Health psychology : official journal of the Division of Health Psychology, American Psychological Association
-
Meta Analysis
Prescriber adherence to guidelines for chronic noncancer pain management with opioids: Systematic review and meta-analysis.
This review quantified prescriber adherence to opioid prescribing guidelines for chronic noncancer pain (CNCP). ⋯ Adherence to guideline recommendations for opioids for CNCP is low. It is unclear whether nonadherence reflects thoughtful deviations in care. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
-
Review Meta Analysis
Biased interpretation of ambiguous information in patients with chronic pain: A systematic review and meta-analysis of current studies.
The aim of this review is to provide a synthesis of studies exploring biased interpretation of ambiguous information in individuals with chronic pain, and to meta-analyze the results of studies comparing individuals with chronic pain to pain-free controls. ⋯ Individuals with chronic pain demonstrate biased interpretation of ambiguous information favoring pain-related/illness-related interpretations. A number of important methodological limitations are apparent however, including potential sources of bias in the classification of participant responses in some paradigms. Further research adopting more rigorous methodology is therefore required. Another area for future research is investigation into how different forms of cognitive bias (i.e., attentional, interpretation, and memory biases) interact with one another in chronic pain patients. (PsycINFO Database Record
-
Review Meta Analysis
Effective behavior change techniques in asthma self-care interventions: systematic review and meta-regression.
The purpose of this study is to update previous systematic reviews of interventions targeting asthma self-care in adults with asthma, and to use meta-regression to examine the association between the use of specific behavior change techniques and intervention effectiveness. ⋯ Interventions targeting asthma self-care are effective. Active involvement of participants is associated with increased intervention effectiveness, but the use of stress management techniques may be counterproductive. Taxonomy-based systematic reviews using meta-regression have potential for identifying techniques associated with increased effectiveness in behavioral interventions.
-
Meta Analysis
Posttraumatic stress disorder in parents of children with chronic illnesses: a meta-analysis.
To estimate PTSD prevalence in parents of children with chronic illnesses or undergoing invasive procedures, and its association with higher risk of PTSD among parents. ⋯ The high prevalence of PTSD found in this population highlights the importance of promptly assessing and treating post-traumatic symptoms in parents of children with chronic diseases as a key step to prevent the negative consequences of PTSD and preserve their competency as caregivers.
-
The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. ⋯ Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review.