TY - JOUR
T1 - Risk severity moderated effectiveness of pain treatment in adolescents
AU - Vuorimaa, Hanna
AU - Leppänen, Leena
AU - Kautiainen, Hannu
AU - Mikkelsson, Marja
AU - Hietanen, Maiju
AU - Vilen, Heli
AU - Pohjankoski, Heini
PY - 2019/4
Y1 - 2019/4
N2 - Background and aims: A targeted pain program may prevent the progression and subsequent occurrence of chronic pain in adolescents. This study tested the effectiveness of a new acceptance and commitment therapy-based pain management intervention, using physical and psychological functions as the outcomes. The objective was also to determine whether Pediatric Pain Screening Tool risk profiles function as outcome moderator in the current sample. A valid screening tool would enable the program development.Methods: Thirty-two consecutive adolescent patients (13-17 years old) with idiopathic recurrent musculoskeletal pain completed the study. The intervention comprised acceptance and commitment therapy-oriented multidisciplinary treatment. Pediatric Pain Screening Tool, pain frequency, functional disability, school attendance, physical endurance, depressive symptoms, and catastrophizing coping style were measured before treatment (baseline) and again at 6 and 12 months after the initiation of treatment. To test the effectiveness of the new program, we also determined whether the original risk classification of each patient remained constant during the intervention.Results: The intervention was effective for high-risk patients. In particular, the pain frequency decreased, and psychosocial measures improved. In post-intervention, the original risk classification of seven patients in the high-risk category changed to medium-risk. PPST classification acted as a moderator of the outcome of the current program.Conclusions: The categorization highlighted the need to modify the program content for the medium-risk patients. The categorization is a good tool to screen adolescent patients with pain.
AB - Background and aims: A targeted pain program may prevent the progression and subsequent occurrence of chronic pain in adolescents. This study tested the effectiveness of a new acceptance and commitment therapy-based pain management intervention, using physical and psychological functions as the outcomes. The objective was also to determine whether Pediatric Pain Screening Tool risk profiles function as outcome moderator in the current sample. A valid screening tool would enable the program development.Methods: Thirty-two consecutive adolescent patients (13-17 years old) with idiopathic recurrent musculoskeletal pain completed the study. The intervention comprised acceptance and commitment therapy-oriented multidisciplinary treatment. Pediatric Pain Screening Tool, pain frequency, functional disability, school attendance, physical endurance, depressive symptoms, and catastrophizing coping style were measured before treatment (baseline) and again at 6 and 12 months after the initiation of treatment. To test the effectiveness of the new program, we also determined whether the original risk classification of each patient remained constant during the intervention.Results: The intervention was effective for high-risk patients. In particular, the pain frequency decreased, and psychosocial measures improved. In post-intervention, the original risk classification of seven patients in the high-risk category changed to medium-risk. PPST classification acted as a moderator of the outcome of the current program.Conclusions: The categorization highlighted the need to modify the program content for the medium-risk patients. The categorization is a good tool to screen adolescent patients with pain.
KW - ASSESSMENT QUESTIONNAIRE CHAQ
KW - CHILDREN
KW - COGNITIVE-BEHAVIORAL THERAPY
KW - DISABILITY
KW - EFFICACY
KW - NONSPECIFIC MUSCULOSKELETAL PAIN
KW - PARENT
KW - RANDOMIZED CONTROLLED-TRIAL
KW - YOUTH
KW - acceptance and commitment therapy
KW - adolescence
KW - chronic pain
KW - pain screening
KW - rehab
KW - 3112 Neurosciences
KW - 3124 Neurology and psychiatry
U2 - 10.1515/sjpain-2018-0312
DO - 10.1515/sjpain-2018-0312
M3 - Article
VL - 19
SP - 287
EP - 298
JO - Scandinavian journal of pain
JF - Scandinavian journal of pain
SN - 1877-8860
IS - 2
ER -