Literature DB >> 23161126

Maintaining lasting improvements: one-year follow-up of children with severe chronic pain undergoing multimodal inpatient treatment.

Gerrit Hirschfeld1, Tanja Hechler, Michael Dobe, Julia Wager, Pia von Lützau, Markus Blankenburg, Joachim Kosfelder, Boris Zernikow.   

Abstract

OBJECTIVE: To investigate the long-term effectiveness of a 3-week multimodal inpatient program for children and adolescents with chronic pain.
METHODS: 167 adolescents were evaluated at pretreatment baseline, 3-, and 12-month follow-up. Long-term effectiveness was investigated for pain-related variables (pain-related disability, school absence, pain intensity) and emotional distress.
RESULTS: We found statistically and clinically significant changes in all variables. After 1 year, the majority (56%) showed overall improvement as indexed by decreased pain-related disability or school absence. 22% had an unsuccessful treatment outcome. Those showing only short-term improvements had higher levels of emotional distress at baseline.
CONCLUSIONS: 1 year after completing a multimodal inpatient program adolescents report less chronic pain, disability, and emotional distress. Clinically significant changes remain stable. Adolescents with high levels of emotional distress at admission may require special attention to maintain positive treatment outcomes. Specialized inpatient therapy is effective for children with chronic pain.

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Mesh:

Year:  2012        PMID: 23161126     DOI: 10.1093/jpepsy/jss115

Source DB:  PubMed          Journal:  J Pediatr Psychol        ISSN: 0146-8693


  16 in total

1.  Youth with Chronic Pain and Postural Orthostatic Tachycardia Syndrome (POTS): Treatment Mediators of Improvement in Functional Disability.

Authors:  Ashley N Junghans-Rutelonis; Julia R Craner; Chelsea M Ale; Cynthia Harbeck-Weber; Philip R Fischer; Karen E Weiss
Journal:  J Clin Psychol Med Settings       Date:  2018-12

2.  [Therapy outcome one year after pediatric outpatient chronic pain evaluation : Chronic Pain Grading (CPG) for adolescent pain patients].

Authors:  L Stahlschmidt; F Barth; B Zernikow; J Wager
Journal:  Schmerz       Date:  2017-12       Impact factor: 1.107

Review 3.  [Multimodal therapy programs for chronic pain].

Authors:  A Kopf; E Gjoni
Journal:  Anaesthesist       Date:  2015-02       Impact factor: 1.041

4.  Signature for Pain Recovery IN Teens (SPRINT): protocol for a multisite prospective signature study in chronic musculoskeletal pain.

Authors:  Laura Simons; Massieh Moayedi; Robert C Coghill; Jennifer Stinson; Martin S Angst; Nima Aghaeepour; Brice Gaudilliere; Christopher D King; Marina López-Solà; Marie-Eve Hoeppli; Emma Biggs; Ed Ganio; Sara E Williams; Kenneth R Goldschneider; Fiona Campbell; Danielle Ruskin; Elliot J Krane; Suellen Walker; Gillian Rush; Marissa Heirich
Journal:  BMJ Open       Date:  2022-06-08       Impact factor: 3.006

Review 5.  [Chronic primary pain disorders in children and adolescents].

Authors:  B Zernikow; C Hermann
Journal:  Schmerz       Date:  2015-10       Impact factor: 1.107

6.  [Pain-related parental behavior : Maternal and paternal responses to chronic pain of their child and modifications following inpatient interdisciplinary pain treatment].

Authors:  M Frerker; T Hechler; P Schmidt; B Zernikow
Journal:  Schmerz       Date:  2016-06       Impact factor: 1.107

Review 7.  Pediatric pain management: the multidisciplinary approach.

Authors:  Shannon Odell; Deirdre E Logan
Journal:  J Pain Res       Date:  2013-11-11       Impact factor: 3.133

Review 8.  Specialized Rehabilitation Programs for Children and Adolescents with Severe Disabling Chronic Pain: Indications, Treatment and Outcomes.

Authors:  Lorin Stahlschmidt; Boris Zernikow; Julia Wager
Journal:  Children (Basel)       Date:  2016-11-21

9.  Chronic pain treatment in children and adolescents: less is good, more is sometimes better.

Authors:  Tanja Hechler; Julia Wager; Boris Zernikow
Journal:  BMC Pediatr       Date:  2014-10-13       Impact factor: 2.125

10.  Children With Chronic Pain: Response Trajectories After Intensive Pain Rehabilitation Treatment.

Authors:  Laura E Simons; Christine B Sieberg; Caitlin Conroy; Edin T Randall; Julie Shulman; David Borsook; Charles Berde; Navil F Sethna; Deirdre E Logan
Journal:  J Pain       Date:  2017-12-06       Impact factor: 5.820

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