The effectiveness of cognitive behavioural therapy for pain in childhood and adolescence: a meta-analytic review

Lonergan, Aoife

doi:10.1017/ipm.2015.59

Cited by 13 publications

(8 citation statements)

References 29 publications

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“… Pharmacological Other High Huertas-Ceballos 2008 78 To determine the effectiveness of psychosocial interventions for recurrent abdominal pain or IBS in school-age children Yes* 12/2006 6 RCTs 5–18 years Recurrent abdominal pain Community, outpatient clinic Psychological Other Interdisciplinary High Kichline and Cushing, 2019 49 To evaluate the effect of exercise on pediatric chronic pain Yes 12/2016 11 RCTs and NRS 6–16 years Arthritis, fibromyalgia, low back pain, cancer, mixed ?? Physical Low Liossi et al, 2019 50 To review the effectiveness of interdisciplinary interventions in the management of pediatric chronic pain Yes 03/2018 28 RCTs and NRS 6–21 years Mixed (headache, abdominal pain, back, migraines, CRPS, pelvic, neuropathic, widespread/fibromyalgia, musculoskeletal), oncology (tumors, leukemia), arthritis Inpatient, day treatment, outpatient Interdisciplinary High Lonergan, 2016 51 To examine the effectiveness of cognitive behavioral therapy in the treatment of chronic pain in children and adolescents Yes 12/2014 9 RCTs 6–18 years Recurrent abdominal pain, fibromyalgia, headache or migraine Outpatient, university, patient home Psychological Critically low Martin et al, 2017 40 To review the effectiveness of pharmacological interventions for recurrent abdominal pain in school-age children Yes* ...…”

Section: Resultsmentioning

confidence: 99%

“… ✔ ✔ ✔ ✔ ✔ Huertas-Ceballos 2008 77 Pizotifen, famotidine, peppermint oil capsules ?? ✔ Huertas-Ceballos 2008 78 CBT, family therapy, dietary fiber, psychological + fiber 1 year ✔ ✔ ✔ ✔ ✔ Kichline and Cushing, 2019 49 Aerobic exercise 6 months ✔ Liossi et al, 2019 50 Variations of combined pharmacological, psychological, physical, and other 2 years ✔ ✔ ✔ ✔ ✔ ✔ ✔ Lonergan, 2016 51 CBT, family therapy 1 year ✔ ✔ ✔ …”

Section: Resultsmentioning

confidence: 99%

“…Most reviews (n = 19; 40.4%) included variations of mixed chronic pain populations (e.g., abdominal pain, headaches or migraines, widespread pain/fibromyalgia, complex regional pain syndrome, neuropathic pain, sickle cell disease, cancer pain, back pain, and/or pelvic pain). 8,37,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] Reviews focused on single populations most frequently examined abdominal pain (n = 10; 21.3%), 10,35,39,40,57,[59][60][61]77,78 headaches or migraines (n = 5; 10.6%), [62][63][64][65][66] rheumatological conditions (e.g., juvenile idiopathic arthritis, lupus; n = 4; 8.5%), [67][68][69][70] cancer-related pain (n = 3; 6.4%), [71][72][73] or sickle cell disease (n = 2; 4.3%). 74,75 Single reviews focused on patellar tendon pain/Osgood-Schlatter's (n = 1; 2.1%), 76 cerebral palsy (n = 1; 2.1%), …”

Section: Types Of Populationsmentioning

confidence: 99%

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Mapping the evidence and gaps of interventions for pediatric chronic pain to inform policy, research, and practice: A systematic review and quality assessment of systematic reviews

Birnie

Ouellette

Amaral

et al. 2020

Canadian Journal of Pain

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Background: Reviews in pediatric chronic pain often focus on only one intervention or population, making it difficult for policymakers and decision makers to quickly synthesize knowledge to inform larger-scale policy and funding priorities. Aims: The aims of this study were to (1) create an evidence and gap map of interventions for pediatric chronic pain and (2) identify gaps between existing evidence and recently identified patient-oriented research priorities. Methods: We performed a systematic review of English-language peer-reviewed systematic reviews or clinical practice guidelines of pediatric chronic pain intervention published in the past 20 years. Database searches of Medline, Embase, PsycINFO, Web of Science, CINAHL, and SCOPUS were conducted inclusive to June 3, 2019. Review quality was assessed using the AMSTAR-2. Results: Of 4168 unique abstracts, 50 systematic reviews (including 2 clinical practice guidelines) crossing diverse pediatric chronic pain populations and intervention settings were included. One third were rated high quality, with half rated low to critically low quality. The largest proportion of reviews addressed psychological and pharmacological interventions, followed by interdisciplinary, other (e.g., dietary), and physical interventions. Most common outcomes included pain, physical, emotional, and role functioning and quality of life. Treatment satisfaction and adverse events were less common, with minimal report of sleep or economic factors. Most patient-oriented research priorities had not been investigated. Conclusions: Sufficient quality evidence is available to guide evidence-informed policies in pediatric chronic pain, most notably regarding psychological and pharmacological interventions. Numerous evidence gaps in patient-oriented research priorities and treatment outcomes should guide prioritization of research funds, as well as study aims and design. RÉSUMÉ Contexte: Les études sur la douleur chronique chez les enfants se concentrent souvent sur une seule intervention ou sur une seule population, de sorte qu'il est difficile pour les responsables politiques et les décideurs de synthétiser rapidement les connaissances afin d'éclairer les priorités de financement et les politiques à plus grande échelle. Objectifs: Les objectifs de cette étude étaient (1) de créer une carte présentant les lacunes dans les données probantes en ce qui concerne les interventions pour la douleur chronique chez les enfants et (2) de répertorier les lacunes dans les données probantes existantes par rapport aux priorités de recherche axées sur le patient récemment déterminées. Méthodes: Nous avons effectué une revue systématique des revues systématiques évaluées par des pairs ou des guides de pratique clinique portant sur les interventions en matière de douleur chronique pédiatrique publiés en langue anglaise au cours des 20 dernières années. Des recherches ont été menées dans les bases de données Medline, Embase, PsycINFO, Web of Science, CINAHL et SCOPUS jusqu'au 3 juin 2019 inclusivement. La qualit...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Types Of Populationsmentioning

