Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis.
chronic pain; meta-analysis
cognitive-behavioral therapy
mindfulness-based stress reduction
randomized controlled trials
Journal
Evidence-based mental health
ISSN: 1468-960X
Titre abrégé: Evid Based Ment Health
Pays: England
ID NLM: 100883413
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
13
09
2018
revised:
14
12
2018
accepted:
20
12
2018
entrez:
2
2
2019
pubmed:
2
2
2019
medline:
18
12
2019
Statut:
ppublish
Résumé
This review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions. Ovid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale. Twenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depression revealed clinically important advantages relative to control for MBSR and CBT, but no evidence of an important difference between MBSR and CBT was found. This review suggests that MBSR offers another potentially helpful intervention for CP management. Additional research using consistent measures is required to guide decisions about providing CBT or MBSR.
Identifiants
pubmed: 30705039
pii: ebmental-2018-300062
doi: 10.1136/ebmental-2018-300062
pmc: PMC10270397
doi:
Types de publication
Comparative Study
Evaluation Study
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
26-35Subventions
Organisme : CIHR
Pays : Canada
Informations de copyright
© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Ann Behav Med. 2015 Jun;49(3):319-30
pubmed: 25425224
J Consult Clin Psychol. 1988 Apr;56(2):261-6
pubmed: 2967314
Pain Med. 2015 Apr;16(4):641-52
pubmed: 25376753
Pain. 2012 Jul;153(7):1495-1503
pubmed: 22617632
J Epidemiol Community Health. 1998 Jun;52(6):377-84
pubmed: 9764259
Pain. 2003 Dec;106(3):337-345
pubmed: 14659516
Behav Res Ther. 2014 Oct;61:55-60
pubmed: 25133855
Ann Intern Med. 2015 Jun 2;162(11):777-84
pubmed: 26030634
Syst Rev. 2014 Nov 10;3:134
pubmed: 25387478
J Consult Clin Psychol. 1993 Aug;61(4):620-30
pubmed: 8370857
Clin J Pain. 2005 Jan-Feb;21(1):1-8
pubmed: 15599126
Pain. 2008 Jul 31;137(3):670-680
pubmed: 18394806
J Behav Med. 2000 Jun;23(3):293-309
pubmed: 10863679
Neuroimage Clin. 2014 Jul 23;5:365-76
pubmed: 26958466
Cogn Behav Ther. 2016;45(1):5-31
pubmed: 26818413
Control Clin Trials. 1986 Sep;7(3):177-88
pubmed: 3802833
Cochrane Database Syst Rev. 2012 Nov 14;11:CD007407
pubmed: 23152245
J Pain. 2006 Apr;7(4):261-71
pubmed: 16618470
JAMA. 2016 Mar 22-29;315(12):1240-9
pubmed: 27002445
Arthritis Rheum. 2007 Feb 15;57(1):77-85
pubmed: 17266067
Pain. 2011 Feb;152(2):361-369
pubmed: 21146930
J Am Osteopath Assoc. 2010 Nov;110(11):646-52
pubmed: 21135196
Behav Res Ther. 1995 Jun;33(5):487-95
pubmed: 7598669
Arthritis Res Ther. 2011;13(5):R173
pubmed: 22018333
BMJ. 2005 Oct 15;331(7521):897-900
pubmed: 16223826
Arthritis Rheum. 2007 Oct 15;57(7):1134-42
pubmed: 17907231
Gen Hosp Psychiatry. 1982 Apr;4(1):33-47
pubmed: 7042457
Am Psychol. 2014 Feb-Mar;69(2):153-66
pubmed: 24547801
Am J Med. 2016 Feb;129(2):204-14
pubmed: 26519614
Psychol Aging. 1988 Jun;3(2):204-7
pubmed: 3077320
J Psychiatr Res. 2015 Sep;68:106-13
pubmed: 26228408
Rheumatol Int. 2014 Nov;34(11):1489-96
pubmed: 24691560