Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain.
Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain.
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DOI：
10.1016/j.pain.2009.07.034
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发表时间：
2009-11
期刊：
影响因子：
7.4
通讯作者：
Somhegyi H
中科院分区：
文献类型：
--
作者：
Palermo TM;Wilson AC;Peters M;Lewandowski A;Somhegyi H
认知行为疗法（CBT）干预显示出减少青年慢性疼痛的希望。然而，CBT的可用性受到许多因素的限制，包括到主要治疗中心的距离和费用。本研究评估了一种更容易获得的治疗方法，慢性儿科疼痛使用互联网提供的家庭CBT干预。参与者包括48名儿童，年龄11-17岁，患有慢性头痛，腹部或肌肉骨骼疼痛和相关功能障碍，以及他们的父母。孩子们被随机分配到一个等待名单控制组或互联网治疗组。主要治疗结局为疼痛强度评级（0-10 NRS）和儿童活动限制访谈中的活动限制，均通过在线每日日记完成。除了他们的医疗护理，互联网治疗组完成了8周的在线模块，包括放松训练，认知策略，父母操作技术，沟通策略，睡眠和活动干预。被随机分配到等待名单对照组的年轻人继续接受目前的医疗护理。研究结果表明，互联网治疗组在治疗后的活动限制和疼痛强度显着减少，这些影响在三个月的随访中得到维持。与等待名单对照组相比，互联网治疗组的疼痛临床显著改善率也更高。治疗后，父母的保护或儿童抑郁症状没有显着的组间差异。互联网治疗被所有儿童和家长评为可接受。研究结果支持互联网提供的家庭CBT的疗效和可接受性，以减少疼痛和改善儿童和青少年慢性疼痛的功能。
Cognitive-behavioral therapy (CBT) interventions show promise for decreasing chronic pain in youth. However, the availability of CBT is limited by many factors including distance to major treatment centers and expense. This study evaluates a more accessible treatment approach for chronic pediatric pain using an Internet-delivered family CBT intervention. Participants included 48 children, ages 11–17 years, with chronic headache, abdominal, or musculoskeletal pain and associated functional disability, and their parents. Children were randomly assigned to a wait-list control group or an Internet treatment group. Primary treatment outcomes were pain intensity ratings (0–10 NRS) and activity limitations on the Child Activity Limitations Interview, both completed via an online daily diary. In addition to their medical care, the Internet treatment group completed 8 weeks of online modules including relaxation training, cognitive strategies, parent operant techniques, communication strategies, and sleep and activity interventions. Youth randomized to the wait-list control group continued with current medical care only. Findings demonstrated significantly greater reduction in activity limitations and pain intensity at post-treatment for the Internet treatment group and these effects were maintained at three-month follow-up. Rate of clinically significant improvement in pain was also greater for the Internet treatment group in comparison to the wait-list control group. There were no significant group differences in parental protectiveness or child depressive symptoms post-treatment. Internet treatment was rated as acceptable by all children and parents. Findings support the efficacy and acceptability of Internet delivery of family CBT for reducing pain and improving function among children and adolescents with chronic pain.
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影响因子：
3.1
作者：
Cuijpers, Pirn;van Straten, Annemieke;Andersson, Gerhard
通讯作者：
Andersson, Gerhard
DOI：
10.1089/cpb.2007.0025
发表时间：
2008-04-01
期刊：
CYBERPSYCHOLOGY & BEHAVIOR
影响因子：
--
作者：
Carey, Joanne C.;Wade, Shari L.;Wolfe, Christopher R.
通讯作者：
Wolfe, Christopher R.
影响因子：
3.6
作者：
McClellan, Catherine B.;Schatz, Jeffrey C.;Roberts, Carla W.
通讯作者：
Roberts, Carla W.
影响因子：
7.4
作者：
Perquin, CW;Hazebroek-Kampschreur, AAJM;van der Wouden, JC
通讯作者：
van der Wouden, JC
影响因子：
3.6
作者：
Hunfeld, JAM;Perquin, CW;van der Wouden, JC
通讯作者：
van der Wouden, JC