Pain Therapy in Childhood and Adolescent Chronic Pain

Dobe, Michael; Hartmann, Rebecca; Kriszio, H.; Hechler, Tanja; Behlert, J.; Zernikow, Boris

doi:10.1007/978-3-642-37816-4_6

Cited by 1 publication

(1 citation statement)

References 73 publications

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“…Interdisciplinary pain rehabilitation programs, the gold standard of treatment for complex, disabling chronic pain in youth (Hechler et al, 2014), have demonstrated effectiveness for improving pain-related functioning, including pain intensity, disability, and school absence (Hechler et al, 2010), as well as improving psychological functioning by reducing anxiety, depression, and pain catastrophizing (Bruce et al, 2017;Hechler et al, 2009Hechler et al, , 2015. Evidence demonstrates maintenance of gains up to one year post-discharge, and in one sample, interdisciplinary pain rehabilitations outcomes were maintained four years after treatment ended (Dobe et al, 2011).…”

Section: Consideration 4: Opioid Prescribing Guidelines For Pediatricmentioning

confidence: 96%

Comorbid chronic pain and opioid misuse in youth: Knowns, unknowns, and implications for behavioral treatment.

Pielech

Lunde

Becker

et al. 2020

American Psychologist

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Chronic pain and opioid misuse are both common in pediatric populations and associated with a range of negative adverse outcomes that may persist into adulthood. While the association between chronic pain, opioid prescribing, and opioid-related adverse consequences is reasonably well established in adults, the relation in pediatric patients is not well understood. The present review draws from the available literature on chronic and acute pediatric pain prevalence and treatment, opioid misuse, and adolescent substance use to address knowns and unknowns of comorbid pediatric chronic pain and opioid misuse. Gaps in knowledge regarding the prevalence and etiology of co-occurring chronic pain and opioid misuse are identified. Hypothesized, modifiable risk factors associated with both pediatric pain and opioid misuse are considered. Due to a lack of empirically supported integrated treatments for co-morbid chronic pain and opioid misuse in youth, this review examines the evidence base and best practices from both the chronic pain and opioid treatment literature to guide treatment recommendations for these co-morbid conditions in youth. Recommendations are then provided to promote screening and mitigate risk of chronic pain and opioid misuse across a range of medical settings. Lastly, a comprehensive agenda to prevent and treat chronic pain and opioid misuse in adolescents and young adults is discussed.

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