confidence: 99%

See 1 more Smart Citation

Mapping the evidence and gaps of interventions for pediatric chronic pain to inform policy, research, and practice: A systematic review and quality assessment of systematic reviews

Birnie

Ouellette

Amaral

et al. 2020

Canadian Journal of Pain

View full text Add to dashboard Cite

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“…Findings from this meta-analysis have implications for treatment. Evidence supports the efficacy of several psychological interventions for reducing pain catastrophizing in pediatric samples – these include CBT for chronic pain [29,70], relaxation training [29], and Acceptance and Commitment Therapy [29,123]. These therapies often educate patients about pain catastrophizing, and some target self-reported catastrophic thoughts directly (i.e., through cognitive restructuring) or indirectly (i.e., through experiential exercises).…”

Section: Discussionmentioning

confidence: 99%

Catastrophizing, pain, and functional outcomes for children with chronic pain: a meta-analytic review

Miller

Meints

Hirsh

2018

Pain

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Pediatric chronic pain is associated with numerous negative outcomes including increased physical disability, increased rates of depression and anxiety, and decreased quality of life (QOL). Pain catastrophizing-broadly conceptualized as including rumination, magnification, and helplessness cognitions surrounding one's pain-has been linked with poor functional outcomes in children with chronic pain. Pain catastrophizing in pediatric chronic pain is often considered a key factor on which to focus treatment efforts. However, absent a systematic review that integrates the relevant literature, this call for routine assessment and targeted treatment may be premature. This study aimed to: (1) meta-analytically quantify the relationship between catastrophizing and pain and functional/psychosocial outcomes (functional disability/physical functioning, anxiety, depression, and QOL) in children with chronic pain, and (2) examine potential moderators of these relationships. Using a random-effects model, a total of 111 effect sizes from 38 studies were analyzed. Effect sizes ranged from medium to large, with anxiety, depression, and QOL demonstrating a strong association with catastrophizing. Pain intensity and physical disability had a moderate association with catastrophizing. These relationships were robust, minimizing potential publication bias. None of the examined moderators were significant. The strong relationships found between catastrophizing and anxiety, depression, and QOL suggest that successfully intervening on catastrophizing could have far reaching implications in improving pain outcomes in pediatric chronic pain.

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“…A detailed explanation to the parents that severe abdominal pathology is absent and that symptoms will go down with advancing age is all that is needed for treatment in cases of mild abdominal migraine. Of the psychological treatment options available, cognitive behavioral therapy seems to have the most promising outcome 12 . Cognitive-behavioral therapy can be used with the idea of a psychological cause of pain like the need for parental attention and absence from school.…”

Section: Treatment Optionsmentioning

confidence: 99%

Abdominal migraine in a pediatric patient

Simic¹,

Vlajković²,

Budić³

et al. 2020

Serb J Anest Inten Therapy

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Abdominal migraine (AM) is a syndrome usually diagnosed in childhood. The AM syndrome comprises episodic attacks of severe, recurrent, and chronic abdominal pain localized in the periumbilical area, followed by symptoms like headache, anorexia, nausea, vomiting, or pallor. Between the abdominal migraine episodes the child felt good and continued to develop well. The pathophysiological process is presumed to be similar to that of other functional gastrointestinal disorders (FGIDs) and cephalic migraine. It is vital to assess anamnesis, dietary and social history, detailed physical examination, and symptom-based guidelines. Evaluation of the patient for the presence of any potential alarming symptoms or signs, to exclude an organic disease, is essential. The major problem is the lack of knowledge regarding its unclear pathophysiology. Nonpharmacological and pharmacological treatment alternatives vary. Although thorough diagnostic criteria under Rome IV classification of FGIDs and International Classification of Headache Disorders are available, AM persists to be an underdiagnosed entity. A definite diagnosis of abdominal migraine allows appropriate management and avoids unnecessary investigations and incorrect treatments.

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The effectiveness of cognitive behavioural therapy for pain in childhood and adolescence: a meta-analytic review

Abstract: CBT may be effective in reducing child reported pain symptomology. Future studies using a larger sample and examining the differential impact of varied control conditions are needed.

Cited by 13 publications

References 29 publications

Mapping the evidence and gaps of interventions for pediatric chronic pain to inform policy, research, and practice: A systematic review and quality assessment of systematic reviews

Mapping the evidence and gaps of interventions for pediatric chronic pain to inform policy, research, and practice: A systematic review and quality assessment of systematic reviews

Catastrophizing, pain, and functional outcomes for children with chronic pain: a meta-analytic review

Abdominal migraine in a pediatric patient

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