Review Article

Evidence Mapping Based on Systematic Reviews of Cognitive Behavioral Therapy for Neuropathic Pain

Table 2

PICOs included in systematic reviews.

PICOsPopulationInterventionComparisonOutcomesSystematic reviews includedIndividual studies included in SRConclusion
RCTControlled before–after studiesLongitudinal study

1SCICBT: 10 sessions of 3 hours over 10 weeksWaiting listCPGBoldt et al. [58], Eccleston et al. [49], and Williams et al. [48]Heutink [19]Mixed
2SCIiCBT: 6 sessions, 6 weeksWLCBPI, NRSGandy et al. [41]Burke [18]Potentially better
3MixedCognitive restructuring session: 8
Time per session: 1.5 h
Pain educationScale (0–10)van de Wetering et al. [37]Ehde and Jensen [68]No difference
4HIV-related peripheral neuropathic painCBT week: 6
Session: 6
Group time per session: 1 h
Standard supportive psychotherapyBPIvan de Wetering et al. [37]Evans et al. [23]No difference
5HIV-related peripheral neuropathic painiACT: 12 sessionsWLCBPIGandy et al. [41]Scott [22]Potentially better
6BMSCognitive therapy: 12-15 sessions, one hour once a weekAttention/placebo return visits 3 times during 12-15 weeksVAS ranging from 1 to 7McMillan et al. [64], Kisely et al. [67], Liu et al. [66], Cabras et al. [60], and Aggarwal et al. [52]Bergdahl [69]Potentially better after greater than 3 months
Liu et al. [66], Cabras et al. [60], Aggarwal et al. [52], Aggarwal et al. [34], and Reyad et al. [35]Bergdahl [69]Mixed
7MigraineMindfulness: 7 min group session (with script), instructed to practice 20 min/day for 2 weeks at home (given handout). Practiced 15 min just before cold pressor taskRelaxingPain tolerance and self-reported pain intensity and stress (0–10 scales)McClintock et al. [38]Feuille and Pargament [70]No difference
8MigraineACT: six 90 min small group sessions (once per week for 6 weeks)TAUMonthly migraine daysGalvez-Sánchez et al. [39]Grazzi et al., [71]Potentially better (significant results at the 6-month follow-up)
9MigraineACT: six 90 min small group sessions (once per week for 6 weeks)Erenumab: 70 mg (per month as an adjunct to pharmacological prophylaxis)Monthly migraine daysGalvez-Sánchez et al. [39]Grazzi et al., [71]No difference
10MigraineMBCTWLC/TAUHeadache frequency, severityPei et al. [47], Bae et al. [40]Mansourishad [72]Mixed
Bae et al. [40]Seng [73]No difference
11MigraineCBT: 8 weekly, 1-hour individual sessions, followed by monthly booster sessions of similar duration at weeks 12 and 16 and at the 3-, 6-, and 9-month follow-up pointsEducationHA frequency (day/month)Bae et al. [40], Ng et al. [43], Fisher et al. [63], and Fisher et al. [54]Powers [74]Mixed
Ng et al. [43], Fisher et al. [54]Powers [74]Potentially better at 3 months or later
12MigraineCBTSelf-administered group/self-monitoringTotal headache indexFisher et al. [63]McGrath [75]Potentially better
Fisher et al. [54]Griffiths [76]Potentially better
13MigraineCBTWaiting listHeadache diary using 0–5 intensity/headache diary using 0–10 NRS intensityNg et al. [43]Griffiths [76], Kroener-Herwig [77], Larsson [78], Osterhaus [79], and Barry [80]Potentially better (potentially better at 3 months or later)
14MigraineCT (cognitive coping)Sham coping skillsHeadache diary (headache index, frequency, mean duration, and peak intensity)Fisher et al. [63]Richter [81]No difference (follow-up)
