Evidence map›Paper›PMID 19910118›Full record

SynthesisPain2010

Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review.

Tonya M Palermo, Christopher Eccleston, Amy S Lewandowski, Amanda C de C Williams, Stephen Morley

2 registry-linked trialsAbstract readMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Pain, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 147 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 13 pooled it
34.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04106505 naterminatednot on this mapstarted 2019, after this paper: background citation

Efficacy of a Novel App-based Migraine Treatment Platform - a Pilot Study

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2019 to 2020Enrolled23ConditionsMigraine DisordersArmsBiofeedback training via app on smartphone, Sham-biofeedback training via app on smartphone
NCT05774002 narecruitingnot on this mapstarted 2023, after this paper: background citation

Psychological Assessment of Scoliosis Patients Undergoing Surgical Management (PASS)

TypeinterventionalSponsorMontefiore Medical CenterRan2023 to 2028Enrolled120ConditionsAdolescent Idiopathic Scoliosis (AIS), Mental HealthArmsAims to Decrease Anxiety and Pain Treatment (ADAPT)
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 13 syntheses or guidelines pooled it, 486 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of psychological interventions on sleep in children and adolescents with chronic pain: a systematic review with meta-analysis of randomized controlled trials.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Pooled it
  3. Guideline
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  8. Pain Assessment--Can it be Done with a Computerised System? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2016
    Pooled it
  9. Guideline
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  14. Trial
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87 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Tonya M PalermoDepartment of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR 97239, USA University of Bath, Bath, UK Research Department of Clinical, Educational & Health Psychology, University College London, London, UK Leeds Institute of Health Services, University of Leeds, Leeds, UK.
Christopher Eccleston
Amy S Lewandowski
Amanda C de C Williams
Stephen Morley
University of Portland · USUniversity College London · GBUniversity of Bath · GBUniversity of Leeds · GB

Funding

Innovations in Pediatric Pain ResearchK24HD060068 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2009 to 2018
$1.6M
NICHD NIH HHS K24 HD060068NICHD NIH HHS NIH K24HD060068
6 · The paper itself

Abstract

The purpose of this meta-analytic review was to quantify the effects of psychological therapies for the management of chronic pain in youth. Specifically, in this review we updated previous systematic reviews of randomized controlled trials by including new trials, and by adding disability and emotional functioning to pain as treatment outcomes. Electronic searches of the Cochrane Register of Randomised Controlled Trials, MEDLINE, PsycLIT, EMBASE, and the Social Sciences Citation Index were conducted from inception through August 2008. Methodological quality of the studies was assessed, and data extracted on the three primary outcomes of interest. Twenty-five trials including 1247 young people met inclusion criteria and were included in the meta-analysis. Meta-analytic findings demonstrated a large positive effect of psychological intervention on pain reduction at immediate post-treatment and follow-up in youth with headache, abdominal pain, and fibromyalgia. Small and non-significant effects were found for improvements in disability and emotional functioning, although there were limited data on these outcomes available in the included studies. Omnibus cognitive-behavioral therapy, relaxation therapy, and biofeedback all produced significant and positive effects on pain reduction. Studies directly comparing the effects of self-administered versus therapist-administered interventions found similar effects on pain reduction. Psychological therapies result in improvement in pain relief across several different pain conditions in children. Future trials are needed that incorporate non-pain outcome domains, that focus significant therapeutic content on reductions in disability, and that include extended follow-up to better understand maintenance of treatment effects.

Indexed as

Pain ManagementRandomized Controlled Trials as TopicAdolescentChildDatabases, FactualFemaleHumansMalePainPain MeasurementPsychotherapy

Identifiers

PMID19910118
PMCPMC2823996
OpenAlexW1976554417

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.