Evidence map›Paper›PMID 41884678›Full record

ReviewJournal of pain research2026

Body Image and Body Awareness Interventions in Chronic Pain: A Systematic Review of Effects on Pain-Related Variables and Emotional Distress.

Víctor Navarro-Moreno, Ángel Zamora, Rocío Herrero, Marta Miragall, Giulia Parola, Valentina Saccone, Rosa M Baños

Abstract readReview
In one paragraph

Review in Journal of pain research, 2026. 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. 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

7 authors.

Víctor Navarro-MorenoPolibienestar Research Institute, University of Valencia, Valencia, Spain.ORCID 0009-0007-8002-5011
Ángel ZamoraPolibienestar Research Institute, University of Valencia, Valencia, Spain.ORCID 0000-0003-3845-0288
Rocío HerreroCIBER of Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0001-6987-6607
Marta MiragallDepartment of Personality, Evaluation, and Psychological Treatments, University of Valencia, Valencia, Spain.ORCID 0000-0002-0646-3597
Giulia ParolaPolibienestar Research Institute, University of Valencia, Valencia, Spain.ORCID 0009-0005-1018-5285
Valentina SacconeDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.ORCID 0009-0000-7528-3023
Rosa M BañosPolibienestar Research Institute, University of Valencia, Valencia, Spain.ORCID 0000-0003-0626-7665

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growing evidence highlights the high prevalence of body image (BI) and body awareness (BA) disturbances in individuals with chronic pain. Moreover, these constructs appear to play a significant role in pain experience. Despite a growing number of interventions targeting BI and BA in chronic pain populations, no systematic review has synthesized their effects. This systematic review was conducted in accordance with PRISMA guidelines and included 24 randomized controlled trials (RCTs). Studies were identified through four databases (PubMed, APA PsycNET, Scopus, and Web of Science), searched on November 14, 2022, and updated on February 26, 2025. Inclusion criteria were: (1) adults (≥18 years) with chronic pain; (2) BI or BA-based interventions; (3) RCTs; and (4) outcomes assessing BI, BA, pain intensity, disability, interference, catastrophizing, kinesiophobia, or emotional distress. Quality assessment was carried out with The Panacea Project Quality Assessment Tool for Quantitative Studies and the results were synthesized narratively. Most studies involved female participants (20 out of 24 RCTs). The most studied conditions were fibromyalgia (N=8) and chronic low back pain (N=4). Interventions including physical activity (N=4) (e.g. aerobic exercise, dance, Pilates) consistently showed positive effects on BI and pain intensity. Evidence on kinesiophobia, catastrophizing, and emotional distress was limited and heterogeneous. Overall, while BI appears to be a relevant therapeutic target in chronic pain, the evidence remains modest. In contrast, BA-focused interventions yielded more robust effects. Taken together, these findings highlight the effects of interventions targeting body image and body awareness and support their integration into multidisciplinary chronic pain management.

Indexed as

body perceptionscatastrophizationkinesiophobiarehabilitation

Identifiers

PMID41884678
PMCPMC13011850

What OpenQuestion holds

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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.