Abstract
Background
Cognitive behavioral therapy (CBT) is a structured, short-term psychotherapy approach
that may have positive effects in terms of relieving postoperative pain. The main
objective of this study was to determine the effect of CBT on pain and joint function
in patients after total joint arthroplasty.
Methods
We searched 3 electronic databases including randomized controlled studies (RCTs)
using CBT as an intervention. The main results of this study were to determine pain
intensity by NRS, VAS, WOMAC pain Scale, PCS, and joint function by HHS, OKS, EQ-5D,
ROM. Data extraction and quality assessment of included RCTs were independently performed
by the authors and date analysis was performed by RevMan V.5.4.
Results
Among the 605 studies, 9 RCTS were included in this systematic review and meta-analysis.
The study showed that the difference between CBT and usual care groups in PCS (≤3months),
NRS, VAS (≤3months) were statistically significant (P < 0.05); the difference between
CBT and usual care groups in PCS (≥12months), WOMAC Pain Scale, and VAS (≥12months)
were not statistically significant (P > 0.05), indicating that CBT can improve pain
in patients after arthroplasty in the early term. In addition, the difference between
CBT and usual care groups in OKS (≤3months), HSS, ROM (≤3months), EQ-5D (≤3months)
were not statistically significant (P > 0.05); the difference between CBT and usual
care groups in EQ-5D (≥12months) were statistically significant (P < 0.05), indicating
that the quality of life in patients after total joint arthroplasty were improved
with the extension of follow-up time.
Conclusions
This study shows that CBT can relieve pain in patients with total joint arthroplasty
in the early postoperative period and improve quality of life to some extent over
time.
Keywords
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Article info
Publication history
Published online: February 10, 2023
Accepted:
January 16,
2023
Received in revised form:
December 27,
2022
Received:
April 12,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Published by Elsevier B.V. on behalf of The Japanese Orthopaedic Association.
