Spezifische Therapiebedürfnisse junger Erwachsener mit chronischen Schmerzen

Schenk, Sabrina; Genent, Dunja; Hartenstein-Pinter, Almut; Zernikow, Boris; Wager, Julia

doi:10.1007/s00482-021-00617-7

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…Whereas these studies showed positive effects of the interventions (yoga, ACT, and relaxation) on pain outcomes, studies are needed that focus on a wider variety of therapies, diverse populations, and pain types. These studies/therapies must address the unique developmental needs ( 23 , 83 , 84 ) and barriers to accessing treatment ( 5 , 9 ) in emerging adults. Non-traditional delivery models such as virtual-reality ( 36 , 50 , 80 ), self- administration ( 50 ), tele-health ( 79 ), and single-session modalities ( 55 , 56 ) may be especially beneficial.…”

Section: Discussionmentioning

confidence: 99%

Psychological/behavioral interventions for emerging adults with chronic pain

Foy,

Kechichian,

Foy

et al. 2024

Front. Pain Res.

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BackgroundEmerging adults, of whom significant numbers report chronic pain, are characterized as having unique needs and challenges. Psychological/behavioral treatments found to be beneficial for reducing pain outcomes in children and adults are understudied in emerging adults. Following a systematic review of the literature, our objective is to report on quantitative studies of psychological/behavioral interventions for chronic pain in emerging adults.MethodWe conducted a search of six databases (Cochrane Central Register of Controlled Trials, Google Scholar, ProQuest, PsycINFO, PubMed, and Web of Science) and reference sections in dissertations and systematic reviews to 4/29/2023. Keywords and phrases were search term combinations of “chronic/persistent pain”, “emerging/young adults,” and “intervention/treatment” using Boolean logic.ResultsOur review resulted in identifying 37 articles, of which 2 duplicates were removed, and 31 were further excluded by a screening process based on various inclusionary and exclusionary criteria. The search yielded four studies on psychological/behavioral interventions (yoga, acceptance and commitment therapy and relaxation), all of which positively affected the pain experience and/or pain-related outcomes. These studies presented issues in design such as not being blinded or randomized, having a small sample size, and potential confounds that were not reported or examined.DiscussionThe low number of studies reveals a large gap in the literature and is a call-to-action to further expand our understanding of effective and safer psychological/behavioral therapies for chronic pain in emerging adults. Successful pain management during this developmental phase may help young adults achieve positive trajectories for personal, occupational, relational, and health aspects of their lives.

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Section: Discussionmentioning

confidence: 99%

Psychological/behavioral interventions for emerging adults with chronic pain

Foy,

Kechichian,

Foy

et al. 2024

Front. Pain Res.

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Pediatric inpatient interdisciplinary multimodal pain treatment in Germany

Wager,

Zernikow

2023

Schmerz

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Zusammenfassung Hintergrund Schwer beeinträchtigende chronische Schmerzen betreffen etwa eine halbe Million Kinder in Deutschland. Bei fehlendem Ansprechen auf eine unimodale Therapie kann eine stationäre interdisziplinäre multimodale Schmerztherapie (IMST) in Erwägung gezogen werden. Ziel der Arbeit In dieser Übersichtsarbeit wird die Versorgungslage der pädiatrischen stationären IMST in Deutschland beschrieben sowie aktuelle Evidenz zur Wirksamkeit dargestellt. Material und Methoden Mithilfe einer systematischen Literatursuche wurden Studien identifiziert, die sich mit der Wirksamkeit der pädiatrischen stationären IMST in Deutschland befassen. Zudem wurden weiterführende Quellen genutzt, um Informationen über IMST-Angebote in Deutschland, deren Behandlungsprogramme, die Qualifikation der Behandelnden und Charakteristika der Patient:innen zu beschreiben. Ergebnisse In Deutschland gibt es vier pädiatrische Schmerzzentren, die auf die stationäre IMST von Kindern und Jugendlichen spezialisiert sind. Die 3‑ bis 4‑wöchige multimodale Behandlung wird von einem multiprofessionellen Team angeboten und steht in der Regel Patient:innen bis zum 18. Lebensjahr zur Verfügung. Die Mehrzahl der Patient:innen ist weiblich. Die Wirksamkeit der pädiatrischen IMST in Deutschland wurde bis zu 4 Jahre nach der Behandlung untersucht. Positive Effekte zeigen sich sowohl für Schmerzeigenschaften als auch für die emotionale Belastung. Ergänzende Therapiemodule können die bestehenden Effekte noch weiter optimieren. Schlussfolgerung Weitere Forschung zur Wirksamkeit der IMST in Deutschland ist wichtig, um das Behandlungsangebot weiterentwickeln und optimieren zu können.

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Evaluation of an App-Supported Intensive Interdisciplinary Treatment for Young People with Chronic Pain: A Mixed-Methods Study

Genent,

Schenk,

Hartenstein-Pinter

et al. 2024

Sci

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Chronic pain in the vulnerable phase of emerging adulthood is associated with severe life impairments. The current healthcare system has no suitable treatments for young people. A new multimodal inpatient and app-supported treatment for young people with chronic pain counteracts this. The study examines the effectiveness of this new treatment. Our mixed-methods design combined qualitative and quantitative evaluations. The sample comprised N = 44 patients (18–25 years) who took part in the new treatment. The quantitative data showed a reduced degree of pain severity, pain-related and emotional impairments, and an improved quality of life. The qualitative data showed that several components of the new treatment were particularly important to the young adults: individuality and taking the patient seriously, group therapy with peers, individual therapies (psychological, medical), life counselling, and sports. Results support the individual and objective success of a new inpatient pain treatment applied during emerging adulthood.

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Spezifische Therapiebedürfnisse junger Erwachsener mit chronischen Schmerzen

Cited by 3 publications

References 26 publications

Psychological/behavioral interventions for emerging adults with chronic pain

Psychological/behavioral interventions for emerging adults with chronic pain

Pediatric inpatient interdisciplinary multimodal pain treatment in Germany

Evaluation of an App-Supported Intensive Interdisciplinary Treatment for Young People with Chronic Pain: A Mixed-Methods Study

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