Evidence map›Paper›PMID 29094283›Full record

Trial reportInternational journal of behavioral medicine2018

Cognitive Behavioral Therapy for Depression and Anxiety in an Interdisciplinary Rehabilitation Program for Chronic Pain: a Randomized Controlled Trial with a 3-Year Follow-up.

Magnús Ólason, Rúnar H Andrason, Inga H Jónsdóttir, Hlín Kristbergsdóttir, Mark P Jensen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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.

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

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Characterization of Tiered Psychological Distress Phenotypes in an Orthopaedic Sports Population.International journal of environmental research and public health · 2025
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  4. Review
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  6. Observational
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  10. Pain Rehabilitation's Effect on People in Chronic Pain: A Prospective Cohort Study.International journal of environmental research and public health · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Magnús ÓlasonReykjalundur Rehabilitation Center, Mosfellsbær, Iceland. magnuso@reykjalundur.is.ORCID 0000-0001-5307-0166
Rúnar H AndrasonReykjalundur Rehabilitation Center, Mosfellsbær, Iceland.
Inga H JónsdóttirReykjalundur Rehabilitation Center, Mosfellsbær, Iceland.
Hlín KristbergsdóttirSchool of Health Sciences, University of Iceland, Reykjavík, Iceland.
Mark P JensenDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, 98195, USA.
Iceland GeoSurvey · ISUniversity of Iceland · ISUniversity of Washington · US

Funding

The Icelandic Research Centre (RANNÍS) 050433031
6 · The paper itself

Abstract

purposeCognitive behavioral therapy (CBT) is known to be effective for treating depression and anxiety in patients with chronic pain, but there is limited research studying the long-term benefits of CBT in this population. The present study evaluated the effects of CBT provided in the context of an interdisciplinary pain management program with a 3-year follow-up.

methodsOne hundred fifteen patients with chronic musculoskeletal pain participated in an interdisciplinary pain management program. Eighty of these patients meeting criteria for CBT treatment were randomized to receive or not receive CBT for depression and anxiety in addition to rehabilitation pain management. The remaining 35 patients constituted a second comparison group. Follow-up data were collected 1 and 3 years post-treatment with 19% of the patients dropping out after 1 year and 34% after 3 years. Attrition analysis did not indicate that there was significant attrition bias in the data.

resultsAll three groups evidenced improved depression following treatment (p < 0.001). The pre- to post-treatment effect sizes (Cohen's d) for depression in the CBT treatment group was large (ES = 1.36). The CBT treatment group maintained improvements on all measures at a 3-year follow-up, while the comparison groups did not. This was especially evident with respect to depression (pre-treatment to 3 years follow-up ES = 1.35 and between-group ES = 0.57). Before treatment, 36% of all the patients reported that they were able to work. At 3 years post-treatment, 59%, 58%, and 44% of the patients were working who were in the CBT treatment group, the Comparison group, and the Non-CBT group, respectively.

conclusionThe results indicate that providing CBT for depression and anxiety as part of a rehabilitation pain management program may enhance the long-term benefits of treatment. This finding, if replicated in additional studies, has important clinical and economic implications.

Indexed as

AdultAnxietyChronic PainCognitive Behavioral TherapyDepressionFemaleFollow-Up StudiesHumansInterdisciplinary StudiesMaleMiddle AgedPain ManagementTreatment OutcomeChronic musculoskeletal painCognitive behavioral therapyDepression and anxietyLong-term follow-upPain management

Identifiers

PMID29094283
OpenAlexW2765773467

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.