Mindfulness for adolescent chronic pain: a pilot feasibility study.

IF 0.3 Q4 PSYCHOLOGY, CLINICAL

Journal of Child and Adolescent Mental Health Pub Date : 2017-09-01 DOI:10.2989/17280583.2017.1355807

David Adam Lovas, Kathleen Pajer, Jill MacLaren Chorney, Dzung X Vo, Melissa Howlett, Ashley Doyle, Adam Huber

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引用次数: 15

Abstract

Objective: Chronic pain is common in paediatric populations and many patients do not respond to the currently available evidence-based treatments. Mindfulness-based interventions (MBIs) have a growing evidence-base in adults, but evidence is limited in youth with chronic pain.

Methods: We conducted an open-label pilot study to test the feasibility of an 8-week MBI for this population.

Results: Seven adolescents (age range 14-17; median age 15; six female) completed the intervention. There were no dropouts. Median class attendance was seven of eight total sessions (SD = 0.76). Only one (14.3%) participant reported not finding it useful; five (71.4%) reported that they would recommend it to a friend; and the remaining two (28.6%) reported "maybe". There was no worsening of internalizing symptoms. Secondary outcomes included significant reduction of pain intensity, which was maintained at three-month follow-up. Somatic symptoms and functional disability were both non-significantly lower immediately following the intervention; but were significantly improved at three-month follow-up.

Conclusion: An eight-week group MBI is a feasible intervention for adolescents with chronic pain, and warrants further investigation as a potential alternative to cognitive behavioural therapy in this population.

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青少年慢性疼痛的正念:一项试点可行性研究。

目的:慢性疼痛在儿科人群中很常见，许多患者对目前可用的循证治疗没有反应。正念干预(MBIs)在成人中有越来越多的证据基础，但在患有慢性疼痛的青少年中证据有限。方法:我们进行了一项开放标签的试点研究，以测试8周MBI对该人群的可行性。结果:7名青少年(14-17岁;中位年龄15岁;6名女性完成了干预。没有人中途退学。平均出勤率为7 / 8 (SD = 0.76)。只有一个(14.3%)的参与者认为它没有用;五人(71.4%)表示他们会推荐给朋友;剩下的两个(28.6%)回答“可能”。内化症状没有恶化。次要结果包括疼痛强度的显著降低，并在三个月的随访中保持不变。干预后躯体症状和功能障碍均无显著性降低;但在三个月的随访中有明显改善。结论:对于患有慢性疼痛的青少年，为期8周的MBI组是一种可行的干预措施，值得进一步研究，作为认知行为治疗的潜在替代方案。

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 Child and Adolescent Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).