Efectividad de la terapia cognitivo-conductual en el manejo de dolor pediátrico: revisión sistemática y metaanálisis.
Saved in:
| Title: | Efectividad de la terapia cognitivo-conductual en el manejo de dolor pediátrico: revisión sistemática y metaanálisis. |
|---|---|
| Alternate Title: | Effectiveness of cognitive-behavioral therapy in the management of pediatric pain: a systematic review and meta-analysis. |
| Authors: | Alexandra Fonseca-Páez, Natalia1,2 nfonsecap@unal.edu.co, Aguilar-Mejía, Javier A.1,2, Galeano-Orjuela, Marcela3, Vásquez-Hoyos, Pablo1, Andrés Cañón-Plazas, Miguel4 |
| Source: | Andes Pediatrica. mar/abr2026, Vol. 97 Issue 2, p291-310. 20p. |
| Subjects: | PAIN management, COGNITIVE therapy, MIGRAINE, HEADACHE, EVIDENCE synthesis, JUVENILE idiopathic arthritis |
| Abstract (English): | Pain in pediatric patients represents a significant healthcare challenge, where successful treatment prevents the onset of long-term physical and psychosocial consequences. A multimodal approach has been shown to improve pain control by addressing all pain aspects. To determine the effectiveness of Cognitive-Behavioral Therapy (CBT) in pain management, a systematic review and meta-analysis were conducted following the PRISMA guidelines, which included studies published between 2014 and 2024 in four databases (PubMed, EMBASE, SciELO, Cochrane) and gray literature from Google Scholar. Randomized controlled trials (RCTs) comparing CBT with traditional controls (psychoeducation, waiting list, or placebo), focusing on pain intensity reduction, were considered. Nine studies were eligible after evaluating 2,964 references and applying selection criteria. The meta-analysis showed a moderate effect size (SMD = 0.77; 95% CI: 0.44-1.11) with high heterogeneity (I² > 80%). A substantial benefit was observed in juvenile idiopathic arthritis, and moderate effects were observed in headache/migraine and functional abdominal pain, with no significant differences for chronic pain and fibromyalgia. We conclude that, although CBT is promising, the methodological heterogeneity and asymmetry highlighted by the Egger test warrant caution. Larger, more standardized trials are needed to robustly confirm these findings. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | El dolor en pacientes pediátricos representa un desafío importante en salud, dónde el éxito del tratamiento previene la aparición de secuelas físicas y psicosociales a largo plazo. El abordaje multimodal ha demostrado mejorar el control del dolor al abarcar todas las esferas que lo componen. Con el objetivo de determinar la efectividad de la Terapia Cognitivo-Conductual (TCC) en su manejo, se realizó una revisión sistemática y metaanálisis siguiendo la guía PRISMA, que incluyó estudios publicados entre 2014 y 2024 en cuatro bases de datos (PubMed, EMBASE, SciELO, Cochrane) más literatura gris en Google Scholar. Se contemplaron ensayos controlados aleatorizados (ECA) que compararan TCC contra controles tradicionales (psicoeducación, lista de espera o placebo), enfocándose en la reducción de la intensidad del dolor. Tras evaluar 2964 referencias y aplicar criterios de selección, 9 estudios resultaron elegibles. El metaanálisis mostró un efecto moderado (SMD =0,77; IC 95%: 0,44-1,11) con heterogeneidad alta (I² > 80%). Se observó un beneficio sustancial en artritis idiopática juvenil y efectos moderados en cefalea/migraña y dolor abdominal funcional, sin diferencias significativas para dolor crónico y fibromialgia. Concluimos que, aunque la TCC es prometedora, la heterogeneidad metodológica y la asimetría señalada por la prueba de Egger aconsejan cautela. Se requieren ensayos más estandarizados y de mayor alcance para confirmar con solidez estos hallazgos. [ABSTRACT FROM AUTHOR] |
| Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: lth DbLabel: MedicLatina An: 193700785 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Efectividad de la terapia cognitivo-conductual en el manejo de dolor pediátrico: revisión sistemática y metaanálisis. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Effectiveness of cognitive-behavioral therapy in the management of pediatric pain: a systematic review and meta-analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Alexandra+Fonseca-Páez%2C+Natalia%22">Alexandra Fonseca-Páez, Natalia</searchLink><relatesTo>1,2</relatesTo><i> nfonsecap@unal.edu.co</i><br /><searchLink fieldCode="AR" term="%22Aguilar-Mejía%2C+Javier+A%2E%22">Aguilar-Mejía, Javier A.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Galeano-Orjuela%2C+Marcela%22">Galeano-Orjuela, Marcela</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Vásquez-Hoyos%2C+Pablo%22">Vásquez-Hoyos, Pablo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Andrés+Cañón-Plazas%2C+Miguel%22">Andrés Cañón-Plazas, Miguel</searchLink><relatesTo>4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Andes+Pediatrica%22">Andes Pediatrica</searchLink>. mar/abr2026, Vol. 97 Issue 2, p291-310. 