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Table 3 Recent Intervention Studies for Pediatric Chronic Pain

From: Psychosocial perspectives in the treatment of 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