{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T15:04:44Z","timestamp":1786460684482,"version":"build-2736575974"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This review aims to evaluate the effectiveness of cognitive behavioral therapy (CBT) compared with conservative pain management for improving the occupational performance of individuals with low back pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Low back pain is a condition that describes pain between the lower edge of ribs and the buttocks. It is projected to affect 843 million people by 2050, with significant economic and occupational consequences. CBT is a growing treatment for chronic pain that aims to change maladaptive thoughts and behaviors. This review will examine the effectiveness of CBT for improving occupational performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Inclusion criteria:<\/jats:title>\n                    <jats:p>The review will focus on the effect of CBT on adults with musculoskeletal low back pain, whether acute, subacute, or chronic. It will analyze randomized controlled trials, cohort studies, case-control studies, and quasi-experimental studies to assess CBT\u2019s impact on occupational performance, including activities of daily living, work, and sleep.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Two independent reviewers will screen titles, abstracts, and full-text manuscripts from PubMed, CINAHL (EBSCOhost), Web of Science Core Collection, Cochrane Library, OTSeeker, and ScienceDirect. Unpublished studies and gray literature will also be searched in ClinicalTrials.gov, Google Scholar, World Health Organization, and ProQuest Dissertations and Theses. A subgroup analysis will explore the effects of CBT on post-treatment outcomes, identifying sources of heterogeneity in its impact on activities of daily living, work, and sleep. Factors such as CBT type, delivery method, participant age, and low back pain chronicity will be considered. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach will assess evidence certainty, and a Summary of Findings will be provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration number:<\/jats:title>\n                    <jats:p>PROSPERO CRD42023472522<\/jats:p>\n                  <\/jats:sec>","DOI":"10.11124\/jbies-23-00480","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T04:07:16Z","timestamp":1736222836000},"page":"365-371","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of cognitive behavioral therapy vs conservative pain management for occupational performance in patients with low back pain: a systematic review protocol"],"prefix":"10.11124","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6594-9503","authenticated-orcid":false,"given":"Gemiele Elaine","family":"Delasas","sequence":"first","affiliation":[{"name":"Graduate School, University of Santo Tomas, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3707-2851","authenticated-orcid":false,"given":"Ninfa Mae","family":"Delgado","sequence":"additional","affiliation":[{"name":"Graduate School, University of Santo Tomas, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7017-7533","authenticated-orcid":false,"given":"Isabelle Kezia","family":"Mojica","sequence":"additional","affiliation":[{"name":"Graduate School, University of Santo Tomas, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3957-7026","authenticated-orcid":false,"given":"Stepanie","family":"Ragasa","sequence":"additional","affiliation":[{"name":"Graduate School, University of Santo Tomas, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Dones","sequence":"additional","affiliation":[{"name":"Graduate School, University of Santo Tomas, Manila, Philippines"},{"name":"Center for Health Research and Movement Science: A JBI Affiliated Group, University of Santo Tomas, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1041-2303","authenticated-orcid":false,"given":"Donald","family":"Manlapaz","sequence":"additional","affiliation":[{"name":"Graduate School, University of Santo Tomas, Manila, Philippines"},{"name":"Center for Health Research and Movement Science: A JBI Affiliated Group, University of Santo Tomas, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,12]]},"reference":[{"key":"R2-20251113","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11916-018-0669-5","article-title":"Cognitive behavioral therapy (CBT) for subacute low back pain: a systematic review","volume":"22","author":"Mariano","year":"2018","journal-title":"Curr Pain Headache Rep"},{"issue":"21","key":"R3-20251113","first-page":"541","article-title":"Association between low back pain and various everyday performances","volume":"131","author":"Grabovac","year":"2019","journal-title":"Cent Eur J Med"},{"key":"R4-20251113","doi-asserted-by":"crossref","first-page":"e3282","DOI":"10.7717\/peerj.3282","article-title":"Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain","volume":"5","author":"Sribastav","year":"2017","journal-title":"PeerJ"},{"issue":"3","key":"R5-20251113","first-page":"271","article-title":"Evaluating the efficacy of gradedin vivoexposure for the treatment of fear in patients with chronic back pain: a randomized controlled clinical trial","volume":"136","author":"Woods","year":"2008","journal-title":"J Int Assoc Study Pain"},{"issue":"1","key":"R6-20251113","doi-asserted-by":"crossref","DOI":"10.15412\/J.IRJ.08140103","article-title":"The impact of chronic low back pain on daily occupations: a qualitative study in Iranian context","volume":"14","author":"Dehkordi","year":"2016","journal-title":"Iran Rehabil J"},{"issue":"3","key":"R7-20251113","article-title":"The effectiveness of