Maintaining Lasting Improvements: One-Year Follow-Up of Children With Severe Chronic Pain Undergoing Multimodal Inpatient Treatment
To investigate the long-term effectiveness of a 3-week multimodal inpatient program for children and adolescents with chronic pain. 167 adolescents were evaluated at pretreatment baseline, 3-, and 12-month follow-up. Long-term effectiveness was investigated for pain-related variables (pain-related d...
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| Veröffentlicht in: | Journal of pediatric psychology 2013-03, Vol.38 (2), p.224-236 |
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| container_title | Journal of pediatric psychology |
| container_volume | 38 |
| creator | HIRSCHFELD, Gerrit HECHLER, Tanja DOBE, Michael WAGER, Julia VON LÜTZAU, Pia BLANKENBURG, Markus KOSFELDER, Joachim ZERNIKOW, Boris |
| description | To investigate the long-term effectiveness of a 3-week multimodal inpatient program for children and adolescents with chronic pain.
167 adolescents were evaluated at pretreatment baseline, 3-, and 12-month follow-up. Long-term effectiveness was investigated for pain-related variables (pain-related disability, school absence, pain intensity) and emotional distress.
We found statistically and clinically significant changes in all variables. After 1 year, the majority (56%) showed overall improvement as indexed by decreased pain-related disability or school absence. 22% had an unsuccessful treatment outcome. Those showing only short-term improvements had higher levels of emotional distress at baseline.
1 year after completing a multimodal inpatient program adolescents report less chronic pain, disability, and emotional distress. Clinically significant changes remain stable. Adolescents with high levels of emotional distress at admission may require special attention to maintain positive treatment outcomes. Specialized inpatient therapy is effective for children with chronic pain. |
| doi_str_mv | 10.1093/jpepsy/jss115 |
| format | Article |
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167 adolescents were evaluated at pretreatment baseline, 3-, and 12-month follow-up. Long-term effectiveness was investigated for pain-related variables (pain-related disability, school absence, pain intensity) and emotional distress.
We found statistically and clinically significant changes in all variables. After 1 year, the majority (56%) showed overall improvement as indexed by decreased pain-related disability or school absence. 22% had an unsuccessful treatment outcome. Those showing only short-term improvements had higher levels of emotional distress at baseline.
1 year after completing a multimodal inpatient program adolescents report less chronic pain, disability, and emotional distress. Clinically significant changes remain stable. Adolescents with high levels of emotional distress at admission may require special attention to maintain positive treatment outcomes. Specialized inpatient therapy is effective for children with chronic pain.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jss115</identifier><identifier>PMID: 23161126</identifier><identifier>CODEN: JPPSDW</identifier><language>eng</language><publisher>Atlanta, GA: Oxford University Press</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult and adolescent clinical studies ; Biological and medical sciences ; Child ; Child clinical studies ; Chronic Pain - psychology ; Chronic Pain - therapy ; Combined Modality Therapy ; Disability Evaluation ; Female ; Follow-Up Studies ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Inpatients ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Pain Management ; Pain Measurement ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Somatoform disorders. Psychosomatics ; Stress, Psychological - psychology ; Treatment Outcome</subject><ispartof>Journal of pediatric psychology, 2013-03, Vol.38 (2), p.224-236</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-59984cc7bd77904ff2aa085b1e8fc0e8e1808f11811438dfe8b5864ca3576c503</citedby><cites>FETCH-LOGICAL-c387t-59984cc7bd77904ff2aa085b1e8fc0e8e1808f11811438dfe8b5864ca3576c503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27152414$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23161126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HIRSCHFELD, Gerrit</creatorcontrib><creatorcontrib>HECHLER, Tanja</creatorcontrib><creatorcontrib>DOBE, Michael</creatorcontrib><creatorcontrib>WAGER, Julia</creatorcontrib><creatorcontrib>VON LÜTZAU, Pia</creatorcontrib><creatorcontrib>BLANKENBURG, Markus</creatorcontrib><creatorcontrib>KOSFELDER, Joachim</creatorcontrib><creatorcontrib>ZERNIKOW, Boris</creatorcontrib><title>Maintaining Lasting Improvements: One-Year Follow-Up of Children With Severe Chronic Pain Undergoing Multimodal Inpatient Treatment</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>To investigate the long-term effectiveness of a 3-week multimodal inpatient program for children and adolescents with chronic pain.
167 adolescents were evaluated at pretreatment baseline, 3-, and 12-month follow-up. Long-term effectiveness was investigated for pain-related variables (pain-related disability, school absence, pain intensity) and emotional distress.
We found statistically and clinically significant changes in all variables. After 1 year, the majority (56%) showed overall improvement as indexed by decreased pain-related disability or school absence. 22% had an unsuccessful treatment outcome. Those showing only short-term improvements had higher levels of emotional distress at baseline.
