Evidence map›Paper›PMID 30705039›Full record

SynthesisEvidence-based mental health2019

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.

Eve-Ling Khoo, Rebecca Small, Wei Cheng, Taylor Hatchard, Brittany Glynn, Danielle B Rice, Becky Skidmore, Samantha Kenny, Brian Hutton, Patricia A Poulin

Open access · bronzeAbstract readComparative StudyEvaluation StudySystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Evidence-based mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 10 pooled it
25.0field-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.

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

66 citing papers in PubMed, 10 syntheses or guidelines pooled it, 182 citations in OpenAlex.

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  6. The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials.Perspectives on psychological science : a journal of the Association for Psychological Science · 2022
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6 more citing papers are in PubMed but not listed here.

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

10 authors at 3 institutions in 1 country.

Eve-Ling KhooClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0001-7533-8186
Rebecca SmallClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Wei ChengClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-1475-4079
Taylor HatchardSchool of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
Brittany GlynnClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Danielle B RiceClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Becky SkidmoreIndependent Information Specialist Consultant, Ottawa, Ontario, Canada.
Samantha KennyClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Brian HuttonClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Patricia A PoulinClinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Ottawa Hospital · CAUniversity of Ottawa · CAMemorial University of Newfoundland · CA

Funding

CIHR
6 · The paper itself

Abstract

questionThis 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. STUDY SELECTION AND ANALYSIS: 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.

findingsTwenty-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.

conclusionsThis 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.

Indexed as

Outcome Assessment, Health CareChronic PainCognitive Behavioral TherapyHumansMindfulnessPsychotherapy, GroupStress, Psychologicalchronic pain; meta-analysiscognitive-behavioral therapymindfulness-based stress reductionrandomized controlled trials

Identifiers

PMID30705039
PMCPMC10270397
OpenAlexW2913124466

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.