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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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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