Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy

Title

Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy

Creator

Eccleston C; Malleson PN; Clinch J; Connell H; Sourbut C

Publisher

Archives Of Disease In Childhood

Date

2003

Subject

Child; Female; Humans; Male; Pain Measurement; Adult; Treatment Outcome; Program Evaluation; Health Status Indicators; adolescent; patient care team; Chronic disease; Psychiatric Status Rating Scales; Cognitive Therapy/methods; Absenteeism; Family Therapy/methods; Pain/rehabilitation; Schools/statistics & numerical data

Description

Aim: To determine the effectiveness of an interdisciplinary cognitive behavioural treatment for adolescents with chronic pain. METHODS: Fifty seven adolescents (mean age 14.28 years) with chronic pain and 57 accompanying adults underwent an interdisciplinary three week residential programme of group cognitive behavioural therapy. Mean chronicity of pain was 4.02 years; 75% were absent from full time education (mean absence 17 months). RESULTS: Post-treatment adolescents reported significant improvements for self report of disability (mean difference 3.37 (95% CI 0.65 to 6.09)), physical function (mean difference timed walk of 2.61 seconds (1.02 to 4.2) and sit to stand of 3.22 per minute (0.79 to 5.65)). At three months post-treatment adolescents maintained physical improvements and reduced anxiety (mean difference 1.7 (0.72 to 2.67)), disability (mean difference 4.3 (1.44 to 7.17)), and somatic awareness (mean difference 4.43 (1.53 to 7.33)). Following treatment adults reported significant improvement in their report of adolescent disability (mean difference 4.43 (2.17 to 6.7)), adult anxiety (mean difference 1.73 (0.54 to 2.92)), depression (mean difference 1.16 (0.34 to 1.98)), and parental stress (mean difference 10.81 (2.91 to 18.78)). At three months significant improvements were maintained. At three months 64% improved school attendance; 40% had returned to full time education. CONCLUSIONS: Interdisciplinary cognitive behavioural pain management (with family involvement) is a promising approach to the management of pain, pain related distress, and disability.
2003

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

881-885

Issue

10

Volume

88

Citation

Eccleston C; Malleson PN; Clinch J; Connell H; Sourbut C, “Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy,” Pediatric Palliative Care Library, accessed October 19, 2021, https://pedpalascnetlibrary.omeka.net/items/show/12765.

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