Abstract：
OBJECTIVE: This meta-analysis synthesizes research on the impact of cognitive restructuring on chronic pain intensity, aiming to integrate diverse methodologies and findings while evaluating potential moderators.
METHODS: Following PRISMA guidelines, we systematically searched multiple databases (PubMed, Web of Science, JSTOR, Sage, Social Science Research Network, PsycArticles, ScienceDirect, and Education Resources Information Center) until July 2023. Studies involving adults (≥18 years) diagnosed with chronic conditions who underwent cognitive restructuring to reduce chronic pain intensity, were included. Eligible studies compared this intervention with a control group. We excluded studies incorporating cognitive restructuring within broader interventions, lacking statistical data, or not written in English. Study quality was assessed using the Cochrane Risk of Bias tool (RoB 2).
RESULTS: After reviewing 18,312 studies, we selected 11 studies published between 1991 and 2022, involving 693 participants with chronic conditions. A significant large overall effect size was found (d = 0.94, 95% CI 0.48 to 1.40). Moderation analyses revealed significant differences based on sex and study quality, with effects less pronounced among females and more substantial in higher-quality studies.
CONCLUSIONS: Despite limitations such as statistical instability due to a small number of studies in certain moderator categories and methodological variability, this meta-analysis highlights the robust effects of cognitive restructuring on chronic pain intensity. The findings are valuable for guiding power calculations and future research expectations. Clinically, these results support the significant effect of cognitive restructuring in both individual and group settings, regardless of age, particularly when facilitated by teams that include psychologists.
METHODS: Following PRISMA guidelines, we systematically searched multiple databases (PubMed, Web of Science, JSTOR, Sage, Social Science Research Network, PsycArticles, ScienceDirect, and Education Resources Information Center) until July 2023. Studies involving adults (≥18 years) diagnosed with chronic conditions who underwent cognitive restructuring to reduce chronic pain intensity, were included. Eligible studies compared this intervention with a control group. We excluded studies incorporating cognitive restructuring within broader interventions, lacking statistical data, or not written in English. Study quality was assessed using the Cochrane Risk of Bias tool (RoB 2).
RESULTS: After reviewing 18,312 studies, we selected 11 studies published between 1991 and 2022, involving 693 participants with chronic conditions. A significant large overall effect size was found (d = 0.94, 95% CI 0.48 to 1.40). Moderation analyses revealed significant differences based on sex and study quality, with effects less pronounced among females and more substantial in higher-quality studies.
CONCLUSIONS: Despite limitations such as statistical instability due to a small number of studies in certain moderator categories and methodological variability, this meta-analysis highlights the robust effects of cognitive restructuring on chronic pain intensity. The findings are valuable for guiding power calculations and future research expectations. Clinically, these results support the significant effect of cognitive restructuring in both individual and group settings, regardless of age, particularly when facilitated by teams that include psychologists.
摘要：
目的：本荟萃分析综合了认知重构对慢性疼痛强度影响的研究，旨在整合不同的方法和发现，同时评估潜在的主持人。
方法：遵循PRISMA指南，我们系统地搜索了多个数据库(PubMed，WebofScience,JSTOR,Sage,社会科学研究网络,Psycarticles,ScienceDirect,和教育资源信息中心）至2023年7月。研究涉及被诊断患有慢性疾病的成年人（≥18岁），他们经历了认知重建以减少慢性疼痛强度，包括在内。符合条件的研究将该干预措施与对照组进行了比较。我们排除了在更广泛的干预措施中纳入认知重构的研究，缺乏统计数据，或者不是用英语写的。使用Cochrane偏差风险工具(RoB2)评估研究质量。
结果：在回顾了18,312项研究之后，我们选择了1991-2022年间发表的11项研究,涉及693名患有慢性病的参与者.发现显著较大的总体效应大小(d=0.94,95%CI0.48至1.40)。适度分析显示，基于性别和学习质量的显著差异，在女性中的影响不太明显，在更高质量的研究中影响更大。
结论：尽管存在一些局限性，例如由于某些主持人类别的少量研究和方法学差异而导致的统计不稳定性，这项荟萃分析强调了认知重构对慢性疼痛强度的稳健影响.研究结果对于指导功率计算和未来研究预期具有重要价值。临床上,这些结果支持认知重构在个体和群体环境中的显著影响，不管年龄,特别是在包括心理学家在内的团队的帮助下。
方法：遵循PRISMA指南，我们系统地搜索了多个数据库(PubMed，WebofScience,JSTOR,Sage,社会科学研究网络,Psycarticles,ScienceDirect,和教育资源信息中心）至2023年7月。研究涉及被诊断患有慢性疾病的成年人（≥18岁），他们经历了认知重建以减少慢性疼痛强度，包括在内。符合条件的研究将该干预措施与对照组进行了比较。我们排除了在更广泛的干预措施中纳入认知重构的研究，缺乏统计数据，或者不是用英语写的。使用Cochrane偏差风险工具(RoB2)评估研究质量。
结果：在回顾了18,312项研究之后，我们选择了1991-2022年间发表的11项研究,涉及693名患有慢性病的参与者.发现显著较大的总体效应大小(d=0.94,95%CI0.48至1.40)。适度分析显示，基于性别和学习质量的显著差异，在女性中的影响不太明显，在更高质量的研究中影响更大。
结论：尽管存在一些局限性，例如由于某些主持人类别的少量研究和方法学差异而导致的统计不稳定性，这项荟萃分析强调了认知重构对慢性疼痛强度的稳健影响.研究结果对于指导功率计算和未来研究预期具有重要价值。临床上,这些结果支持认知重构在个体和群体环境中的显著影响，不管年龄,特别是在包括心理学家在内的团队的帮助下。
