Evidence map›Paper›PMID 43001630›Full record

SynthesisPain research & management2026

The Effects of Mindfulness-Based Programs on Pain-Related Cognitions in Individuals With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis.

Talia Barnet-Hepples, Fereshteh Pourkazemi, Evangelos Pappas, Linting Ruan, James Puterflam, Jemma Masterton, Anita Amorim

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in Pain research & management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Talia Barnet-HepplesSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0000-0002-8124-2997
Fereshteh PourkazemiSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0000-0002-9899-7069
Evangelos PappasSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0000-0002-8340-0303
Linting RuanSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0009-0005-9524-1513
James PuterflamSydney School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0000-0002-3604-7359
Jemma MastertonSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0009-0001-0855-1136
Anita AmorimSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, sydney.edu.au.ORCID https://orcid.org/0000-0001-8932-1561

Funding

Australian Government Research Training Program (RTP) ScholarshipCouncil of Australasian University LibrariansUniversity of Sydney
6 · The paper itself

Abstract

objectivesChronic musculoskeletal pain is a complex condition influenced by psychological factors, including pain-related cognitions. This systematic review and meta-analysis of randomized controlled trials aimed to evaluate the effects of mindfulness-based programs on pain-related cognitions in individuals with chronic musculoskeletal pain. Secondary outcomes included depression, anxiety, psychological distress, pain intensity, disability, intervention adherence, and mindfulness-related adverse events.

methodsEight databases were searched from inception to January 2026. Evidence was synthesized using random-effects models and reported as standardized mean differences with 95% confidence intervals. Risk of bias was assessed using the revised Cochrane risk of bias tool. Evidence certainty was rated using GRADE.

resultsFifty-one studies (n = 5997) were included and had a moderate-to-high risk of bias. Compared to no intervention, mindfulness-based programs reduced pain catastrophizing (SMD: 1.00, 95% CI: 0.56-1.45) and increased pain acceptance (SMD: 1.12, 95% CI: 0.31-1.92) post-intervention. They also reduced depression (SMD: 0.94, 95% CI: 0.50-1.38), anxiety (SMD: 1.08, 95% CI: 0.57-1.59), psychological distress (SMD: 0.75, 95% CI: 0.12-1.38), pain intensity (SMD: 0.80, 95% CI: 0.38-1.23), and disability (SMD: 0.48, 95% CI: 0.04-0.92) compared to no intervention. Minimal significant differences were observed between the effect of mindfulness-based programs and cognitive behavioral therapy on these outcomes. DISCUSSION: Mindfulness-based programs appear to be an effective self-management strategy for individuals with chronic musculoskeletal pain. However, the certainty of evidence is mostly low with intervention adherence varying. Future research should clarify the direction and nature of the relationship between adherence and outcomes. Reporting of mindfulness-related adverse events was insufficient to evaluate safety; future trials should incorporate comprehensive measurement.

Indexed as

Chronic PainCognitionMindfulnessMusculoskeletal PainCatastrophizationHumanschronic musculoskeletal painmeta-analysismindfulness-based programspain-related cognitionssystematic review

Identifiers

PMID43001630
PMCPMC13746321

What OpenQuestion holds

Textmetadata
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.