Takaisin

Group psychotherapy in chronic pain

Näytönastekatsaukset
Anita Saariaho
3.3.2026

Level of evidence: C

Group psychotherapy may decrease pain in patients with chronic pain.

One systematic review including 29 studies on group psychotherapy «Alldredge C, Burlingame G, Rosendahl J. Group psyc...»1 measured the effectiveness of any group psychotherapy intervention vs no intervention/passive control. They found a small effect on pain intensity in the first assessment of pain after the intervention.

However, the evidence was limited by imprecision and high risk of bias. The clinical meaningfulness of the study results is difficult to interpret due to incomplete reporting of the results. The intervention type may affect the impact of the intervention as well as the type of pain (e.g. fibromyalgia vs neuropathic pain).

Table 1. Description of the included studies
Reference Study type Population Intervention and comparison Outcomes Risk of bias
RCT=randomized controlled trial; SR=systematic review; MA=meta-analysis
Additional comments for included studies
«Alldredge C, Burlingame G, Rosendahl J. Group psyc...»1 SR/MA Patients with chronic pain Group psychotherapy vs no intervention/passive control group Pain intensity at first post assessment High
Reference Comments
«Alldredge C, Burlingame G, Rosendahl J. Group psyc...»1 High risk of bias in most studies. Studies included several different therapy types with CBT being the most common therapy type.

Results

Table 3. Outcome 1: Pain intensity at first post intervention assessment
Reference Number of studies and number of patients (I/C) Follow-up time Mean (sd) I Mean (sd) C Standardized mean difference (95% CI)
Level of evidence: low
The quality of evidence was limited by study limitations, imprecision. There was also some inconsistency in the effect sizes but not enough to require further downgrade.
I=intervention; C=comparison; CI=confidence interval
«Alldredge C, Burlingame G, Rosendahl J. Group psyc...»1 21 RCTs (2512 patients) 3-12 months - - 0.26 (0.11to 0.41)

References

  1. Alldredge C, Burlingame G, Rosendahl J. Group psychotherapy for chronic pain: A meta-analysis. Psychotherapy (Chic) 2023;60(2):194-205 «PMID: 36996160»PubMed