Cognitive Behaviour Therapy For Chronic Pain Management in Southeast and East Asia: A Scoping Review

Wichitra Phon, Mahadir Ahmad


Background: Chronic pain debilitates 18–20% of the population. Psychological therapy for chronic pain is scattered, especially in Asia. Cognitive Behaviour Therapy (CBT) is a promising treatment for chronic pain in the Western population but its efficacy in Asia is unknown. Methods: We conducted a scoping review to summarise how CBT has been delivered in adults with chronic pain in East and Southeast Asian region. Searches were carried out in four databases, SCOPUS, PubMed, Ovid Medline, and Web of Science (WOS). Articles that uses English language from the year 2015-2023 were identified. Titles and abstracts were screened and reviewed, and the data extracted were analysed. Results: Eleven studies met our inclusion criteria and was included in the final review. There are a mixed number of studies that use group or individual CBT. The most used CBT techniques are psychoeducation, relaxation, cognitive restructuring, and relapse prevention. Results found promising evidence of CBT in chronic pain management in the region. Conclusions: According to studies, CBT is rapidly being utilised to treat chronic pain in the East and Southeast Asian region, expanding beyond multimodal pain care. CBT clearly performs well as a stand-alone intervention strategy. The most effective CBT protocol is difficult to pinpoint, but it is crucial to remember that there are various types of chronic pain and psychological issues, so there is no "one size fits all" technique.

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