A scoping review of nonpharmacologic strategies for use with Mediterranean youth with mixed chronic pain conditions: a culturally adapted approach.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Natoshia R Cunningham, Jocelyn S Zuckerman, Manasi Kulkarni, Audrey Searles, Adrián Fernández-González, Elena R Serrano-Ibáñez, Iris Kovar-Gough, Rocío de la Vega
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Abstract

Objective: Chronic pain in youth is common, affecting over 20% worldwide. While effective nonpharmacologic interventions are available, including psychological therapies and physical interventions, it is critical to ensure available interventions are culturally relevant. The objective of this scoping review is to understand nonpharmacologic interventional strategies used for youth with chronic pain conditions in Mediterranean countries and rate the quality of the evidence.

Methods: Search terms to identify nonpharmacologic treatments for youth with chronic pain in Mediterranean countries (e.g., Spain, Portugal, France, and Italy) were run in six databases on March 11, 2025, including Medline (PubMed), Embase (Elsevier), SciELO (Web of Science), and PsycInfo (ProQuest). Covidence software was used to screen abstracts and then full texts by two independent reviewers.

Results: Of the 6,158 abstracts screened, 35 articles were identified for inclusion in the review. They included (1) psychological/educational interventions (n = 18), (2) physical interventions (n = 9), including pain neuroscience with targeted muscular exercises, (3) dietary interventions (n = 7), including a low FODMAP diet and dietary supplements, and 4) a mixed (cognitive behavioral therapy, diet, and exercise) intervention.

Conclusions: A comprehensive skill-based approach, including psychological strategies (e.g., cognitive behavioral and mindfulness meditation) and healthy lifestyle recommendations (e.g., dietary modification and sleep hygiene), may be a culturally relevant approach to care of Mediterranean youth with chronic pain.

非药物策略用于地中海青年混合慢性疼痛条件的范围审查:一种文化适应的方法。
目的:慢性疼痛在年轻人中很常见,影响全球20%以上。虽然有有效的非药物干预措施,包括心理治疗和物理干预措施,但确保现有干预措施与文化相关至关重要。本综述的目的是了解地中海国家青少年慢性疼痛的非药物干预策略,并评价证据的质量。方法:于2025年3月11日在六个数据库中检索地中海国家(如西班牙、葡萄牙、法国和意大利)青年慢性疼痛的非药物治疗搜索词,包括Medline (PubMed)、Embase (Elsevier)、SciELO (Web of Science)和PsycInfo (ProQuest)。两位独立审稿人使用covid - ence软件筛选摘要,然后是全文。结果:在筛选的6158篇摘要中,有35篇文章被纳入本综述。他们包括(1)心理/教育干预(n = 18),(2)物理干预(n = 9),包括疼痛神经科学和有针对性的肌肉锻炼,(3)饮食干预(n = 7),包括低FODMAP饮食和膳食补充剂,以及4)混合(认知行为疗法,饮食和运动)干预。结论:综合的基于技能的方法,包括心理策略(例如,认知行为和正念冥想)和健康的生活方式建议(例如,饮食调整和睡眠卫生),可能是地中海慢性疼痛青年护理的文化相关方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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