Fisher et al. [63], Fisher et al. [54], Fisher et al. [55], Ng et al. [43], Palermo et al. [56], and Trautmann et al. [57]Richter [81]Mixed
15MigraineCBTPlacebo controlHeadache diary using 0–10 NRS intensityNg et al. [43]Passchier [82]Unclear
Headache diary using 0–10 NRS intensityNg et al. [43]McGrath [75]Potentially better at 3 months or later
Headache diary using 0–5 intensityPalermo et al. [56], Trautmann et al. [57], and Ng et al. [43]McGrath [75]Mixed
16MigraineCBTBiofeedback placeboHeadache diary using 0–4 scale (4 being the highest intensity)Ng et al. [43]Scharff [83]Potentially better
Headache diary using 0–4 scale (4 being the highest intensity)Ng et al. [43]Scharff [83]No difference at 3 months or later
17MigraineCBT coping skillsMetoprolol 50–100 mg OMHeadache diary using 0–10 NRS intensityNg et al. [43]Sartory [84]Potentially better (beneficial at 3 months or later)
18MigraineCBTi baseline (biweekly)Sham control (lifestyle modification)HA frequency (days/month), HA severityBae et al. [40]Smitherman [85]Unclear
19MigraineInternet CBTWaiting list/TAUClinical reduction in headache frequencyFisher et al. [53], Macea et al. [45], Palermo et al. [56], Fisher et al. [55], and Ng et al. [43]Connelly [86]Mixed
Daily headache record (headache duration, number of hours, and severity on a 4-point scale), PCS, and PGICEccleston et al. [50]Bromberg [87]Unclear
PCSSchütze et al. [65], Gandy et al. [41], and Buhrman et al. [44]Bromberg [87]Mixed
Headache diary using 0–10 NRS intensityNg et al. [43]Hicks [88]Potentially better (potentially better at 3 months or later)
Clinical reduction in headache frequencyFisher et al. [55], Ng et al. [43]Connelly [86]Potentially better at two-month and three-month follow-up
20MigraineOnline CBTEducationHA frequency (% of days), HA duration (h/episode), and HA severity (VAS)Bae et al. [40], Fisher et al. [53], and Fisher et al. [63]Rapoff [89]Mixed
HA frequency (% of days), HA duration (h/episode), and HA severity (VAS)Fisher et al. [53], Fisher et al. [63]Rapoff [89]No difference at 3-month follow-up
21DPNCBT one-on-one, 60-minute weekly sessions over 11 weeksTAUWHYMPIAmato Nesbit et al. [59], Davies et al. [61], and Racaru et al. [51]John D Otis [21]Mixed
WHYMPIDavies et al. [61], Racaru et al. [51]John D Otis [21]Potentially better at 4-month follow-up
22DPNCBT: 10 weekly sessions of 60 minutes, delivered one-on-one by a doctoral-level psychologistEducationNRSRacaru et al. [51]Kerns [90]No difference
23Postmastectomy pain syndromeMBCT: 8 consecutive weeks, one weekly session of exercises at homeWLCSF-MPQ-2, NRSChappell et al. [36], Ngamkham et al. [46], Ruano et al. [62], Feng et al. [42]Johannsen [91]Mixed
24CIPNiCBT: 10 sessions, 8weeksTAUNRSGandy et al. [41]Knoerl [25]No difference

SCI: spinal cord injury; BMS: burning mouth syndrome; DPN: diabetic peripheral neuropathy; CIPN: chemotherapy-induced peripheral neuropathy; WLC: waiting list control; TAU: treatment as usual; iCBT: Internet CBT; iACT: Internet ACT; CPG: chronic pain grade; BPI: the Brief Pain Inventory; HA: headache; NRS: numerical rating scale; PCS: pain catastrophizing scale; PGIC: Patient Global Impression of Change; VAS: visual analog scale; WHYMPI: West Haven Yale Multidimensional Pain Inventory; SF-MPQ-2: short-form McGill pain questionnaire 2; high-quality SRs; moderate-quality SRs; low-quality SRs; critically low-quality SR.