Table 2.
Author year | Groups | Type of CBT | CBT sessions | CBT duration (W) | Comparison type |
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Balser 1997 | CBT + UC vs. UC | Face-to-face | 12 sessions ∗ 120 min | 12 | UC: various forms of medical treatment such as pain medication, nerve blocks, transcutaneous electrical stimulation, and physical therapy, but not surgery. |
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Beth 2021 | CBT vs. PE CBT vs. ER | Face-to-face | 8 sessions ∗ 120 min | 8 | PE: pain education, matched to empowered relief on 4 key factors: duration, structure, format, and site. ER: empowered relief consists of a single-session, 2-hour pain class that includes pain neuroscience education, mindfulness principles, and CBT skills. |
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Buhrman 2004 | CBT vs. WL | Internet-based | Webpages | 8 | WL: nonspecific treatment control had been used instead of a waiting list. |
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Carpenter 2012 | CBT vs. WL | Internet-based | Webpages | 3 | WL: nonspecific treatment control had been used instead of a waiting list. |
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Cherkin 2016 | CBT vs. UC, CBT vs. MBSR | Face-to-face | 2 sessions ∗ 120 min ∗ 8 W | 8 | UC: free to seek whatever treatment but no MBSR training or CBT. MBSR: mindfulness-based stress reduction, a program does not focus specifically on a particular condition such as pain. |
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Christiansen 2010 | CBT + UC vs. UC | Face-to-face | 2 sessions ∗ 30 min | 3 | UC: standard outpatient back pain program. |
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Godfrey 2020 | ACT + PT vs. PT | Face-to-face and telephone call | 3 sessions ∗ (60 min ∗ 2 + 20 min) | 6 | PT: usual physical therapy including manual therapy techniques. |
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Gould 2020 | CBT + placebo vs. placebo | Face-to-face | 6 sessions (1 ∗ 90 min + 5 ∗ 60 min) | 8 | Placebo: a dose of benztropine mesylate 0.125 mg daily was chosen. |
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Harris 2017 | BI vs. BI + CBT vs. BI + PE | Face-to-face | 7 sessions ∗ 90 min | 12 | BI: brief intervention, a brief cognitive, clinical examination program addressing pain and fear avoidance. PE: Group physical exercise consisted of strength and endurance training and relaxation. |
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Ivar brox 2003 | Surgery vs. CBT + PT | Face-to-face | NA | 12 | Surgery: posterolateral fusion with transpedicular screws of the L4–L5 segment and/or the L5–S1 segment. PT: customarily prescribed physiotherapy, including exercises. |
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Johnson 2007 | CBT + UC vs. UC | Face-to-face and leaflet | 8 sessions ∗ 120 min | 6 | UC: received no further intervention and continued to be treated as usual. |
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Khan 2014 | CBT + exercise vs. exercise | Face-to-face | 3 sessions ∗ 12 ∗ ? min | 12 | Exercise: general exercise protocol under the supervision of a physical therapist. |
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Monticone 2013 | CBT + exercise vs. exercise | Face-to-face | 5 ∗ 60 min + 12 ∗ 60 min | 54 | Exercise: general exercise protocol under the supervision of a physical therapist. |
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Newton 1995 | CBT vs. EMGBF vs. WL | Face-to-face | 5 ∗ 90 min | 4 | EMGBF: electromyographic biofeedback, consisted firstly of a psychoeducational session, then introduced to the pain-tension-pain cycle. WL: nonspecific treatment control had been used instead of a waiting list. |
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Petrozzi 2019 | CBT + PT vs. PT | Internet-based | 5 modules, online-based | 8 | PT: included manual therapy in combination with other modalities such as advice, education, and exercise. |
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Pincus 2015 | CBT vs. PT | Face-to-face | 8 sessions ∗ 50 min | 12 | PT: physiotherapy was delivered as usual within services, with the stipulation that it included at least 60% exercise. |
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Reme 2016 | BI + CBT vs. BI | Audiotaped | 7 sessions ∗ ? min | 8 | BI: brief intervention, a brief cognitive, clinical examination program based on a noninjury model addressing pain and fear avoidance, where return to normal activity and work is the main goal. |
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Rutledge 2018a | CBT vs. UC | Text-based | 12 sessions (1 ∗ 120 min + 11 ∗ 30 min) | 8 | UC: controlled for nonspecific benefits of therapy. |
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Rutledge 2018b | CBT vs. UC | Telephone-based | 12 sessions (1 ∗ 120 min + 11 ∗ 30 min) | 8 | UC: controlled for nonspecific benefits of therapy. |
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Schweikert 2006 | CBT + UC vs. UC | Face-to-face | 6 sessions ∗ 90 min | 3 | UC: standardized conventional 3-week inpatient rehabilitation program consisting of daily physiotherapy, massage of the spinal region, electrotherapeutical measures, 1-hour seminar regarding back training, twice-daily exercise program. |
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Smeets 2006 | CBT vs. PT, CBT vs. WL | Face-to-face | 18 sessions, total: 11.5 ∗ 60 min | 10 | PT: aerobic training on a bicycle and strength and endurance training. WL: not allowed to participate in diagnostic or therapeutic procedures because of their CLBP. |
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Turner 2016 | CBT vs. UC, CBT vs. MBSR | Face-to-face | 2 sessions ∗ 120 min ∗ 8 W | 8 | UC: free to seek whatever treatment but no MBSR training or CBT. MBSR: mindfulness-based stress reduction: a program does not focus specifically on a particular condition such as pain. |
UC: usual care; PE: pain education; ER: empowered relief; WL: waiting-list; PT: physical therapy; BI: brief intervention; MBSR: mindfulness-based stress reduction; EMGBF: electromyographic biofeedback.