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CBT for managing chronic non-cancer pain in older adults

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Review of: Niknejad B et al. Association between psychological interventions and chronic pain outcomes in older adults: a systematic review and meta-analysis. JAMA Internal Med 2018;178:830–9.

Key learning points

  • This systematic review evaluated evidence from 22 clinical studies comparing one or more psychological interventions used to treat chronic pain.

  • Interventions involved cognitive behavioural therapy techniques including cognitive coping skills training, behavioural coping skills training and cognitive restructuring.

  • Small effect sizes were seen for pain, mood and functional outcomes.

  • Improvement in pain intensity persisted for up to 6 months.

  • Group-based delivery was associated with better outcomes.

A review of psychological approaches to managing chronic non-cancer pain in older adults showed small benefits in reducing pain intensity, reducing …

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