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The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. Two independent reviewers screened abstracts and articles for inclusion criteria and extracted relevant data. Cohen's d effect sizes were calculated by using a random effects model. Outcomes included pain intensity, emotional functioning, physical functioning (pain interference or pain-specific disability, health-related quality of life), participant ratings of global improvement, health care utilization, health care provider visits, pain medications, and employment/disability compensation status. A total of 205 effect sizes from 22 studies were pooled in 34 analyses. Positive effects of psychological interventions, contrasted with various control groups, were noted for pain intensity, pain-related interference, health-related quality of life, and depression. Cognitive-behavioral and self-regulatory treatments were specifically found to be efficacious. Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review. 相似文献
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When branches of a fault tree are pruned, subjects do not fully transfer the probability of those branches to the ‘all other’ category. This underestimation of the catch-all probability has been interpreted as an ‘out of sight, out of mind’ form of the availability bias. The present work replicates this underestimation bias with professional managers. It then demonstrates the effectiveness of a corrective tactic, extending the tree by generating additional causes, and also reveals that more easily retrieved short-term causes dominate the generation process. These results do not differ across managers' culture, education or experience. After evaluating such alternative explanations as category redefinition, we conclude that availability is a major cause, though possibly not the sole cause, of the underestimation bias. 相似文献