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
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...
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MDPI AG
2016-11-01
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| Series: | Children |
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| Online Access: | http://www.mdpi.com/2227-9067/3/4/30 |
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| author | Marie Kanstrup Rikard K. Wicksell Mike Kemani Camilla Wiwe Lipsker Mats Lekander Linda Holmström |
| author_facet | Marie Kanstrup Rikard K. Wicksell Mike Kemani Camilla Wiwe Lipsker Mats Lekander Linda Holmström |
| author_sort | Marie Kanstrup |
| collection | DOAJ |
| description | 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. |
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| spelling | doaj.art-a0f870ef96df4b12be5f442d5bf42acd2022-12-21T21:29:27ZengMDPI AGChildren2227-90672016-11-01343010.3390/children3040030children3040030A Clinical Pilot Study of Individual and Group Treatment for Adolescents with Chronic Pain and Their Parents: Effects of Acceptance and Commitment Therapy on FunctioningMarie Kanstrup0Rikard K. Wicksell1Mike Kemani2Camilla Wiwe Lipsker3Mats Lekander4Linda Holmström5Functional Area Medical Psychology, Functional Unit Behavioral Medicine, Karolinska University Hospital Solna, P8:01, 171 76 Stockholm, SwedenFunctional Area Medical Psychology, Functional Unit Behavioral Medicine, Karolinska University Hospital Solna, P8:01, 171 76 Stockholm, SwedenFunctional Area Medical Psychology, Functional Unit Behavioral Medicine, Karolinska University Hospital Solna, P8:01, 171 76 Stockholm, SwedenFunctional Area Medical Psychology, Functional Unit Behavioral Medicine, Karolinska University Hospital Solna, P8:01, 171 76 Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 77 Stockholm, SwedenFunctional Area Medical Psychology, Functional Unit Behavioral Medicine, Karolinska University Hospital Solna, P8:01, 171 76 Stockholm, SwedenPediatric 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.http://www.mdpi.com/2227-9067/3/4/30cognitive behavior therapy (CBT)acceptance and commitment therapy (ACT)treatmentinterventionpain disabilitypersistent painadolescent |
| spellingShingle | Marie Kanstrup Rikard K. Wicksell Mike Kemani Camilla Wiwe Lipsker Mats Lekander Linda Holmström 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 Children cognitive behavior therapy (CBT) acceptance and commitment therapy (ACT) treatment intervention pain disability persistent pain adolescent |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | clinical pilot study of individual and group treatment for adolescents with chronic pain and their parents effects of acceptance and commitment therapy on functioning |
| topic | cognitive behavior therapy (CBT) acceptance and commitment therapy (ACT) treatment intervention pain disability persistent pain adolescent |
| url | http://www.mdpi.com/2227-9067/3/4/30 |
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