20p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22PAIN+management%22">PAIN management</searchLink><br /><searchLink fieldCode="DE" term="%22COGNITIVE+therapy%22">COGNITIVE therapy</searchLink><br /><searchLink fieldCode="DE" term="%22MIGRAINE%22">MIGRAINE</searchLink><br /><searchLink fieldCode="DE" term="%22HEADACHE%22">HEADACHE</searchLink><br /><searchLink fieldCode="DE" term="%22EVIDENCE+synthesis%22">EVIDENCE synthesis</searchLink><br /><searchLink fieldCode="DE" term="%22JUVENILE+idiopathic+arthritis%22">JUVENILE idiopathic arthritis</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Pain in pediatric patients represents a significant healthcare challenge, where successful treatment prevents the onset of long-term physical and psychosocial consequences. A multimodal approach has been shown to improve pain control by addressing all pain aspects. To determine the effectiveness of Cognitive-Behavioral Therapy (CBT) in pain management, a systematic review and meta-analysis were conducted following the PRISMA guidelines, which included studies published between 2014 and 2024 in four databases (PubMed, EMBASE, SciELO, Cochrane) and gray literature from Google Scholar. Randomized controlled trials (RCTs) comparing CBT with traditional controls (psychoeducation, waiting list, or placebo), focusing on pain intensity reduction, were considered. Nine studies were eligible after evaluating 2,964 references and applying selection criteria. The meta-analysis showed a moderate effect size (SMD = 0.77; 95% CI: 0.44-1.11) with high heterogeneity (I² > 80%). A substantial benefit was observed in juvenile idiopathic arthritis, and moderate effects were observed in headache/migraine and functional abdominal pain, with no significant differences for chronic pain and fibromyalgia. We conclude that, although CBT is promising, the methodological heterogeneity and asymmetry highlighted by the Egger test warrant caution. Larger, more standardized trials are needed to robustly confirm these findings. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: El dolor en pacientes pediátricos representa un desafío importante en salud, dónde el éxito del tratamiento previene la aparición de secuelas físicas y psicosociales a largo plazo. El abordaje multimodal ha demostrado mejorar el control del dolor al abarcar todas las esferas que lo componen. Con el objetivo de determinar la efectividad de la Terapia Cognitivo-Conductual (TCC) en su manejo, se realizó una revisión sistemática y metaanálisis siguiendo la guía PRISMA, que incluyó estudios publicados entre 2014 y 2024 en cuatro bases de datos (PubMed, EMBASE, SciELO, Cochrane) más literatura gris en Google Scholar. Se contemplaron ensayos controlados aleatorizados (ECA) que compararan TCC contra controles tradicionales (psicoeducación, lista de espera o placebo), enfocándose en la reducción de la intensidad del dolor. Tras evaluar 2964 referencias y aplicar criterios de selección, 9 estudios resultaron elegibles. El metaanálisis mostró un efecto moderado (SMD =0,77; IC 95%: 0,44-1,11) con heterogeneidad alta (I² > 80%). Se observó un beneficio sustancial en artritis idiopática juvenil y efectos moderados en cefalea/migraña y dolor abdominal funcional, sin diferencias significativas para dolor crónico y fibromialgia. Concluimos que, aunque la TCC es prometedora, la heterogeneidad metodológica y la asimetría señalada por la prueba de Egger aconsejan cautela. Se requieren ensayos más estandarizados y de mayor alcance para confirmar con solidez estos hallazgos. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=193700785 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.32641/andespediatr.v97i2.5697 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 20 StartPage: 291 Subjects: – SubjectFull: PAIN management Type: general – SubjectFull: COGNITIVE therapy Type: general – SubjectFull: MIGRAINE Type: general – SubjectFull: HEADACHE Type: general – SubjectFull: EVIDENCE synthesis Type: general – SubjectFull: JUVENILE idiopathic arthritis Type: general Titles: – TitleFull: Efectividad de la terapia cognitivo-conductual en el manejo de dolor pediátrico: revisión sistemática y metaanálisis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Alexandra Fonseca-Páez, Natalia – PersonEntity: Name: NameFull: Aguilar-Mejía, Javier A. – PersonEntity: Name: NameFull: Galeano-Orjuela, Marcela – PersonEntity: Name: NameFull: Vásquez-Hoyos, Pablo – PersonEntity: Name: NameFull: Andrés Cañón-Plazas, Miguel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: mar/abr2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 24526045 Numbering: – Type: volume Value: 97 – Type: issue Value: 2 Titles: – TitleFull: Andes Pediatrica Type: main |
| ResultId | 1 |
