Evidence map›Paper›PMID 34413794›Full record

ArticleFrontiers in psychiatry2021

Cognitive Change and Relaxation as Key Mechanisms of Treatment Outcome in Chronic Pain: Evidence From Routine Care.

Matthias Feldmann, Hauke Jeldrik Hein, Ulrich Voderholzer, Robert Doerr, Thomas Hoff, Gernot Langs, Philipp Herzog, Tim Kaiser, Winfried Rief, Jenny Riecke and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07061028 (The Effects of Progressive Muscle Relaxation on Pain Intensity, Pain Catastrophizing, and Quality of Life in Patients With End Stage Renal Disease), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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.

NCT07061028 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effects of Progressive Muscle Relaxation on Pain Intensity, Pain Catastrophizing, and Quality of Life in Patients With End Stage Renal Disease: A Randomized Controlled Study

TypeinterventionalSponsorJordan University of Science and TechnologyRan2024 to 2024Enrolled104ConditionsEnd Stage Renal Disease (ESRD)ArmsProgressive Muscle Relaxation, Control Group
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
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

11 authors at 6 institutions in 1 country.

Matthias FeldmannDepartment of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Hauke Jeldrik HeinDepartment of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Ulrich VoderholzerSchoen Clinic Roseneck, Prien am Chiemsee, Germany.
Robert DoerrSchoen Clinic Berchtesgadener Land, Schönau am Königsee, Germany.
Thomas HoffSchoen Clinic Bad Bramstedt, Bad Bramstedt, Germany.
Gernot LangsSchoen Clinic Bad Bramstedt, Bad Bramstedt, Germany.
Philipp HerzogDepartment of Clinical Psychology and Psychotherapy, University of Greifswald, Greifswald, Germany.
Tim KaiserDepartment of Clinical Psychology and Psychotherapy, University of Greifswald, Greifswald, Germany.
Winfried RiefDepartment of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Jenny RieckeDepartment of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Eva-Lotta BrakemeierDepartment of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Philipps University of Marburg · DEHNO Bad Bramstedt · DESchön Klinik Berchtesgadener Land · DESchön Klinik Roseneck · DEUniversität Greifswald · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite effective treatment approaches within the cognitive behavioral framework general treatment effects for chronic pain are rather small to very small. Translation from efficacy trials to naturalistic settings is questionable. There is an urgent need to improve the effectiveness of well-established treatments, such as cognitive-behavior therapy (CBT) and the investigation of mechanisms of change is a promising opportunity. We performed secondary data analysis from routine data of 1,440 chronic pain patients. Patients received CBT in a multidisciplinary setting in two inpatient clinics. Effect sizes and reliable change indices were computed for pain-related disability and depression. The associations between changes in the use of different pain coping skills (cognitive restructuring, activity despite pain, relaxation techniques and mental distraction) and changes in clinical outcomes were analyzed in structural equation models. Pre-post effect sizes range from

Indexed as

chronic paincognitive behavioral therapycoping skillseffectivenessmechanisms of changemultidisciplinary pain treatmentnaturalistic

Identifiers

PMID34413794
PMCPMC8368979
OpenAlexW3191640582

What OpenQuestion holds

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LicenceCC BY
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.