Use of behavioural activation to manage pain: a systematic scoping review
Background Behavioural activation (BA) is an effective treatment for depression; however, it is unclear if it can be used to manage pain.Objectives To conduct a scoping review of primary research that reported using BA to support people living with chronic pain to understand how BA had been used in...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e056404.full |
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| author | G Lorimer Moseley Marianne Gillam Martin Jones Sandra Walsh Richard John Gray Trevor Barker Tesfahun Eshetie Kate M. Gunn Kham Tran |
| author_facet | G Lorimer Moseley Marianne Gillam Martin Jones Sandra Walsh Richard John Gray Trevor Barker Tesfahun Eshetie Kate M. Gunn Kham Tran |
| author_sort | G Lorimer Moseley |
| collection | DOAJ |
| description | Background Behavioural activation (BA) is an effective treatment for depression; however, it is unclear if it can be used to manage pain.Objectives To conduct a scoping review of primary research that reported using BA to support people living with chronic pain to understand how BA had been used in relation to pain. In addition, we wanted to understand whether there were any reported changes in that pain, and how and who delivered BA.Eligibility criteria Primary research published in English.Sources of evidence We searched seven databases MEDLINE, Ovid Embase, Ovid Emcare, PsycINFO, CINAHL, Scopus and Web of Science, for primary research. No initial date limit was used with the date the searches were conducted used as the end date limit (1 July 2021).Charting methods A customised data extraction table was developed, piloted and used.Results 551 papers were screened for inclusion, with 15 papers included in our review. Studies were conducted in North America and in Canada. These included three case studies, nine uncontrolled trials and three randomised controlled trials. Only two studies reported pain as the primary outcome. BA was applied across a range of pain related conditions. The dose of BA ranged from 3 to 16 sessions. Duration of treatment was 3 weeks to 12 months. Most studies reported reductions in pain following exposure to BA.Conclusion BA has the potential to reduce pain. Caution needs to be exercised in the interpretation of these findings as a high risk of bias was observed in most studies. High-quality research is required to test if BA is an effective intervention for chronic pain. |
| format | Article |
| id | doaj-art-660224df35a54a5398a75c1485a63cd2 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-660224df35a54a5398a75c1485a63cd22025-02-01T14:25:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-056404Use of behavioural activation to manage pain: a systematic scoping reviewG Lorimer Moseley0Marianne Gillam1Martin Jones2Sandra Walsh3Richard John Gray4Trevor Barker5Tesfahun Eshetie6Kate M. Gunn7Kham Tran8University of South Australia, Adelaide, South Australia, Australia2 Department of Rural Health, University of South Australia, Mt Barker, South Australia, AustraliaHartpury University, Hartpury, UK1 Department of Rural Health, University of South Australia, Whyalla Norrie, South Australia, Australia1 Department of Rural Health, University of South Australia, Whyalla Norrie, South Australia, Australia5 Allied Health & Human Performance, University of South Australia Division of Health Sciences, Adelaide, South Australia, Australia6 Department of Rural Health, University of South Australia Division of Health Sciences, Adelaide, South Australia, AustraliaIIMPACT in Health, University of South Australia, Adelaide, South Australia, AustraliaIIMPACT in Health, University of South Australia, Adelaide, South Australia, AustraliaBackground Behavioural activation (BA) is an effective treatment for depression; however, it is unclear if it can be used to manage pain.Objectives To conduct a scoping review of primary research that reported using BA to support people living with chronic pain to understand how BA had been used in relation to pain. In addition, we wanted to understand whether there were any reported changes in that pain, and how and who delivered BA.Eligibility criteria Primary research published in English.Sources of evidence We searched seven databases MEDLINE, Ovid Embase, Ovid Emcare, PsycINFO, CINAHL, Scopus and Web of Science, for primary research. No initial date limit was used with the date the searches were conducted used as the end date limit (1 July 2021).Charting methods A customised data extraction table was developed, piloted and used.Results 551 papers were screened for inclusion, with 15 papers included in our review. Studies were conducted in North America and in Canada. These included three case studies, nine uncontrolled trials and three randomised controlled trials. Only two studies reported pain as the primary outcome. BA was applied across a range of pain related conditions. The dose of BA ranged from 3 to 16 sessions. Duration of treatment was 3 weeks to 12 months. Most studies reported reductions in pain following exposure to BA.Conclusion BA has the potential to reduce pain. Caution needs to be exercised in the interpretation of these findings as a high risk of bias was observed in most studies. High-quality research is required to test if BA is an effective intervention for chronic pain.https://bmjopen.bmj.com/content/12/6/e056404.full |
| spellingShingle | G Lorimer Moseley Marianne Gillam Martin Jones Sandra Walsh Richard John Gray Trevor Barker Tesfahun Eshetie Kate M. Gunn Kham Tran Use of behavioural activation to manage pain: a systematic scoping review BMJ Open |
| title | Use of behavioural activation to manage pain: a systematic scoping review |
| title_full | Use of behavioural activation to manage pain: a systematic scoping review |
| title_fullStr | Use of behavioural activation to manage pain: a systematic scoping review |
| title_full_unstemmed | Use of behavioural activation to manage pain: a systematic scoping review |
| title_short | Use of behavioural activation to manage pain: a systematic scoping review |
| title_sort | use of behavioural activation to manage pain a systematic scoping review |
| url | https://bmjopen.bmj.com/content/12/6/e056404.full |
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