Table 3.
Recent Intervention Studies for Pediatric Chronic Pain
| Authors (Year) | Condition (s) | Subjects | Modality | Outcome | |
|---|---|---|---|---|---|
| Kashikar-Zuck, Ting, Arnold, Bean, Powers, Graham, Passo, Schikler, Hashkes, Spalding, Lynch-Jordan, Banez, Richards, & Lovell (2011) |
Juvenile Fibromyalgia |
114 |
8 weekly sessions of CBT or FE (Fibromyalgia Education) + 2 “booster sessions” |
Significant reduction in functional disability, pain and depressive symptoms with CBT showing significantly greater reduction in functional disability |
|
| 11–18 year olds | |||||
| Robins, Smith, Glutting, & Bishop (2005) |
Recurrent abdominal pain |
69 |
5, 40 min sessions of CBT family intervention with standard medical care (n =40) or standard medical care alone (n = 29) |
CBT group reported significantly reduced pain and fewer school absences; no significant between group differences in functional disability or somatization |
|
| 6–16 year olds | |||||
| Palermo, Wilson, Peters, Lewandowski, & Somhegyi (2009) |
Chronic headache, abdominal pain, or musculoskeletal pain |
48 |
8 week, internet-delivered family CBT with sleep and activity interventions and wait-list control with medical care only |
CBT group significant reduction in activity limitation and pain post -treatment and 3 -month follow-up. No group difference in depressive symptoms or parental protectiveness. |
|
| 11–17 year olds | |||||
| Hechler, Blankenburg Dobe, Kosfelder, Hubner & Zernikow (2010) |
Chronic, debilitating pain not responding to primary care treatment |
33 |
3 week, multimodal inpatient pain treatment including C BT (individual, family, and group-based), physical therapy, art therapy, medications, and academic support |
Significant reduction in pain, disability, school absence, and pain-related coping maintained for 12 coping maintained for 12 months post-treatment |
|
| 7–10 years olds and |
|||||
| 167 |
|||||
| 11–18 years olds |
|||||
| Vlieger, Menko-Frankenhuis, Wolfkamp,Tromp & Benninga (2007) |
Functional abdominal pain or Irritable Bowel Syndrome |
52 |
6, 50-min sessions of Hypnotherapy (n = 27) or standard medical care with attention/supportive therapy control (n = 25) |
Hypnotherapy group reported a greater significant reduction in pain diary ratings of pain intensity and frequency |
|
| 8–18 year olds |
|||||
| Wicksell, Melin, Lekander & Olsson (2009) |
Headache, back/neck pain, Complex Regional Pain Syndrome, and widespread musculoskeletal pain |
18 |
10 weekly sessions of ACT (n = 18) or “Multidisciplinary treatment” with amitriptyline (n = 18) |
Greater improvement in ACT group as evidenced by: decreased functional disability, pain intensity, fear of re-injury, and pain interference |
|
| 10–18 year olds |
|||||
| Scharff, Marcus & Masek (2002) | Migraine headache | 36 7–17 year olds |
4, 60 min sessions of biofeedback and stress management training with home practice (n = 13) or biofeedback placebo control (n = 11) or waitlist control (n = 12) | Biofeedback and stress management group self reported greater post treatment reduction in migraine pain |