A Clinical Pilot Study of Individual and Group Treatment for Adolescents with Chronic Pain and Their Parents: Effects of Acceptance and Commitment Therapy on Functioning
| Autor: | Rikard K. Wicksell, Camilla Wiwe Lipsker, Marie Kanstrup, Linda Holmström, Mats Lekander, Mike K. Kemani |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
pain disability persistent pain Psychological intervention cognitive behavior therapy (CBT) Acceptance and commitment therapy Article acceptance and commitment therapy (ACT) treatment intervention adolescent law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine 030212 general & internal medicine Depression (differential diagnoses) lcsh:RJ1-570 Chronic pain Flexibility (personality) lcsh:Pediatrics medicine.disease Pediatrics Perinatology and Child Health Physical therapy Anxiety Pain catastrophizing medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Children, Vol 3, Iss 4, p 30 (2016) Children Children; Volume 3; Issue 4; Pages: 30 |
| ISSN: | 2227-9067 |
| DOI: | 10.3390/children3040030 |
| Popis: | Pediatric chronic pain is common and can result in substantial long-term disability. Previous studies on acceptance and commitment therapy (ACT) have shown promising results in improving functioning in affected children, but more research is still urgently needed. In the current clinical pilot study, we evaluated an ACT-based interdisciplinary outpatient intervention (14 sessions), including a parent support program (four sessions). Adolescents were referred to the clinic if they experienced disabling chronic pain. They were then randomized, along with their parents, to receive group (n = 12) or individual (n = 18) treatment. Adolescent pain interference, pain reactivity, depression, functional disability, pain intensity and psychological flexibility, along with parent anxiety, depression, pain reactivity and psychological flexibility were assessed using self-reported questionnaires. There were no significant differences in outcomes between individual and group treatment. Analyses illustrated significant (p < 0.01) improvements (medium to large effects) in pain interference, depression, pain reactivity and psychological flexibility post-treatment. Additionally, analyses showed significant (p < 0.01) improvements (large effects) in parent pain reactivity and psychological flexibility post-treatment. On all significant outcomes, clinically-significant changes were observed for 21%–63% of the adolescents across the different outcome measures and in 54%–76% of the parents. These results support previous findings and thus warrant the need for larger, randomized clinical trials evaluating the relative utility of individual and group treatment and the effects of parental interventions. |
| Databáze: | OpenAIRE |
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