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The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol

BACKGROUND: Numerous psychological risk and protective factors have been identified as contributing to or preventing the development of the prevalent issue of chronic pain. Systematic reviews of studies on psychological interventions that tackle these factors have shown limited effects on chronic pa...

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Autores principales: Bérubé, Mélanie, Gélinas, Céline, Choinière, Manon, Feeley, Nancy, Martorella, Géraldine, Parent, Stefan, Streiner, David L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609012/
https://www.ncbi.nlm.nih.gov/pubmed/28934981
http://dx.doi.org/10.1186/s13643-017-0583-7
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author Bérubé, Mélanie
Gélinas, Céline
Choinière, Manon
Feeley, Nancy
Martorella, Géraldine
Parent, Stefan
Streiner, David L.
author_facet Bérubé, Mélanie
Gélinas, Céline
Choinière, Manon
Feeley, Nancy
Martorella, Géraldine
Parent, Stefan
Streiner, David L.
author_sort Bérubé, Mélanie
collection PubMed
description BACKGROUND: Numerous psychological risk and protective factors have been identified as contributing to or preventing the development of the prevalent issue of chronic pain. Systematic reviews of studies on psychological interventions that tackle these factors have shown limited effects on chronic pain. Therefore, implementing psychological interventions before pain becomes chronic has been put forward. However, the efficacy of such interventions in preventing the transition from acute to chronic pain has not yet been systematically assessed. METHODS: The aims of this systematic review are to assess the effects of psychological interventions applied in the acute pain phase on pain severity as well as on physical, psychological, and social functions at 3 months and beyond. Randomized controlled trials including psychological intervention as a treatment of primary interest and participants with pain of less than 3 months duration will be considered. The following comparisons will be undertaken: psychological interventions with (1) standard treatment, (2) information, (3) waiting-list, and (4) active treatment. The primary outcome will be pain severity using indicators such the presence or absence of pain and self-report measures such as the numeric pain intensity rating scale. Secondary outcomes will include pain-related disability, mood, coping with pain, quality of life, health care utilization, and work capability. A systematic review of English and French articles in MEDLINE, Embase, PsycINFO, CINAHL, and the Cochrane Central Register of Controlled Trials will be conducted without date restriction. Extracted data will include demographics and clinical characteristics, sample size, intervention and control group types, assessment tools used, time interval of measurement, fidelity of the intervention, and attrition rate. Standardized mean differences (SMD) and risk ratios with 95% confidence intervals (CI) will be used to assess treatment effects. DISCUSSION: This systematic review is the first in examining the effects of psychological interventions implemented in the acute pain phase with the objective of preventing chronic pain. Results of this systematic review could provide information on psychological intervention characteristics that are most helpful for individuals with pain and guidance as to when such interventions should be applied in the continuum of care. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016049312 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13643-017-0583-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-56090122017-09-25 The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol Bérubé, Mélanie Gélinas, Céline Choinière, Manon Feeley, Nancy Martorella, Géraldine Parent, Stefan Streiner, David L. Syst Rev Protocol BACKGROUND: Numerous psychological risk and protective factors have been identified as contributing to or preventing the development of the prevalent issue of chronic pain. Systematic reviews of studies on psychological interventions that tackle these factors have shown limited effects on chronic pain. Therefore, implementing psychological interventions before pain becomes chronic has been put forward. However, the efficacy of such interventions in preventing the transition from acute to chronic pain has not yet been systematically assessed. METHODS: The aims of this systematic review are to assess the effects of psychological interventions applied in the acute pain phase on pain severity as well as on physical, psychological, and social functions at 3 months and beyond. Randomized controlled trials including psychological intervention as a treatment of primary interest and participants with pain of less than 3 months duration will be considered. The following comparisons will be undertaken: psychological interventions with (1) standard treatment, (2) information, (3) waiting-list, and (4) active treatment. The primary outcome will be pain severity using indicators such the presence or absence of pain and self-report measures such as the numeric pain intensity rating scale. Secondary outcomes will include pain-related disability, mood, coping with pain, quality of life, health care utilization, and work capability. A systematic review of English and French articles in MEDLINE, Embase, PsycINFO, CINAHL, and the Cochrane Central Register of Controlled Trials will be conducted without date restriction. Extracted data will include demographics and clinical characteristics, sample size, intervention and control group types, assessment tools used, time interval of measurement, fidelity of the intervention, and attrition rate. Standardized mean differences (SMD) and risk ratios with 95% confidence intervals (CI) will be used to assess treatment effects. DISCUSSION: This systematic review is the first in examining the effects of psychological interventions implemented in the acute pain phase with the objective of preventing chronic pain. Results of this systematic review could provide information on psychological intervention characteristics that are most helpful for individuals with pain and guidance as to when such interventions should be applied in the continuum of care. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016049312 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13643-017-0583-7) contains supplementary material, which is available to authorized users. BioMed Central 2017-09-21 /pmc/articles/PMC5609012/ /pubmed/28934981 http://dx.doi.org/10.1186/s13643-017-0583-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Protocol
Bérubé, Mélanie
Gélinas, Céline
Choinière, Manon
Feeley, Nancy
Martorella, Géraldine
Parent, Stefan
Streiner, David L.
The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
title The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
title_full The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
title_fullStr The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
title_full_unstemmed The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
title_short The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
title_sort effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609012/
https://www.ncbi.nlm.nih.gov/pubmed/28934981
http://dx.doi.org/10.1186/s13643-017-0583-7
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