Online psychological treatment for pediatric recurrent pain: a randomized evaluation.

Department of Psychology, University of Saskatchewan, Mental Health Services-Victoria Square, Box 3003, Prince Albert, Saskatchewan, Canada S6V 6G1.
Journal of Pediatric Psychology (Impact Factor: 2.91). 09/2006; 31(7):724-36.
Source: PubMed

ABSTRACT To evaluate the efficacy of a distance treatment delivered through Internet and telephone for pediatric recurrent pain.
Forty-seven participants (9-16 years of age) were randomly assigned to either an Internet-based treatment or a standard medical care waitlist. Treatment employed a Web-based manual for children and parents with weekly therapist contact by telephone or e-mail. At 1- and 3-month follow-ups, participants were assessed on the outcome variables of pain and quality of life. A 50% reduction in diary pain scores was considered clinically significant.
Significant between-group differences were found: 71 and 72% of the treatment group achieved clinically significant improvement at the 1- and 3-month follow-ups, respectively, whereas only 19 and 14% of the control group achieved the criterion. No significant differences were found on the quality of life variable.
Distance methods have considerable potential for making effective treatments more accessible with lower associated costs.

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Available from: Patrick J McGrath, Mar 02, 2014
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    • "Of the 35 included studies, 21 treated children and adolescents diagnosed with headache, eight treated abdominal pain, and three treated musculoskeletal pain. There were three studies that included children with multiple pain conditions: Hicks, von Baeyer, and McGrath (2006) treated children and adolescents with RAP and headache; Palermo, Wilson, Peters, Lewandowski, and Somhegyi (2009) treated children and adolescents with headache, abdominal pain, and musculoskeletal pain; and Wicksell, Melin, Lekander, and Olsson (2009) treated children and adolescents with headache, musculoskeletal pain, visceral pain, and complex regional pain syndrome. "
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    ABSTRACT: This systematic review and meta-analysis examined the effects of psychological therapies for management of chronic pain in children. Randomized controlled trials of psychological interventions treating children (<18 years) with chronic pain conditions including headache, abdominal, musculoskeletal, or neuropathic pain were searched for. Pain symptoms, disability, depression, anxiety, and sleep outcomes were extracted. Risk of bias was assessed and quality of the evidence was rated using GRADE. 35 included studies revealed that across all chronic pain conditions, psychological interventions reduced pain symptoms and disability posttreatment. Individual pain conditions were analyzed separately. Sleep outcomes were not reported in any trials. Optimal dose of treatment was explored. For headache pain, higher treatment dose led to greater reductions in pain. No effect of dosage was found for other chronic pain conditions. Evidence for psychological therapies treating chronic pain is promising. Recommendations for clinical practice and research are presented.
    Journal of Pediatric Psychology 03/2014; DOI:10.1093/jpepsy/jsu008 · 2.91 Impact Factor
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    • "Palermo, Valenzuela, and Stork (2004) found that higher compliance to daily diary completion and accuracy in diary reporting occurred when youths with SCD used electronic pain diaries (e-Diaries). Advances in technology have also allowed delivery of behavioral interventions using computer-and Internetbased programs for a range of conditions including pain management in youth with chronic medical conditions (Hicks, von Baeyer, & McGrath, 2006; Ritterband et al., 2003). These e-health interventions have been reported to decrease barriers to continuity of care such as limited access to care as a result of distant location or travel difficulties and lack of trained knowledgeable healthcare providers with expertise in SCD (Devineni & Blanchard, 2005; Jerome & Zaylor, 2000). "
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    Journal of the American Academy of Nurse Practitioners 01/2013; 25(1):42-54. DOI:10.1111/j.1745-7599.2012.00754.x · 0.87 Impact Factor
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    • "). Intervention with parents of children with chronic pain should consider assessing and targeting parent distress around parenting a child with chronic pain in addition to working on adaptive parenting responses to children's pain behavior in order to address both of these factors that affect children's symptoms and functional outcomes. Several innovative interventions have recently been developed specifically targeting parent behavior and distress (e.g., Hicks, von Baeyer, & McGrath, 2006; Levy et al., 2010 "
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    ABSTRACT: To examine whether protective parent responses mediate the relation between parent distress and child functioning. At a pain clinic evaluation, 157 families participated. Parents completed measures of global distress (BSI-18), distress in the context of their child's pain (BAP-PIQ), and protective responses to their child's pain. Children completed measures of functional disability and pain. BAP-PIQ subscales were significantly associated with child functional disability, whereas BSI subscales were unrelated. Protective parent responses partially mediated the relation between parent distress and child functional disability for depression, anxiety, and catastrophizing. However, parent protective behavior fully mediated the relationship between parent helplessness and child functional disability, indicating that feelings of parent helplessness did not uniquely contribute to child functional disability. Discussion Results suggest that when treating youth with chronic pain, parental distress in the context of children's pain needs to be addressed.
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