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Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model

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Autogenic Training for Reducing Chronic Pain: a Systematic Review and Meta-analysis of Randomized Controlled Trials.

Antonia Kohlert¹, Katharina Wick², Jenny Rosendahl³

¹Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Stoystr. 3, 07743, Jena, Germany.

International Journal of Behavioral Medicine

|October 27, 2021

Summary

Autogenic training (AT) shows a moderate positive effect in reducing chronic pain compared to passive controls. However, more high-quality studies are needed due to potential bias in current research.

Keywords:

Autogenic training Chronic pain Meta-analysis Randomized controlled trials Systematic review

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Area of Science:

Psychology
Pain Management
Behavioral Medicine

Background:

Autogenic training (AT) is a relaxation technique often integrated into multimodal pain therapy.
Chronic pain affects a significant portion of the population, necessitating effective therapeutic interventions.

Purpose of the Study:

To systematically review and meta-analyze the efficacy of autogenic training (AT) for chronic pain.
To compare AT's effectiveness against passive and active control groups in pain management.

Main Methods:

A comprehensive literature search was conducted across multiple databases (Medline, Web of Science, PsycInfo, PubPsych).
Randomized controlled trials (RCTs) were identified, including manual searches and screening of dissertations and theses.
Data from 13 eligible studies (576 participants) were included in random-effects meta-analyses.

Main Results:

AT demonstrated a significant, moderate positive effect on pain reduction compared to passive control groups (g = 0.58).
No significant difference in pain reduction was found when comparing AT to other psychological interventions (g = -0.05).
Sensitivity analyses confirmed the robustness of the findings, though the overall risk of bias was rated as 'some concerns'.

Conclusions:

Autogenic training shows promising benefits for reducing chronic pain.
The current evidence is potentially influenced by bias, highlighting the need for high-quality RCTs.
Further rigorous research is required to solidify the role of AT in managing chronic pain.