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Psychological Approaches for the Integrative Care of Chronic Low Back Pain: A Systematic Review and Metanalysis

Author

Listed:
  • Giorgia Petrucci

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Giuseppe Francesco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Fabrizio Russo

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Gianluca Vadalà

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Michela Piredda

    (Research Unit Nursing Science, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Maria Grazia De Marinis

    (Research Unit Nursing Science, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Rocco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Vincenzo Denaro

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

Abstract

Chronic low back pain (CLBP) is the most common cause of disability worldwide, affecting about 12% to 30% of the adult population. Psychological factors play an important role in the experience of pain, and may be predictive of pain persistence, disability, and long-term sick leave. The aim of this meta-analysis was to identify and to describe the most common psychological approaches used to treat patients who suffer from CLBP. A systematic search was performed on PubMed/MEDLINE and Cochrane Central. Overall, 16 studies with a total of 1058 patients were included in the analysis. Our results suggest that cognitive behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR) interventions are both associated with an improvement in terms of pain intensity and quality of life when singularly compared to usual care. Disability also improved in both groups when compared to usual care. Significant differences in fear-avoidance beliefs were noted in the CBT group compared to usual care. Therefore, psychological factors are related to and influence CLBP. It is crucial to develop curative approaches that take these variables into account. Our findings suggest that CBT and MBSR modify pain-related outcomes and that they could be implemented in clinical practice.

Suggested Citation

  • Giorgia Petrucci & Giuseppe Francesco Papalia & Fabrizio Russo & Gianluca Vadalà & Michela Piredda & Maria Grazia De Marinis & Rocco Papalia & Vincenzo Denaro, 2021. "Psychological Approaches for the Integrative Care of Chronic Low Back Pain: A Systematic Review and Metanalysis," IJERPH, MDPI, vol. 19(1), pages 1-19, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:60-:d:708238
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    References listed on IDEAS

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    1. Helen Richmond & Amanda M Hall & Bethan Copsey & Zara Hansen & Esther Williamson & Nicolette Hoxey-Thomas & Zafra Cooper & Sarah E Lamb, 2015. "The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-20, August.
    2. Fabrizio Russo & Sergio De Salvatore & Luca Ambrosio & Gianluca Vadalà & Luca Fontana & Rocco Papalia & Jorma Rantanen & Sergio Iavicoli & Vincenzo Denaro, 2021. "Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(11), pages 1-21, June.
    3. Rinske A Gotink & Paula Chu & Jan J V Busschbach & Herbert Benson & Gregory L Fricchione & M G Myriam Hunink, 2015. "Standardised Mindfulness-Based Interventions in Healthcare: An Overview of Systematic Reviews and Meta-Analyses of RCTs," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-17, April.
    4. Fabrizio Russo & Giuseppe Francesco Papalia & Gianluca Vadalà & Luca Fontana & Sergio Iavicoli & Rocco Papalia & Vincenzo Denaro, 2021. "The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(23), pages 1-17, November.
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    Cited by:

    1. Giuseppe Francesco Papalia & Giorgia Petrucci & Fabrizio Russo & Luca Ambrosio & Gianluca Vadalà & Sergio Iavicoli & Rocco Papalia & Vincenzo Denaro, 2022. "COVID-19 Pandemic Increases the Impact of Low Back Pain: A Systematic Review and Metanalysis," IJERPH, MDPI, vol. 19(8), pages 1-11, April.

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