10.1111/nhs.12047 · Cited by 32
Using Relaxation and Guided Imagery to Address Pain, Fatigue, and Sleep Disturbances: A Pilot Study
Nooner, A., Dwyer, K. A., DeShea, L., & Yeo, T. P. (2016) · Clinical journal of oncology nursing · doi:10.1188/16.cjon.547-552 · Cited by 29
“Pain prevalence in patients with cancer is estimated to be as high as 53%–60% (Gorin et al., 2012; Montague & Green, 2009).”
Background
Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR)
Wilson, J. M., Schreiber, K. L., Mackey, S., Flowers, K. M., Darnall, B. D., Edwards, R. R., & Azizoddin, D. R. (2022) · Psycho-Oncology · doi:10.1002/pon.6020 · Cited by 28
“, depression) predating one's cancer experience, or symptoms following diagnosis and treatment, have also shown to contribute to cancer‐related pain.(3,4) If left undertreated, cancer‐related pain can become chronic and has shown to negatively affect adherence to cancer treatments and quality of life, and even a desir…”
BackgroundInfluential
Cancer-related pain management in clinical oncology
Cipta, A. M., Pietras, C. J., Weiss, T. E., & Strouse, T. B. (2015) · The Journal of Community and Supportive Oncology · doi:10.12788/jcso.0173 · Cited by 28
“Conversely, psychosocial stress can exacerbate physical pain, as was elucidated by a meta-analysis of randomized controlled studies on adult cancer patients during 1966-2010 that found positive efects of psychosocial interventions on pain severity.(13) Similarly, spiritual interventions can be important for some patie…”
Background
Development and pre-pilot testing of STAMP + CBT: an mHealth app combining pain cognitive behavioral therapy and opioid support for patients with advanced cancer and pain
Azizoddin, D. R., DeForge, S. M., Baltazar, A. R., Edwards, R. R., Allsop, M. J., Tulsky, J. A., Businelle, M. S., Schreiber, K. L., & Enzinger, A. C. (2024) · Supportive Care in Cancer · doi:10.1007/s00520-024-08307-7 · Cited by 28
Meta-analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer
Oh, P. J., & Han, S. J. (2013) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.2013.43.5.658 · Cited by 27
“인지행동중재는 왜곡된 인지, 정서 및 행동을 변화시키거 나 문제해결을 위한 대처기술을 학습하는데 초점을 둔 체계적인 심 리적 접근으로 암환자가 통증을 해석하는 방식을 변화시키고 통증 조절을 위한 근육이완요법 등의 기술을 학습시키는(Gorin et al., 2012) 심리사회적 중재에서 가장 흔히 적용되는 접근법이다.”
Influential
Interventions to support self-management in cancer pain
ElMokhallalati, Y., Mulvey, M. R., & Bennett, M. (2018) · PAIN Reports · doi:10.1097/pr9.0000000000000690 · Cited by 28
“However, 2 other meta-analyses suggested that effect size was independent of dose.(7,18) Until recently, standardised approaches to delivery of self-”
Background
Enhancing meaning in the face of advanced cancer and pain: Qualitative evaluation of a meaning-centered psychosocial pain management intervention
Winger, J. G., Ramos, K., Steinhauser, K. E., Somers, T. J., Porter, L. S., Kamal, A. H., BREITBART, W. S., & Keefe, F. J. (2020) · Palliative & Supportive Care · doi:10.1017/s1478951520000115 · Cited by 26
Meaning‐centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial
Winger, J. G., Kelleher, S. A., Ramos, K., Check, D. K., Yu, J. A., Powell, V. D., Lerebours, R. C., Olsen, M. K., Keefe, F. J., Steinhauser, K. E., et al. (2023) · Psycho-Oncology · doi:10.1002/pon.6151 · Cited by 26
Mindfulness‐based cognitive therapy (MBCT) is cost‐effective compared to a wait‐list control for persistent pain in women treated for primary breast cancer—Results from a randomized controlled trial
Johannsen, M., Sørensen, J. R., O’Connor, M., Jensen, A. B., & Zachariae, R. H. (2017) · Psycho-Oncology · doi:10.1002/pon.4450 · Cited by 25
When a policy decision meets practice realities: The case of cancer survivorship care and rehabilitation needs assessment.
Handberg, C., Thorne, S., & Maribo, T. (2018) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2018.01.010 · Cited by 20
Cancer Pain Management: What’s New?
Gaertner, J., & Schießl, C. (2013) · Current Pain and Headache Reports · doi:10.1007/s11916-013-0328-9 · Cited by 24
Symptom Management and Palliative Care in Pancreatic Cancer
Rabow, M. W., Petzel, M. Q. B., & Adkins, S. H. (2017) · The Cancer Journal · doi:10.1097/ppo.0000000000000293 · Cited by 25
The Society for Integrative Oncology Practice Recommendations for online consultation and treatment during the COVID-19 pandemic
Ben-Arye, E., Paller, C. J., Lopez, A. M., White, S., Pendleton, E., Kienle, G. S., Samuels, N., Abbawaajii, N., & Balneaves, L. G. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06205-w · Cited by 34
“In recent years, integrative oncology clinical practice has been supported by evidence arising from high-quality randomized controlled trials that indicate many integrative oncology modalities are both effective and safe for the management of issues that impinge on patients’ quality of life (QoL), such as cancer-relat…”
Background
Reduction of Opioid Use by Acupuncture in Patients Undergoing Hematopoietic Stem Cell Transplantation: Secondary Analysis of a Randomized, Sham-Controlled Trial
Deng, G. E., Giralt, S., Chung, D. J., Landau, H. J., Siman, J., Li, Q. S., Lapen, K., & Mao, J. J. J. (2019) · Pain Medicine · doi:10.1093/pm/pnz190 · Cited by 24
“A recent metaanalysis of 122 studies (N1⁄4 4,199) showed that about 55% of patients experience pain during cancer treatment, with 40% experiencing pain after curative treatment [1].”
