Editing Cognitive behavioral therapy (section)

====Individuals with medical conditions====
In the case of people with [[metastatic breast cancer]], data is limited but CBT and other psychosocial interventions might help with psychological outcomes and pain management.<ref name="Mustafa2013">{{cite journal | vauthors = Mustafa M, Carson-Stevens A, Gillespie D, Edwards AG | title = Psychological interventions for women with metastatic breast cancer | journal = The Cochrane Database of Systematic Reviews | issue = 6 | pages = CD004253 | date = June 2013 | volume = 2015 | pmid = 23737397 | doi = 10.1002/14651858.CD004253.pub4 | pmc = 11032751 }}</ref> There is also some evidence that CBT may help reduce insomnia in cancer patients.<ref>{{Cite journal |last=Johnson |first=Jillian A. |last2=Rash |first2=Joshua A. |last3=Campbell |first3=Tavis S. |last4=Savard |first4=Josée |last5=Gehrman |first5=Philip R. |last6=Perlis |first6=Michael |last7=Carlson |first7=Linda E. |last8=Garland |first8=Sheila N. |date=2016-06-01 |title=A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia (CBT-I) in cancer survivors |url=https://www.sciencedirect.com/science/article/abs/pii/S1087079215000921?via=ihub |journal=Sleep Medicine Reviews |volume=27 |pages=20–28 |doi=10.1016/j.smrv.2015.07.001 |issn=1087-0792}}</ref> 

There is some evidence that using CBT for symptomatic management of non-specific chest pain is probably effective in the short term. However, the findings were limited by small trials and the evidence was considered of questionable quality.<ref>{{cite journal | vauthors = Kisely SR, Campbell LA, Yelland MJ, Paydar A | title = Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy | journal = The Cochrane Database of Systematic Reviews | volume = 2021 | issue = 6 | pages = CD004101 | date = June 2015 | pmid = 26123045 | pmc = 6599861 | doi = 10.1002/14651858.cd004101.pub5 }}</ref> [[Cochrane Collaboration|Cochrane reviews]] have found no evidence that CBT is effective for [[tinnitus]], although there appears to be an effect on management of associated depression and quality of life in this condition.<ref name="Martinez-Devesa P, Perera R, Theodoulou M, Waddell A 2010 CD005233">{{cite journal | vauthors = Martinez-Devesa P, Perera R, Theodoulou M, Waddell A | title = Cognitive behavioural therapy for tinnitus | journal = The Cochrane Database of Systematic Reviews | issue = 9 | pages = CD005233 | date = September 2010 | pmid = 20824844 | doi = 10.1002/14651858.CD005233.pub3 | veditors = Martinez-Devesa P | type = Submitted manuscript }}</ref> CBT combined with hypnosis and distraction reduces self-reported pain in children.<ref>{{cite journal | vauthors = Robertson J | title = Review: distraction, hypnosis, and combined cognitive-behavioural interventions reduce needle related pain and distress in children and adolescents | journal = Evidence-Based Nursing | volume = 10 | issue = 3 | page = 75 | date = July 2007 | pmid = 17596380 | doi = 10.1136/ebn.10.3.75 | s2cid = 34364928 }}</ref>

There is limited evidence to support CBT's use in managing the impact of [[multiple sclerosis]],<ref>{{cite journal | vauthors = Thomas PW, Thomas S, Hillier C, Galvin K, Baker R | title = Psychological interventions for multiple sclerosis | journal = The Cochrane Database of Systematic Reviews | volume = 2010 | issue = 1 | pages = CD004431 | date = January 2006 | pmid = 16437487 | pmc = 8406851 | doi = 10.1002/14651858.CD004431.pub2 | veditors = Thomas PW }}</ref><ref>{{Cite web |date=2023-09-01 |title=Comparing Treatments for Multiple Sclerosis-Related Fatigue - Evidence Update for Clinicians {{!}} PCORI |url=https://www.pcori.org/evidence-updates/comparing-treatments-multiple-sclerosis-related-fatigue |access-date=2023-12-21 |website=www.pcori.org |language=en}}</ref> sleep disturbances related to aging,<ref>{{cite journal | vauthors = Montgomery P, Dennis J | title = Cognitive behavioural interventions for sleep problems in adults aged 60+ | journal = The Cochrane Database of Systematic Reviews | issue = 1 | pages = CD003161 | date = 2003 | pmid = 12535460 | pmc = 6991159 | doi = 10.1002/14651858.CD003161 }}</ref> and [[dysmenorrhea]],<ref>{{cite journal | vauthors = Proctor ML, Murphy PA, Pattison HM, Suckling J, Farquhar CM | title = Behavioural interventions for primary and secondary dysmenorrhoea | journal = The Cochrane Database of Systematic Reviews | issue = 3 | pages = CD002248 | date = July 2007 | volume = 2007 | pmid = 17636702 | pmc = 7137212 | doi = 10.1002/14651858.CD002248.pub3 | veditors = Proctor M }}</ref> but more study is needed and results should be interpreted with caution.

Previously CBT has been considered as moderately effective for treating [[myalgic encephalomyelitis/chronic fatigue syndrome]] (ME/CFS),<ref name="cbt_systematic_review">{{cite journal | vauthors = Chambers D, Bagnall AM, Hempel S, Forbes C | title = Interventions for the treatment, management and rehabilitation of patients with chronic fatigue syndrome/myalgic encephalomyelitis: an updated systematic review | journal = Journal of the Royal Society of Medicine | volume = 99 | issue = 10 | pages = 506–520 | date = October 2006 | pmid = 17021301 | pmc = 1592057 | doi = 10.1177/014107680609901012 }}</ref> however a [[National Institutes of Health]] Pathways to Prevention Workshop stated that in respect of improving treatment options for ME/CFS that the modest benefit from cognitive behavioral therapy should be studied as an adjunct to other methods.<ref name="Position Papers">{{cite journal | vauthors = Green CR, Cowan P, Elk R, O'Neil KM, Rasmussen AL | title = National Institutes of Health Pathways to Prevention Workshop: Advancing the Research on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | journal = Annals of Internal Medicine | volume = 162 | issue = 12 | pages = 860–865 | date = June 2015 | pmid = 26075757 | doi = 10.7326/M15-0338 | s2cid = 24156332 }}</ref> The [[Centres for Disease Control]] advice on the treatment of ME/CFS<ref>{{Cite web|url=https://www.cdc.gov/me-cfs/treatment/index.html|title=Treatment of ME/CFS &#124; Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) &#124; CDC|date=11 February 2021|website=www.cdc.gov}}</ref> makes no reference to CBT while the [[National Institute for Health and Care Excellence]]<ref>{{Cite web|url=https://www.nice.org.uk/guidance/ng206/chapter/Recommendations#managing-mecfs|title=Recommendations &#124; Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management &#124; Guidance &#124; NICE|website=www.nice.org.uk|date=29 October 2021 }}</ref> states that cognitive behavioral therapy (CBT) has sometimes been assumed to be a cure for ME/CFS, however, it should only be offered to support people who live with ME/CFS to manage their symptoms, improve their functioning and reduce the distress associated with having a chronic illness.