Evidence map›Paper›PMID 31123837›Full record

ReviewCurrent rheumatology reports2019

Emotional Awareness and Expression Therapy for Chronic Pain: Rationale, Principles and Techniques, Evidence, and Critical Review.

Mark A Lumley, Howard Schubiner

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Current rheumatology reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 79 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 5 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT04751825 nacompletednot on this mapstarted 2021, after this paper: background citation

Internet-based Emotional Awareness and Expression Therapy for Somatic Symptom Disorder - A Randomized Controlled Trial

TypeinterventionalSponsorKarolinska InstitutetRan2021 to 2022Enrolled74ConditionsSomatic Symptom DisorderArmsI-EAET
NCT07097792 narecruitingnot on this mapstarted 2025, after this paper: background citation

Pilot Study of Concussion Recovery and Support Program (CRISP)

TypeinterventionalSponsorSeattle Children's HospitalRan2025 to 2026Enrolled40ConditionsBrain Concussion, Mild Traumatic Brain Injury, HeadacheArmsCRISP (Concussion Recovery and Support Program)
NCT07732062 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Group-Based, Virtual Emotional Awareness and Expression Therapy Intervention - Hebrew (EAET-H) for Chronic Pain Patients Treated With Medical Cannabis in Israel - A Feasibility Study

TypeinterventionalSponsorReuth Rehabilitation HospitalRan2026 to 2027Enrolled42ConditionsChronic Musculoskeletal Pain, Cannabis UseArmsGroup-based virtual Emotional Awareness & Expression Therapy - Hebrew (vEAET-H)
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 5 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Temporal pathways between alexithymia, psychological distress, and pain: An autoregressive mediation analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

19 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

2 authors at 2 institutions in 1 country.

Mark A LumleyDepartment of Psychology, Wayne State University, 5057 Woodward Avenue, Suite 7908, Detroit, MI, 48202, USA. mlumley@wayne.edu.
Howard SchubinerDepartment of Internal Medicine, Ascension Providence-Providence Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA.
Michigan State University · USWoodward (United States) · US

Funding

Emotional Exposure and Cognitive Behavioral Therapies for FibromyalgiaR01AR057808 · NIAMS · WAYNE STATE UNIVERSITY · PI LUMLEY, MARK A · 2010 to 2014
$3.2M
Development and Preliminary Testing of Novel Virtual Human-Assisted Psychosocial Interviews for Patients with Chronic Musculoskeletal PainR21AR074020 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JUNGHAENEL, DOERTE ULRIKE, LUMLEY, MARK A · 2018 to 2019
$382k
NIAMS NIH HHS R01 AR057808NIAMS NIH HHS R21 AR074020
6 · The paper itself

Abstract

purpose of reviewPatients with chronic pain, especially primary or centralized pain, have elevated rates of psychosocial trauma and intrapersonal or intrapsychic conflict. To address these risk factors and potentially reduce pain, the authors developed emotional awareness and expression therapy (EAET). This article presents the rationale for EAET, describes its principles and techniques, reviews its development and early testing as well as recent clinical trials, and critically analyzes the evidence base. RECENT

findingsFour initial trials (between 2006 and 2011) demonstrated the efficacy of earlier versions of EAET. Four recent randomized, controlled trials of different EAET durations (1 to 8 sessions) and formats (individual or group) in patients with fibromyalgia, irritable bowel syndrome, pelvic pain, or medically unexplained symptoms support the earlier findings. EAET reliably reduces pain and interference, although improvements in anxiety and depression are less reliably achieved and may be delayed. The largest and best conducted trial found superiority of EAET over cognitive-behavioral therapy for fibromyalgia. Patient retention in EAET is high, and adverse events are rare. EAET merits inclusion as a treatment option for primary pain conditions, and it may be the preferred treatment for some patients. Research is needed on EAET with other pain conditions and samples, using better controls and comparison conditions, and on additional ways to motivate and help patients engage in successful emotional processing.

Indexed as

PsychotherapyChronic PainEmotionsHumansRandomized Controlled Trials as TopicChronic painEmotional awareness and expressionEmotional processingPrimary painRandomized trial

Identifiers

PMID31123837
PMCPMC7309024
OpenAlexW2945366142

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.