Meta-analysis of psychological interventions for chronic low back pain.

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.     

Not all forms of misbehavior are created equal: Differential personality facet–counterproductive work behavior relations

We examined whether four personality traits—trait aggression, trait industriousness, trait deceptiveness, and trait self-control—were differentially related to 11 narrow-bandwidth CWB facets: (a) property destruction, (b) inappropriate verbal actions, (c) inappropriate physical actions, (d) poor attendance, (e) poor quality work, (f) unsafe behavior, (g) theft and related behavior, (h) misuse of information, (i) misuse of time and resources, (j) alcohol use, and (k) drug use. Based on responses from 404 employed participants recruited using Mechanical Turk, we found that each narrow-bandwidth personality trait often yielded stronger relationships with overall CWB than with narrow-bandwidth CWB facets.