Background
Implementation of a nurse-led self-management support intervention for patients with cancer-related pain: a cluster randomized phase-IV study with a stepped wedge design (EvANtiPain)
Raphaelis, S., Frommlet, F., Mayer, H., & Koller, A. (2020) · BMC Cancer · doi:10.1186/s12885-020-06729-0 · Cited by 24
Meaning-Centered Pain Coping Skills Training: A Pilot Feasibility Trial of a Psychosocial Pain Management Intervention for Patients with Advanced Cancer
Winger, J. G., Ramos, K., Kelleher, S. A., Somers, T. J., Steinhauser, K. E., Porter, L. S., Kamal, A. H., BREITBART, W. S., & Keefe, F. J. (2021) · Journal of Palliative Medicine · doi:10.1089/jpm.2021.0081 · Cited by 22
“Pain Coping Skills Training can reduce cancer pain, 29,32 but it does not address existential concerns that are common in patients with life-threatening illness.”
Psychosocial intervention in palliative care: What do psychologists need to know
Feldstain, A. (2024) · Journal of Health Psychology · doi:10.1177/13591053231222848 · Cited by 22
Psychosocial interventions for women with polycystic ovary syndrome: a systematic review of randomized controlled trials
Phimphasone-Brady, P., Palmer, B., Vela, A., Johnson, R. L., Harnke, B., Hoffecker, L., Coons, H. L., & Epperson, C. N. (2022) · F&S Reviews · doi:10.1016/j.xfnr.2021.11.004 · Cited by 20
Effects of Self‐directed Stress Management Training and Home‐based Exercise on Stress Management Skills in Cancer Patients Receiving Chemotherapy
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“…of systematic reviews and meta-analyses of randomized controlled trials of interventions incorporating SM techniques show that they are effective in improving quality of life and relieving emotional distress in cancer patients undergoing treatment (e.g. Gorin et al., 2012; Jacobsen & Jim, 2008).”
BackgroundSelf-citation
Behavioral cancer pain intervention dosing: results of a Sequential Multiple Assignment Randomized Trial
Somers, T. J., Winger, J. G., Fisher, H. M., Hyland, K. A., Davidian, M., Laber, E. B., Miller, S. N., Kelleher, S. A., Vilardaga, J. P., Majestic, C. M., et al. (2023) · Pain · doi:10.1097/j.pain.0000000000002915 · Cited by 22
Effectiveness of mental health interventions for older adults in South Asia: A scoping review
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Patient, family caregiver, and economic outcomes of an integrated screening and novel stepped collaborative care intervention in the oncology setting in the USA (CARES): a randomised, parallel, phase 3 trial
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Authors: Sheinfeld Gorin, S., Krebs, P., Badr, H., Janke, E. A., Jim, H. S. L., Spring, B., Mohr, D. C., Berendsen, M. A., & Jacobsen, P. B.
Affiliations: Sherri Sheinfeld Gorin, Herbert Irving Comprehensive Cancer Center, Columbia University; Paul Krebs, New York University School of Medicine; Hoda Badr, Mount Sinai School of Medicine, New York, NY; Elizabeth Amy Janke, University of the Sciences, Philadelphia, PA; Heather S.L. Jim and Paul B. Jacobsen, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL; Bonnie Spring and Mark A. Berendsen, Northwestern University; and David C. Mohr, Northwestern University, Feinberg School of Medicine, Chicago,...
University of the Sciences (US)
ORCID: Krebs, Paul
Badr, Hoda
Janke, Elizabeth Amy
Jim, Heather S.L.
Spring, Bonnie
Mohr, David C.
Berendsen, Mark A.
Jacobsen, Paul B.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2012-02-10
Volume: 30
Issue: 5
Pages: 539-547
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2011.37.0437
PMC: PMC6815997
OpenAlex: W2130414707
Cited by: 292
References: 65
Citations by year: 2026: 7 · 2025: 13 · 2024: 22 · 2023: 20 · 2022: 26 · 2021: 30 · 2020: 23 · 2019: 24 · 2018: 28 · 2017: 24 · 2016: 16 · 2015: 18 · 2014: 19 · 2013: 13 · 2012: 8
FWCI: 4.54
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Clinical Oncology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (RC1DK087126)
Topics: Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: cancer pain, psychosocial interventions, pain intensity, pain interference, pain management, multimodal pain management, intervention fidelity, quality of evidence
MeSH terms: Adaptation, Psychological, Adult, Aged, Biofeedback, Psychology, Female, Humans, Hypnosis, Male, Middle Aged, Neoplasms, Pain, Pain Measurement, Patient Education as Topic, Relaxation Therapy, Severity of Illness Index, Social Support, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Pain Management

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Meta-Analysis of Psychosocial Interventions to Reduce Pain in Patients With Cancer

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