The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain
Open accessAbstract
Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. OBJECTIVE: To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain. METHODS: A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment. RESULTS: When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025). CONCLUSIONS: The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.
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For Castro 2012, random sequence generation was at unclear risk of bias.
“It was a randomized clinical trial with parallel groups.”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Castro 2012
For Castro 2012, treatment expectations was at unclear risk of bias.
“Not assessed”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Castro 2012
For Castro 2012, incomplete outcome data was at low risk of bias.
“Attrition < 10% but no details provided regarding handling of missing data.”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Castro 2012
For Castro 2012, allocation concealment was at unclear risk of bias.
“No description”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Castro 2012
For Castro 2012, blinding of outcome assessment was at unclear risk of bias.
“No description”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Castro 2012
The Methods describe an independent person who organized the randomization list, but do not say whether outcome assessors were blinded. The passages on outcome measures and evaluations also do not assess risk of bias, so our copy cannot verify the citing document’s ‘unclear risk’ rating. (LLM, conf=0.70)
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For Castro 2012, selective reporting was at unclear risk of bias.
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From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Castro 2012
The Methods section describes the trial and its primary and secondary endpoints, but does not state whether it was pre-registered. A search of our copy for registration, a trial registry, and a prespecified protocol found no passage establishing non-registration or assessing selective-reporting risk. Page numbers were not available in our copy. (LLM, conf=0.72)
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- Authors
- Castro, M. M. C., Daltro, C., Kraychete, D. C., & Lopes, J.
- Affiliations
- Universidade Federal da Bahia (BR)
- Venue
- Arquivos de Neuro-Psiquiatria
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2012-11
- Volume
- 70
- Issue
- 11
- Pages
- 864-868
- ISSN
- 0004-282X (ISSN-L)
- OpenAlex
- W1983184283
- Cited by
- 48
- References
- 22
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 9 · 2020: 8 · 2018: 5 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 1
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Arquivos de Neuro-Psiquiatria (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- cognitive behavioral therapy, chronic musculoskeletal pain, quality of life, depressive symptoms, anxiety, SF-36, physical limitations
- MeSH terms
- Anxiety, Depression, Female, Humans, Male, Middle Aged, Pain Measurement, Quality of Life, Socioeconomic Factors, Cognitive Behavioral Therapy, Treatment Outcome, Chronic Pain, Musculoskeletal Pain
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