Evidence map›Paper›PMID 41087138›Full record

ReviewCanadian family physician Medecin de famille canadien2025

Novel psychotherapy approaches for patients with chronic noncancer pain: Effective modalities relevant to family practice.

Edward S Weiss, Orit Zamir

Abstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Edward S WeissFamily physician in Toronto, Ont, and provides emotion-focused psychological treatments at the Toronto Rehabilitation Institute in the University Health Network. edward.weiss@uhn.ca.
Orit ZamirPsychiatrist at Women's College Hospital and at the Wasser Pain Management Clinic at Mount Sinai Hospital in Toronto, Ont; a consultant at the Centre for Headache; a member of the interprofessional hub team for the Project ECHO (Extension of Community Healthcare Outcomes) Chronic Pain and Opioid Stewardship Program in the University Health Network; and Assistant Professor at the University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo familiarize family physicians with new and emerging evidence regarding the underlying central nervous system (nociplastic) pathogenesis of many chronic pain conditions and review modalities of psychotherapy that can specifically target nociplastic pain and other symptoms. QUALITY OF EVIDENCE: Psychotherapy modalities for the treatment of patients with nociplastic chronic pain (eg, pain reprocessing therapy, emotional awareness and expression therapy, intensive short-term dynamic psychotherapy) have level I evidence to support their efficacy in treating patients with various pain conditions as well as those with other chronic symptoms lacking clear structural causes. MAIN MESSAGE: Family physicians should be aware that many patients with chronic pain and other persistent symptoms may benefit from therapeutic approaches that target the central nervous system rather than the site where symptoms are felt. Meta-analyses have shown that older nonspecific modalities of psychotherapy (eg, cognitive behavioural therapy, acceptance and commitment therapy) have limited efficacy in treating patients with these conditions. Recent trial evidence and systematic reviews have shown that pain reprocessing therapy, emotional awareness and expression therapy, and intensive short-term dynamic psychotherapy can be helpful for many patients with nociplastic symptoms and may also help improve comorbid mood and anxiety symptoms.

conclusionPsychotherapy is a safe and effective way to treat patients with chronic pain conditions that have nociplastic components. Access to effective therapy modalities may be a limiting factor, but self-treatment using online or virtual resources can be helpful for many patients.

Indexed as

Chronic PainFamily PracticePain ManagementPsychotherapyHumans

Identifiers

PMID41087138
PMCPMC12519972

What OpenQuestion holds

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Registered trials

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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.