Pike, A;
Hearn, L;
Williams, AC;
(2016)
Effectiveness of psychological interventions for chronic pain on health care use and work absence: systematic review and meta-analysis.
Pain
, 157
(4)
pp. 777-785.
10.1097/j.pain.0000000000000434.
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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 two previous systematic reviews and updated them. Eighteen randomized controlled trials were found that reported health care use (15 studies) and work loss (nine studies) as outcomes. Fourteen studies provided data for meta-analysis. There were moderate effects for psychological interventions compared to active, 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 post-treatment health care use, with associated cost savings, but it is likely that the range and complexity of problems affecting work necessitate additional intervention over standard group psychological intervention.
| Type: | Article |
|---|---|
| Title: | Effectiveness of psychological interventions for chronic pain on health care use and work absence: systematic review and meta-analysis |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1097/j.pain.0000000000000434 |
| Publisher version: | http://dx.doi.org/10.1097/j.pain.0000000000000434 |
| Language: | English |
| Additional information: | © 2016 International Association for the Study of Pain. This is a non-final version of an article published in final form in: Pike, A; Hearn, L; Williams, AC; (2016) Effectiveness of psychological interventions for chronic pain on health care use and work absence: systematic review and meta-analysis. Pain, 157 (4) pp. 777-785. 10.1097/j.pain.0000000000000434. |
| Keywords: | Rehabilitation; CBT; Medication; Hospital visits; Work loss |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1473337 |
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