cognitive behavioral therapy in chronic low back pain","volume":"48","author":"Trevlaki","year":"2023","journal-title":"J Sci Tech Res"},{"issue":"6","key":"R8-20251113","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1055\/s-0035-1567836","article-title":"Defining the role of cognitive behavioral therapy in treating chronic low back pain: an overview","volume":"5","author":"Hanscom","year":"2015","journal-title":"Global Spine J"},{"issue":"1","key":"R9-20251113","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s10926-023-10116-4","article-title":"The Effectiveness of cognitive-behavioral therapy in helping people on sick leave to return to work: a systematic review and meta-analysis","volume":"34","author":"Xu","year":"2024","journal-title":"J Occup Rehabil"},{"issue":"2","key":"R10-20251113","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1111\/sjop.12590","article-title":"Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: results from a randomized trial","volume":"61","author":"Salomonsson","year":"2020","journal-title":"Scand J Psychol"},{"issue":"1","key":"R11-20251113","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.spinee.2007.10.007","article-title":"Evidence-informed management of chronic low back pain with cognitive behavioral therapy","volume":"8","author":"Gatchel","year":"2008","journal-title":"Spine J"},{"key":"R12-20251113","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s40122-018-0099-4","article-title":"Behavioral therapy approaches for the management of low back pain: an up-to-date systematic review","volume":"7","author":"Vitoula","year":"2018","journal-title":"Pain Ther"},{"issue":"7","key":"R13-20251113","doi-asserted-by":"crossref","first-page":"514","DOI":"10.7326\/M16-2367","article-title":"Non-invasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians","volume":"166","author":"Qaseem","year":"2017","journal-title":"Ann Intern Med"},{"key":"R14-20251113","doi-asserted-by":"crossref","first-page":"4276175","DOI":"10.1155\/2022\/4276175","article-title":"Evaluation of cognitive behavioral therapy on improving pain, fear avoidance, and self-efficacy in patients with chronic low back pain: a systematic review and meta-analysis","volume":"2022","author":"Yang","year":"2022","journal-title":"Pain Res Manag"},{"key":"R15-20251113","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jsr.2018.05.007","article-title":"Occupational interventions for the prevention of back pain: overview of systematic reviews","volume":"66","author":"Sowah","year":"2018","journal-title":"J Safety Res"},{"issue":"2","key":"R16-20251113","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s40122-018-0105-x","article-title":"Physical therapy approaches in the treatment of low back pain","volume":"7","author":"Shipton","year":"2018","journal-title":"Pain Ther"},{"issue":"168","key":"R17-20251113","first-page":"45","article-title":"\u201cWeak\u201d opioid analgesics. Codeine, dihydrocodeine and tramadol: no less risky than morphine","volume":"25","year":"2016","journal-title":"Prescrire Int"},{"issue":"4","key":"R19-20251113","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1097\/AJP.0b013e318204858a","article-title":"A multidimensional measure of pain interference reliability and validity of the Pain Disability Assessment Scale","volume":"27","author":"Yamashiro","year":"2011","journal-title":"Clin J Pain"},{"issue":"2","key":"R20-20251113","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"R22-20251113","first-page":"372:n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"1","key":"R24-20251113","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/XEB.0000000000000152","article-title":"The development of software to support multiple systematic review types: the Joanna Briggs Institute system for the unified management, assessment and review of information (JBI SUMARI)","volume":"17","author":"Munn","year":"2019","journal-title":"Int J Evid Based Healthc"},{"issue":"9","key":"R27-20251113","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pcbi.1011461","article-title":"Ten simple rules for interpreting and evaluating a meta-analysis","volume":"19","author":"Carlson","year":"2023","journal-title":"PLoS Comput Biol"},{"issue":"1","key":"R28-20251113","doi-asserted-by":"crossref","first-page":"63","DOI":"10.17294\/2330-0698.2050","article-title":"Adult development and associated health risks","volume":"11","author":"Halloran","year":"2024","journal-title":"J Patient Cent Res Rev"},{"issue":"2","key":"R29-20251113","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.cegh.2018.05.005","article-title":"Interpretation of subgroup analyses in systematic reviews: a tutorial","volume":"7","author":"Richardson","year":"2019","journal-title":"Clin Epidemiol Glob Health"},{"key":"R30-20251113","doi-asserted-by":"crossref","first-page":"e78","DOI":"10.1017\/S2045796021000664","article-title":"The lack of statistical power of subgroup analyses in meta-analyses: a cautionary note","volume":"30","author":"Cuijpers","year":"2021","journal-title":"Epidemiol Psychiatr Sci"},{"issue":"7650","key":"R31-20251113","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"}],"container-title":["JBI Evidence Synthesis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.11124\/JBIES-23-00480","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T13:01:46Z","timestamp":1786453306000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.11124\/JBIES-23-00480"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.11124\/jbies-23-00480","relation":{},"ISSN":["2689-8381"],"issn-type":[{"value":"2689-8381","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}