文献类型：期刊文献

英文题名：Effectiveness of cognitive behavioral therapy for patients after total knee arthroplasty: a systematic review and meta-analysis

作者：Ma, Tong[1];Pei, Juhong[2];Shi, Fanfan[3];Wang, Xiangfu[1];Li, Chenxu[1];Ye, Bingli[1];Zhao, Jirong[3,4,5]

第一作者：Ma, Tong

通信作者：Zhao, JR[1]

机构：[1]Gansu Prov Hosp Tradit Chinese Med, Minimally invas spinal Surg, Lanzhou, Gansu, Peoples R China;[2]Lanzhou Univ, Clin Med Coll 1, Lanzhou, Gansu, Peoples R China;[3]Gansu Univ Chinese Med, Clin Coll Tradit Chinese Med, Lanzhou, Gansu, Peoples R China;[4]Gansu Univ Tradit Chinese Med, Affiliated Hosp 1, Lanzhou, Gansu, Peoples R China;[5]Gansu Univ Chinese Med, Clin Coll Tradit Chinese Med, 35, Dingxi East Rd, Lanzhou 730000, Gansu, Peoples R China

第一机构：Gansu Prov Hosp Tradit Chinese Med, Minimally invas spinal Surg, Lanzhou, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Clin Coll Tradit Chinese Med, 35, Dingxi East Rd, Lanzhou 730000, Gansu, Peoples R China.|[10735ccd4a8840d96ab71]甘肃中医药大学中医临床学院;[10735]甘肃中医药大学;

年份：2023

卷号：28

期号：9

起止页码：2407

外文期刊名：PSYCHOLOGY HEALTH & MEDICINE

收录：;Scopus(收录号：2-s2.0-85145338695);WOS:【SSCI(收录号:WOS:000905629300001)，SCI-EXPANDED(收录号:WOS:000905629300001)】；

基金：This work was supported by the Standardization of Traditional Chinese Medicine, China Administration of Traditional Chinese Medicine (No. GZY-FJS-2020-213); Traditional Chinese Medicine Project of Gansu Province, China (No. GZKZ-2020-3); Key Project of Science and Technology Department of Gansu Province, China (No. 21ZD4FA009); Science and Technology Program of Gansu Province, China (No. 21JR7RA681).

语种：英文

外文关键词：Total knee arthroplasty; cognitive behavioral therapy; meta-analysis; pain

摘要：Total knee arthroplasty (TKA) is considered a common surgical option in patients with end-stage osteoarthritis of the knee. This systematic review and meta-analysis aimed to determine the effectiveness of cognitive behavioral therapy (CBT) for patients after TKA. PubMed, EMBASE, the Cochrane Library, Web of Science and CINAHL were searched for randomized controlled trials (RCTs) from inception to 20 August 2021. Included studies were evaluated with the Cochrane risk-of-bias tool. Six RCTs were included. Our study results demonstrated that a significant reduction in pain catastrophing was seen in patients receiving CBT at post-intervention (SMD -0.48, 95% CI = -0.72 to -0.23, I-2 17.2%, p = 0.00) but not in 3-month or 12-month follow-up. There were no significant differences between CBT and usual-care patients regarding pain intensity or knee function at different time-points. This is the first time that meta-analysis has been conducted to determine the effectiveness of CBT for patients after TKA. It is necessary to conduct longer follow-ups, include larger samples and conduct rigorous RCTs to further explore this issue.