WFRF:(Andersson Torsten)
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Internet interventions for chronic pain including headache: A systematic review
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- Buhrman, Monica, 1974- (författare)
- Uppsala universitet,Institutionen för psykologi,Department of Psychology, Uppsala University, Uppsala, Sweden
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- Gordh, Torsten (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Department of Surgical Sciences, Pain Research, Uppsala University, Sweden
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- Andersson, Gerhard, 1966- (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutet för handikappvetenskap, IHV
- (creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
- Ingår i: Internet Interventions. - : Elsevier BV. - 2214-7829. ; 4, s. 17-34
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Chronic pain is a major health problem and behavioral based treatments have been shown to be effective. However, the availability of these kinds of treatments is scarce and internet-based treatments have been shown to be promising in this area. The objective of the present systematic review is to evaluate internet-based interventions for persons with chronic pain. The specific aims are to do an updated review with a broad inclusion of different chronic pain diagnoses and to assess disability and pain and also measures of catastrophizing, depression and anxiety. A systematic search identified 891 studies and 22 trials were selected as eligible for review. Two of the selected trials included children/youth and five included individuals with chronic headache and/or migraine. The most frequently measured domain reflected in the primary outcomes was interference/disability, followed by catastrophizing. Result across the studies showed a number of beneficial effects. Twelve trials reported significant effects on disability/interference outcomes and pain intensity. Positive effects were also found on psychological variable such as catastrophizing, depression and anxiety. Several studies (n = 12) were assessed to have an unclear level of risk bias. The attrition levels ranged from 4% to 54% where the headache trials had the highest drop-out levels. However, findings suggest that internet-based treatments based on cognitive behavioural therapy (CBT) are efficacious measured with different outcome variables. Results are in line with trials in clinical settings. Meta-analytic statistics were calculated for interference/disability, pain intensity, catastrophizing and mood ratings. Results showed that the effect size for interference/disability was Hedge's g = − 0.39, for pain intensity Hedge's g = − 0.33, for catastrophizing Hedge's g = − 0.49 and for mood variables (depression) Hedge's g = − 0.26.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Nyckelord
- chronic pain
- internet
- cognitive behavioral therapy
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