Evidence map›Paper›PMID 39713097›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Cognitive Behavioral Therapy Reduces Unhelpful Thinking Among People with Musculoskeletal Symptoms: A Meta-Analysis.

Deven Niraj Patel, Rajeev Pathapati, Catherine Hand, Ashwin Varma, Sina Ramtin, David Ring

Abstract read
In one paragraph

Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Deven Niraj PatelLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Rajeev PathapatiLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Catherine HandLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Ashwin VarmaLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Sina RamtinDepartment of Surgery and Perioperative Care, Dell Medical School, Austin, TX, USA.ORCID https://orcid.org/0000-0001-5197-6204
David RingDepartment of Surgery and Perioperative Care, Dell Medical School, Austin, TX, USA.ORCID https://orcid.org/0000-0002-6506-4879

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Greater unhelpful thinking is associated with greater musculoskeletal discomfort and incapability. Cognitive-behavioral therapy (CBT) fosters healthy thinking to help alleviate symptoms. Questions: In a meta-analysis of randomized control trials (RCT) of CBT for unhelpful thinking among people with musculoskeletal symptoms, we asked: 1) Does CBT reduce unhelpful thinking and feelings of distress, and improve capability, in individuals with musculoskeletal symptoms? 2) Are outcomes affected by CBT delivery methods? Methods: Following QUOROM guidelines, we searched databases using keywords of pain catastrophizing, kinesiophobia, cognitive-behavioral therapy, musculoskeletal and variations. Inclusion criteria were RCT's testing CBT among people with musculoskeletal symptoms. Study quality was assessed with Cochrane Review of Bias 2. Meta-analysis of means and standard deviations was performed. Results: CBT led to modest reductions in catastrophic thinking (-0.44 CI: -0.76 to -0.12; Conclusion: The evidence that CBT delivered by various clinicians in various settings fosters healthier thinking in people presenting for care of musculoskeletal symptoms, supports comprehensive care of musculoskeletal illness. More research is needed to develop indications and interventions that also improve levels of capability. Level-I, meta-analysis of RCT's.

Indexed as

anxiety symptomscognitive-behavioral therapy (CBT)fear avoidancekinesiophobiamental health interventionspain catastrophizingpain managementpatient capabilityrecoveryunhelpful thinking

Identifiers

PMID39713097
PMCPMC11660068

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.