What is it about?
After 101 randomized controlled trials we are sure that psychological therapies for chronic pain have benefit but recognize that that benefit is small, when analysed by group. Why? We offer a critique of method, of theoretical development, and of practice. And we call for a novel way of approaching both the creation on new therapeutic models and methods, and a novel way of establishing evidence
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Why is it important?
Chronic pain is a major social, personal, and economic problem. There is a clear need for psychological treatments aimed at the self-management of chronic illness and its symptoms. There is a good foundation for these treatments but they struggle to emerge out of the status of 'promising'. This paper argues clearly and strongly for a path to development for advancing therapy and its research in this area.
Perspectives
It seemed to me to be time to speak up and ask for better reflection, more debate, and a clearer path ahead. After multiple systematic reviews, and quality statements, the individual RCTs are not improving. Technology is threatening to disrupt the therapy model, and there are huge opportunities to develop effective interventions at scale.
Prof Christopher Eccleston
The university of Bath
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This page is a summary of: Advancing psychological therapies for chronic pain, F1000Research, April 2017, Faculty of 1000, Ltd.,
DOI: 10.12688/f1000research.10612.1.
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