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Internet interventions for chronic pain including headache: A systematic review
Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper.
2016 (Engelska)Ingår i: Internet Interventions, ISSN 2214-7829, Vol. 4, s. 17-34Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Chronic pain is a major health problem and behavioral based treatments have been shown to be effective. However, the availability of these kinds of treatments is scarce and internet-based treatments have been shown to be promising in this area. The objective of the present systematic review is to evaluate internet-based interventions for persons with chronic pain. The specific aims are to do an updated review with a broad inclusion of different chronic pain diagnoses and to assess disability and pain and also measures of catastrophizing, depression and anxiety. A systematic search identified 891 studies and 22 trials were selected as eligible for review. Two of the selected trials included children/youth and five included individuals with chronic headache and/or migraine. The most frequently measured domain reflected in the primary outcomes was interference/disability, followed by catastrophizing. Result across the studies showed a number of beneficial effects. Twelve trials reported significant effects on disability/interference outcomes and pain intensity. Positive effects were also found on psychological variable such as catastrophizing, depression and anxiety. Several studies (n = 12) were assessed to have an unclear level of risk bias. The attrition levels ranged from 4% to 54% where the headache trials had the highest drop-out levels. However, findings suggest that internet-based treatments based on cognitive behavioural therapy (CBT) are efficacious measured with different outcome variables. Results are in line with trials in clinical settings. Meta-analytic statistics were calculated for interference/disability, pain intensity, catastrophizing and mood ratings. Results showed that the effect size for interference/disability was Hedge's g = − 0.39, for pain intensity Hedge's g = − 0.33, for catastrophizing Hedge's g = − 0.49 and for mood variables (depression) Hedge's g = − 0.26.

Ort, förlag, år, upplaga, sidor
2016. Vol. 4, s. 17-34
Nyckelord [en]
chronic pain, internet, cognitive behavioral therapy
Nationell ämneskategori
Psykologi
Identifikatorer
URN: urn:nbn:se:uu:diva-284152DOI: 10.1016/j.invent.2015.12.001OAI: oai:DiVA.org:uu-284152DiVA, id: diva2:919912
Tillgänglig från: 2016-04-15 Skapad: 2016-04-15 Senast uppdaterad: 2017-11-30Bibliografiskt granskad

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Buhrman, MonicaGordh, Torsten

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