These results were strongest when delivered using group-based approaches. Psychological interventions for the treatment of chronic pain in older adults have small benefits, including reducing pain and catastrophizing beliefs and improving pain self-efficacy for managing pain. In moderator analyses, only mode of therapy (group vs individual) demonstrated a consistent effect in favor of group-based therapy. There was evidence of effects persisting beyond the posttreatment assessment only for pain (dD = -0.251, P =. 09), catastrophizing beliefs (dD = -0.184, P =. In the case of PGC-MDD, published results were from a mega-analysis of nine studies, which included the RADIANT and GSK-Munich samples Major Depressive 2013. Differences of standardized mean differences (dD) at posttreatment were pain intensity (dD = -0.181, P =. Psychiatric Genome-Wide Association Study (GWAS) Consortium, 2011. Participants' mean (SD) age was 71.9 (7.1) years. Twenty-two studies with 2608 participants (1799 women) were analyzed. Pain intensity was the primary outcome secondary outcomes included pain interference, depressive symptoms, anxiety, catastrophizing beliefs, self-efficacy for managing pain, physical function, and physical health.
Analyses were performed to investigate the association between participant (eg, age), intervention (eg, treatment mode delivery), and study (eg, methodologic quality) characteristics with outcomes. A mixed-model meta-analysis tested the effects of treatment on outcomes. Two of the authors independently extracted data.
#B association psych trial
MEDLINE, Embase, PsycINFO, and the Cochrane Library were searched from inception to March 29, 2017.Īnalysis included studies that (1) used a randomized trial design, (2) evaluated a psychological intervention that used cognitive behavioral modalities alone or in combination with another strategy, (3) enrolled individuals with chronic pain (pain ≥3 months) with a sample mean age of 60 years or older, and (4) reported preintervention and postintervention quantitative data.
To determine the efficacy of psychological interventions in older adults with chronic pain and whether treatment effects vary by participant, intervention, and study characteristics. Psychological treatments are recommended, but little information is available regarding their efficacy in older adults. Chronic noncancer pain (hereafter referred to as chronic pain) is common among older adults and managed frequently with pharmacotherapies that produce suboptimal outcomes.
0 kommentar(er)