1 year after completing a multimodal inpatient program adolescents report less chronic pain, disability, and emotional distress. Clinically significant changes remain stable. Adolescents with high levels of emotional distress at admission may require special attention to maintain positive treatment outcomes. Specialized inpatient therapy is effective for children with chronic pain.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Chronic Pain - psychology</subject><subject>Chronic Pain - therapy</subject><subject>Combined Modality Therapy</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pain Management</subject><subject>Pain Measurement</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Somatoform disorders. Psychosomatics</subject><subject>Stress, Psychological - psychology</subject><subject>Treatment Outcome</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEFrHCEYQCWkJNukx16Ll0Av0-g4Ok5uYWnahQ0pJEvb0-A6n4mLoxN1U3LuH6_LbtuDfCiPpz6E3lPyiZKOXW4mmNLr5SYlSvkRmtFG8Kpl_McxmpGyqaTo2Cl6m9KGENI0TJyg05pRQWktZuj3rbI-l2X9I16qlHdzMU4xvMAIPqcrfOeh-gkq4pvgXPhVrSYcDJ4_WTdE8Pi7zU_4Hl4gQjmMwVuNvxUhXvkB4mPYCW-3LtsxDMrhhZ9UtsWMHyKovLvjHL0xyiV4d5hnaHXz-WH-tVrefVnMr5eVZrLNFe862Wjdroe27UhjTK0UkXxNQRpNQAKVRBpKJaUNk4MBueZSNFox3grNCTtDH_fe8rvnLaTcjzZpcE55CNvUU1aSiLqWoqDVHtUxpBTB9FO0o4qvPSX9rnu_797vuxf-w0G9XY8w_KP_hi7AxQFQSStnovLapv9cS3ndlHf_ARKgjx0</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>HIRSCHFELD, Gerrit</creator><creator>HECHLER, Tanja</creator><creator>DOBE, Michael</creator><creator>WAGER, Julia</creator><creator>VON LÜTZAU, Pia</creator><creator>BLANKENBURG, Markus</creator><creator>KOSFELDER, Joachim</creator><creator>ZERNIKOW, Boris</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Maintaining Lasting Improvements: One-Year Follow-Up of Children With Severe Chronic Pain Undergoing Multimodal Inpatient Treatment</title><author>HIRSCHFELD, Gerrit ; HECHLER, Tanja ; DOBE, Michael ; WAGER, Julia ; VON LÜTZAU, Pia ; BLANKENBURG, Markus ; KOSFELDER, Joachim ; ZERNIKOW, Boris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-59984cc7bd77904ff2aa085b1e8fc0e8e1808f11811438dfe8b5864ca3576c503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Chronic Pain - psychology</topic><topic>Chronic Pain - therapy</topic><topic>Combined Modality Therapy</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pain Management</topic><topic>Pain Measurement</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Somatoform disorders. Psychosomatics</topic><topic>Stress, Psychological - psychology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HIRSCHFELD, Gerrit</creatorcontrib><creatorcontrib>HECHLER, Tanja</creatorcontrib><creatorcontrib>DOBE, Michael</creatorcontrib><creatorcontrib>WAGER, Julia</creatorcontrib><creatorcontrib>VON LÜTZAU, Pia</creatorcontrib><creatorcontrib>BLANKENBURG, Markus</creatorcontrib><creatorcontrib>KOSFELDER, Joachim</creatorcontrib><creatorcontrib>ZERNIKOW, Boris</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HIRSCHFELD, Gerrit</au><au>HECHLER, Tanja</au><au>DOBE, Michael</au><au>WAGER, Julia</au><au>VON LÜTZAU, Pia</au><au>BLANKENBURG, Markus</au><au>KOSFELDER, Joachim</au><au>ZERNIKOW, Boris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maintaining Lasting Improvements: One-Year Follow-Up of Children With Severe Chronic Pain Undergoing Multimodal Inpatient Treatment</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>38</volume><issue>2</issue><spage>224</spage><epage>236</epage><pages>224-236</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><coden>JPPSDW</coden><abstract>To investigate the long-term effectiveness of a 3-week multimodal inpatient program for children and adolescents with chronic pain.
167 adolescents were evaluated at pretreatment baseline, 3-, and 12-month follow-up. Long-term effectiveness was investigated for pain-related variables (pain-related disability, school absence, pain intensity) and emotional distress.
We found statistically and clinically significant changes in all variables. After 1 year, the majority (56%) showed overall improvement as indexed by decreased pain-related disability or school absence. 22% had an unsuccessful treatment outcome. Those showing only short-term improvements had higher levels of emotional distress at baseline.
1 year after completing a multimodal inpatient program adolescents report less chronic pain, disability, and emotional distress. Clinically significant changes remain stable. Adolescents with high levels of emotional distress at admission may require special attention to maintain positive treatment outcomes. Specialized inpatient therapy is effective for children with chronic pain.</abstract><cop>Atlanta, GA</cop><pub>Oxford University Press</pub><pmid>23161126</pmid><doi>10.1093/jpepsy/jss115</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Education Source; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adaptation, Psychological Adolescent Adult and adolescent clinical studies Biological and medical sciences Child Child clinical studies Chronic Pain - psychology Chronic Pain - therapy Combined Modality Therapy Disability Evaluation Female Follow-Up Studies Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Inpatients Male Medical sciences Nervous system (semeiology, syndromes) Neurology Pain Management Pain Measurement Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Somatoform disorders. Psychosomatics Stress, Psychological - psychology Treatment Outcome |
| title | Maintaining Lasting Improvements: One-Year Follow-Up of Children With Severe Chronic Pain Undergoing Multimodal Inpatient Treatment |
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