Systematic review and meta-analysis of psychological therapies for children with chronic pain
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 (
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| Veröffentlicht in: | Journal of pediatric psychology 2014-09, Vol.39 (8), p.763-782 |
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| container_end_page | 782 |
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| container_issue | 8 |
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| container_title | Journal of pediatric psychology |
| container_volume | 39 |
| creator | Fisher, Emma Heathcote, Lauren Palermo, Tonya M de C Williams, Amanda C Lau, Jennifer Eccleston, Christopher |
| description | 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 ( |
| doi_str_mv | 10.1093/jpepsy/jsu008 |
| format | Article |
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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.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsu008</identifier><identifier>PMID: 24602890</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Child ; Chronic Pain - psychology ; Chronic Pain - therapy ; Humans ; Pain Management - methods ; Psychotherapy - methods ; Systematic Reviews ; Treatment Outcome</subject><ispartof>Journal of pediatric psychology, 2014-09, Vol.39 (8), p.763-782</ispartof><rights>The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-e60fb86947f55c895bc61511321a5c9c77a3c2fe79e4a988dfa21a1884e82aeb3</citedby><cites>FETCH-LOGICAL-c387t-e60fb86947f55c895bc61511321a5c9c77a3c2fe79e4a988dfa21a1884e82aeb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24602890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fisher, Emma</creatorcontrib><creatorcontrib>Heathcote, Lauren</creatorcontrib><creatorcontrib>Palermo, Tonya M</creatorcontrib><creatorcontrib>de C Williams, Amanda C</creatorcontrib><creatorcontrib>Lau, Jennifer</creatorcontrib><creatorcontrib>Eccleston, Christopher</creatorcontrib><title>Systematic review and meta-analysis of psychological therapies for children with chronic pain</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>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.</description><subject>Child</subject><subject>Chronic Pain - psychology</subject><subject>Chronic Pain - therapy</subject><subject>Humans</subject><subject>Pain Management - methods</subject><subject>Psychotherapy - methods</subject><subject>Systematic Reviews</subject><subject>Treatment Outcome</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1LxDAUxIMo7vpx9Co5eqkmTdKmF0HELxA8qOBFwtvs6zZL29Skq-x_b2RV9PQY3o-ZgSHkiLNTzipxthxwiOuzZVwxprfIlMtCZaVQL9tkypLIdFGJCdmLcckYk1IUu2SSy4LlumJT8vq4jiN2MDpLA747_KDQz2mHI2TQQ7uOLlJf05RhG9_6hbPQ0rHBAIPDSGsfqG1cOw_Y0w83NkkF3ye3AVx_QHZqaCMeft998nx99XR5m90_3NxdXtxnVuhyzLBg9Sz1lGWtlNWVmtmCK85FzkHZypYlCJvXWFYoodJ6XkP6cK0l6hxwJvbJ-cZ3WM06nFvsxwCtGYLrIKyNB2f-f3rXmIV_N5JLXXCRDE6-DYJ_W2EcTeeixbaFHv0qGq6UKnKmc5nQbIPa4GMMWP_GcGa-JjGbScxmksQf_-32S_9sID4BLXSNDw</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Fisher, Emma</creator><creator>Heathcote, Lauren</creator><creator>Palermo, Tonya M</creator><creator>de C Williams, Amanda C</creator><creator>Lau, Jennifer</creator><creator>Eccleston, Christopher</creator><general>Oxford University Press</general><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><scope>5PM</scope></search><sort><creationdate>20140901</creationdate><title>Systematic review and meta-analysis of psychological therapies for children with chronic pain</title><author>Fisher, Emma ; Heathcote, Lauren ; Palermo, Tonya M ; de C Williams, Amanda C ; Lau, Jennifer ; Eccleston, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-e60fb86947f55c895bc61511321a5c9c77a3c2fe79e4a988dfa21a1884e82aeb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Child</topic><topic>Chronic Pain - psychology</topic><topic>Chronic Pain - therapy</topic><topic>Humans</topic><topic>Pain Management - methods</topic><topic>Psychotherapy - methods</topic><topic>Systematic Reviews</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fisher, Emma</creatorcontrib><creatorcontrib>Heathcote, Lauren</creatorcontrib><creatorcontrib>Palermo, Tonya M</creatorcontrib><creatorcontrib>de C Williams, Amanda C</creatorcontrib><creatorcontrib>Lau, Jennifer</creatorcontrib><creatorcontrib>Eccleston, Christopher</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fisher, Emma</au><au>Heathcote, Lauren</au><au>Palermo, Tonya M</au><au>de C Williams, Amanda C</au><au>Lau, Jennifer</au><au>Eccleston, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic review and meta-analysis of psychological therapies for children with chronic pain</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>39</volume><issue>8</issue><spage>763</spage><epage>782</epage><pages>763-782</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><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.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>24602890</pmid><doi>10.1093/jpepsy/jsu008</doi><tpages>20</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0146-8693 |
| ispartof | Journal of pediatric psychology, 2014-09, Vol.39 (8), p.763-782 |
| issn | 0146-8693 1465-735X |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; EBSCOhost Education Source; Alma/SFX Local Collection |
| subjects | Child Chronic Pain - psychology Chronic Pain - therapy Humans Pain Management - methods Psychotherapy - methods Systematic Reviews Treatment Outcome |
| title | Systematic review and meta-analysis of psychological therapies for children with chronic pain |
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