Mechanisms, mechanisms, mechanisms: it really does all boil down to mechanisms.

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.

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

1. Non-pharmacological and non-surgical treatments for low back pain in adults: an overview of Cochrane reviews.The Cochrane database of systematic reviews · 2025
   Pooled it
2. Self-management for chronic widespread pain including fibromyalgia: A systematic review and meta-analysis.PloS one · 2021
   Pooled it
3. A non-inferiority randomized controlled trial comparing behavioral sleep interventions in women veterans: An examination of pain outcomes.Journal of psychosomatic research · 2023
   Trial
4. Happy Despite Pain: A Randomized Controlled Trial of an 8-Week Internet-delivered Positive Psychology Intervention for Enhancing Well-being in Patients With Chronic Pain.The Clinical journal of pain · 2017
   Trial
5. Categorizing Treatment Mechanisms for Complementary and Integrative Musculoskeletal Interventions.International journal of osteopathic medicine : IJOM · 2025
   Article
6. Identifying priority gaps in contextual factors research and force-based manipulation. An international and interdisciplinary Delphi study.The Journal of manual & manipulative therapy · 2024
   Article
7. Mediating Role of Treatment Perceptions in the Relationship Between Individual Characteristics and Engagement With a Digital Psychological Intervention for Pediatric Chronic Pain: Secondary Data Analysis.JMIR pediatrics and parenting · 2023
   Article
8. Self-regulation training for people with knee osteoarthritis: a protocol for a feasibility randomised control trial (MiNT trial).Frontiers in pain research (Lausanne, Switzerland) · 2023
   Article
9. Mindfulness-Based Stress Reduction, Cognitive Behavioral Therapy, and Acupuncture in Chronic Low Back Pain: Protocol for Two Linked Randomized Controlled Trials.JMIR research protocols · 2022
   Article
10. Using Mediation Analysis to Understand How Treatments for Paediatric Pain Work: A Systematic Review and Recommendations for Future Research.Children (Basel, Switzerland) · 2021
    Review
11. Cognitive Change and Relaxation as Key Mechanisms of Treatment Outcome in Chronic Pain: Evidence From Routine Care.Frontiers in psychiatry · 2021
    Article
12. The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients.Frontiers in psychology · 2021
    Article
13. Acceptance and commitment therapy for chronic pain: protocol of a systematic review and individual participant data meta-analysis.Systematic reviews · 2019
    Article
14. Cognitive-behavioural therapy for chronic pain: determining what works for the person in front of you.British journal of pain · 2019
    Article
15. Current status of acceptance and commitment therapy for chronic pain: a narrative review.Journal of pain research · 2018
    Review
16. Internet-delivered aftercare following multimodal rehabilitation program for chronic pain: a qualitative feasibility study.Journal of pain research · 2018
    Article
17. Advancing psychological therapies for chronic pain.F1000Research · 2017
    Review
18. The mechanisms of effect of a physiotherapist-delivered integrated psychological and exercise intervention for acute whiplash-associated disorders: secondary mediation analysis of a randomized controlled trial.Pain reports
    Article

Corrections and comments

• Comment on
  Mindfulness-based stress reduction and cognitive behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial.2016

Authors and funding

1 author.

Funding

Abstract

PubMed holds no abstract for this paper.