|
The effectiveness of psychological interventions in the treatment of children and adolescents with chronic Pain: A systematic review
|
Farzin Bagheri Sheykhangafshe1    , Hojjatollah Farahani *2 , Mohsen Dehghani3 , Ali Fathi-Ashtiani4 |
1- Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
2- Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
3- Department of Clinical Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran
4- Department of Clinical Psychology, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran |
|
|
Abstract: (1168 Views) |
Background and Purpose: Chronic pain at an early age can lead to serious psychological, social, and academic issues and negatively impact cognitive functioning. Due to the limitations of medical treatments, psychological interventions can offer effective solutions to improve quality of life and reduce pain. This review study aimed to determine the effectiveness of psychological interventions in treating children and adolescents with chronic pain.
Method: Through a systematic review study, all selected articles were evaluated by the research authors using specialized keywords in external databases such as Google Scholar, PubMed, ProQuest, EMBASE, PsycINFO, and Scopus, covering the period from January 2001 to July 2024. A total of 973 published English articles were reviewed, considering inclusion criteria and quality assessment using the PRISMA model. Based on the final qualitative evaluation, 38 articles were selected and examined to address the research questions.
Results: The results of the studies indicate the effectiveness of biofeedback-relaxation (7 studies), mindfulness-based interventions (9 studies), acceptance and commitment therapy (8 studies), cognitive-behavioral therapy (10 studies), and compassion-focused therapy (3 studies) on the psychological and physical health of children and adolescents with chronic pain.
Conclusion: Psychological interventions have proven to be significantly effective for children and adolescents with chronic pain. These therapies have reduced pain intensity, stress, anxiety, depression, and pain-related disabilities. Conversely, they have improved quality of life, coping skills, physical functioning, and life satisfaction in patients. Overall, these treatments have not only alleviated negative symptoms but also enhanced various aspects of the patients' lives. |
Article number: 5 |
| Keywords: Chronic pain, psychological interventions, children, adolescents, systematic review |
|
|
Full-Text [PDF 1165 kb]
(479 Downloads)
|
Type of Study: Review |
Subject:
Special
Received: 2024/04/7 | Accepted: 2024/06/16 | Published: 2024/08/17
|
|
|
|
|
|
|
| References |
1. Fahrenkamp A, Sim L, Roers L, Canny M, Harrison T, Harbeck-Weber C. An innovative and accessible biofeedback intervention for improving self-regulatory skills in pediatric chronic pain: a pilot study. J Altern Complement Med. 2020; 26(3):212-8.
https://doi.org/10.1089/acm.2019.0297 [ DOI:10. 1089/acm.2019.0297 [Link]] 2. Orgil Z, Johnson L, Karthic A, Williams SE, Ding L, Kashikar-Zuck S, King CD, Olbrecht VA. Feasibility and acceptability of perioperative application of biofeedback-based virtual reality versus active control for pain and anxiety in children and adolescents undergoing surgery: protocol for a pilot randomized controlled trial. BMJ open. 2023; 13(1):e071274.
https://doi.org/10.1136/bmjopen-2022-071274 [ DOI:10.1136/bmjopen-202 2-071274 [Link]] 3. Folchert M, Breuner C, Steinman S. The Impact of biofeedback in treating nonspecific persistent wrist and forearm pain in adolescents. The Journal of Hand Surgery. 2021; 46(2):152.
https://doi.org/10.1016/j.jhsa.2020.09.005 [ DOI:10.1016/j.jhsa.2020.09.005 [Link]] 4. Bagheri Sheykhangafshe F, Mohammadi Sangachin Doost A, Savabi Niri V, Mojez N, Bourbour Z. The Efficacy of Cognitive-Behavioral Group Therapy on Psychological Well-being and Resilience of Students with Depressive Syndrome. J Child Ment Health 2023; 10 (1):8. [Persian]
https://doi.org/10.61186/jcmh.10.1.9 [ DOI:10.61186/jcmh.10.1.9 [Link]] 5. Grazzi L, Grignani E, Raggi A, Rizzoli P, Guastafierro E. Effect of a mindfulness-based intervention for chronic migraine and high frequency episodic migraine in adolescents: a pilot single-arm open-label study. International Journal of Environmental Research and Public Health. 2021; 18(22):11739.
https://doi.org/10.3390/ijerph182211739 [ DOI:10.3390/ije rph182211739 [Link]] 6. Wren AA, Neiman N, Caruso TJ, Rodriguez S, Taylor K, Madill M, Rives H, Nguyen L. Mindfulness-based virtual reality intervention for children and young adults with inflammatory bowel disease: A pilot feasibility and acceptability study. Children. 2021; 8(5):368. https://doi. org/10.3390/children8050368 [Link] [ DOI:10.3390/children8050368] 7. Chambers CT, Dol J, Tutelman PR, Langley CL, Parker JA, Cormier BT, Macfarlane GJ, Jones GT, Chapman D, Proudfoot N, Grant A. The prevalence of chronic pain in children and adolescents: a systematic review update and meta-analysis. Pain. 2022:10-97. [ DOI:10.1097 /j.pain.0000000000003267 [Link]] 8. Shaygan M, Jaberi A, Razavizadegan M, Shayegan Z. Prevalence of chronic pain and contributing factors: a cross-sectional population-based study among 2,379 Iranian adolescents. The Korean Journal of Pain. 2023; 36(2):230-41.
