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Review Article
- Psychological Interventions for Chronic Pain: An Umbrella Review of Systematic Reviews and Meta-Analyses of Randomized Controlled Trials
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Eun-Mi Koh
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STRESS. 2024;32(3):111-120. Published online September 30, 2024
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DOI: https://doi.org/10.17547/kjsr.2024.32.3.111
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Abstract
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- Background
There is a continuous increase in the number of studies showing that psychological interventions help reduce chronic pain. Systematic review studies that analyze the effect are also increasing. The aim of this umbrella review was to synthesise the best available research evidence for the effectiveness of standardised psychological interventon for adults with chronic pain.
Methods
Using MEDLINE (PubMed) and Cochrane CENTRAL search engines, four systematic reviews met the study criteria, including 60 randomized control trials and 7,025 patients with chronic pain.
Results
Compared to waiting control and treatment as usual, psychological interventions displayed medium effect sizes for pain intensity (SMD −0.35, CI −0.42 to −0.29, 4 reviews, N=4,061), pain disability (SMD −0.44, CI −0.51 to −0.36, 3 reviews, N=2,609), and physical functioning (SMD 0.38, CI 0.29 to 0.48, 2 reviews, N=1,699). Additionally, psychological interventions exhibited a medium effect size in reducing pain intensity (SMD −0.34, CI −0.42 to −0.26, 2 reviews, N=2,508) and pain disability (SMD −0.43, CI −0.51 to −0.35, 2 reviews, N=2,563) in chronic low back pain.
Conclusions
The results reaffirm that psychological interventions, along with drug or conventional treatments, can be helpful in managing chronic pain.
Original Article
- Influence of Pain Management Knowledge, Pain Management Self-Efficacy, and Empathic Capacity on Pain Management Performance of Nurses in Orthopedic Units
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Ji-Eon Han, Jeonghyun Cho
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STRESS. 2022;30(2):109-117. Published online June 30, 2022
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DOI: https://doi.org/10.17547/kjsr.2022.30.2.109
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Abstract
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- Background
The purpose of this study was to examine the influence of pain management knowledge, pain management self-efficacy, and empathic capacity on the pain management performance of orthopedic unit nurses.
Methods
This study employed a cross-sectional design using the survey. Participants were 110 orthopedic unit nurses from five university hospitals located in the B, U, and I metropolitan cities. Data collection was carried out from February 1, 2019 to March 6, 2019. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with IBM SPSS WIN 25.0 program.
Results
Pain management performance had statistically significant positive relationships with pain management self-efficacy (r=.46, p<.001) and empathic capacity (r=.38, p<.001). Regarding the factors that have an influence on pain management performance, pain management self-efficacy (β=.33, p=.001), empathic capacity (β=.21, p=.024), and experience in pain management education (β=.18, p=.032) were the significant factors. These variables explained 26.1% of the pain management performance in orthopedic unit nurses.
Conclusions
The findings would be used as a basis for effective strategies for pain management by orthopedic unit nurses in the future.
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