Group psychotherapy for chronic pain: A meta-analysis.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-06-01 DOI:10.1037/pst0000485
Cameron Alldredge, Gary Burlingame, Jenny Rosendahl
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引用次数: 2

Abstract

Chronic pain is common among adults and frequently interferes with regular functioning while reducing quality of life. Though pharmacological approaches are used most frequently to treat pain-related issues, the side effects often lead to other problems. Group therapy has been used and studied for decades in treating pain although its general efficacy in this is not clear. We conducted a meta-analysis to determine group therapy's effectiveness in reducing pain intensity and improving adjacent issues. Potential randomized clinical trials were selected from various databases and included if published between 1990 and 2020, investigated group treatment's efficacy for pain-related concerns, measured pain intensity, included a comparison condition, and reported sufficient data in each trial arm at the first postassessment. We included 29 studies representing 4,571 participants in group therapy being treated for pain. The analysis yielded a significant, small effect when group was contrasted against passive control groups (g = 0.26, 95% CI [0.11, 0.41], p = .001) on the reduction of pain intensity. Two variables were found to moderate group therapy's efficacy: gender composition of groups and theoretical orientation. Although effects on reducing pain intensity are small, group psychotherapy should be considered a viable treatment option for chronic pain patients given the lower risks of side effects compared to pharmaceutical analgesics and comparable effects compared to other chronic conditions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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慢性疼痛的团体心理治疗:荟萃分析。
慢性疼痛在成年人中很常见,经常干扰正常的功能,同时降低生活质量。尽管药理学方法最常用于治疗与疼痛相关的问题,但其副作用往往会导致其他问题。团体疗法在治疗疼痛方面已经使用和研究了几十年,尽管它的一般疗效尚不清楚。我们进行了一项荟萃分析,以确定团体治疗在减轻疼痛强度和改善邻近问题方面的有效性。从各种数据库中选择潜在的随机临床试验,纳入1990年至2020年间发表的试验,调查组治疗对疼痛相关问题的疗效,测量疼痛强度,包括比较条件,并在第一次后评估时报告每个试验组的充分数据。我们纳入了29项研究,共有4571名参与者接受了疼痛治疗。分析结果显示,与被动对照组相比,治疗组在减轻疼痛强度方面有显著的小影响(g = 0.26, 95% CI [0.11, 0.41], p = .001)。研究发现,团体性别构成和理论取向对团体治疗效果有调节作用。虽然减轻疼痛强度的效果很小,但与药物镇痛药相比,团体心理治疗的副作用风险较低,与其他慢性疾病相比,团体心理治疗的效果相当,因此应该被认为是慢性疼痛患者的一种可行的治疗选择。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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