https://doi.org/10.3344/kjp.22336 [ DOI:10.3344/kjp.22336 [Link]] 9. Bagheri Sheykhangafshe F, Alizadeh D, Savabi Niri V, Asgari F, Ghodrat G. The role of internet addiction, mindfulness and resilience in predicting students' mental health during the coronavirus 2019 pandemic. J Child Ment Health 2021; 8 (3):1. [Persian]
https://doi.org/10.52547/jcmh.8.3.2 [ DOI:10.52547 /jcmh.8.3.2 [Link]] 10. Fichtel Å, Larsson B. Does relaxation treatment have differential effects on migraine and tension‐type headache in adolescents?. Headache: The Journal of Head and Face Pain. 2001; 41(3):290-6.
https://doi.org/10.1046/j.1526-4610.2001.111006290.x [ DOI:10.1046/j.1526-4610.2001.111006290.x [Link]] 11. Rotkis LN, Abelon R, Breuner CC. The effect of biofeedback therapy on depression and anxiety in the pediatric and adolescent when used to treat migraines, chronic headaches and chronic abdominal pain. Journal of Adolescent Health. 2014; 54(2): 42.
https://doi.org/10.1016/j.jadohealth.2013.10.097 [ DOI:10. 1016/j.jadohealth.2013.10.097 [Link]] 12. Eccleston C, Malleson PN, Clinch J, Connell H, Sourbut C. Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy. Archives of disease in childhood. 2003; 88(10):881-5.
https://doi.org/10.1136/adc.88.10.881 [ DOI:10.1136/adc.88.10.881 [Link]] 13. Palermo TM, Law EF, Fales J, Bromberg MH, Jessen-Fiddick T, Tai G. Internet-delivered cognitive-behavioral treatment for adolescents with chronic pain and their parents: a randomized controlled multicenter trial. Pain. 2016; 157(1):174-85.
https://doi.org/10.1097/j.pain.0000000000000348 [ DOI:10.1097/j.pain. 0000000000000348 [Link]] 14. Bagheri Sheykhangafshe F, Farahani H, Watson P. Using exploratory graph analysis (EGA) in validating the structure of the Perth alexithymia questionnaire in Iranians with chronic pain. Frontiers in Psychology. 2024; 15:1400340.
https://doi.org/10.3389/fpsyg.2024.1400340 [ DOI:10.3389/fpsyg.2024.1400340 [Link]] 15. Kanstrup M, Wicksell RK, Kemani M, Wiwe Lipsker C, Lekander M, Holmström L. A clinical pilot study of individual and group treatment for adolescents with chronic pain and their parents: Effects of acceptance and commitment therapy on functioning. Children. 2016; 3(4):30.
https://doi.org/10.3390/children3040030 [ DOI:10.3390/children3040030 [Link]] 16. Kemani MK, Kanstrup M, Jordan A, Caes L, Gauntlett-Gilbert J. Evaluation of an intensive interdisciplinary pain treatment based on acceptance and commitment therapy for adolescents with chronic pain and their parents: A nonrandomized clinical trial. Journal of pediatric psychology. 2018; 43(9):981-94.
https://doi.org/10.1093/jpepsy/jsy031 [ DOI:10.1093/ jpepsy/jsy031 [Link]] 17. Suc A, Cayzac D, Iannuzzi S, Garnier C, Bonneau B, Sommet A. Peacefull: A French mindfulness-based intervention for adolescents with chronic pain a feasibility study. Archives de Pédiatrie. 2022; 29(8):581-7. https://doi. org/10.1016/j.arcped.2022.06.006 [Link] [ DOI:10.1016/j.arcped.2022.06.006] 18. Chadi N, McMahon A, Vadnais M, Malboeuf-Hurtubise C, Djemli A, Dobkin PL, Lacroix J, Luu TM, Haley N. Mindfulness-based intervention for female adolescents with chronic pain: A pilot randomized trial. Journal of the Canadian Academy of Child and Adolescent Psychiatry. 2016; 25(3):159. [Link] 19. Murray CB, de la Vega R, Loren DM, Palermo TM. Moderators of internet-delivered cognitive-behavioral therapy for adolescents with chronic pain: Who benefits from treatment at long-term follow-up?. The Journal of Pain. 2020 [ DOI:10.1016/j.jpain.2019.10.001] 21. Sil S, Lai K, Lee JL, Marchak JG, Thompson B, Cohen L, Lane P, Dampier C. Preliminary evaluation of the clinical implementation of cognitive-behavioral therapy for chronic pain management in pediatric sickle cell disease. Complementary therapies in medicine. 2020; 49:102348.
https://doi.org/10.1016/j.ctim.2020.102348 [ DOI:10.1016/j.ctim.2020.102348 [Link]] 22. Bagheri Sheykhangafshe F, Alizadeh D, Savabi Niri V, Asgari F, Ghodrat G. The role of internet addiction, mindfulness and resilience in predicting students' mental health during the coronavirus 2019 pandemic. J Child Ment Health 2021; 8(3): 1-14. [Persian]
https://doi.org/10.52547/jcmh.8.3.2 [ DOI:10.52547/ jcmh.8.3.2 [Link]] 23. Abedini S, Habibi M, Abedini N, Achenbach TM, Semple RJ. A randomized clinical trial of a modified mindfulness-based cognitive therapy for children hospitalized with cancer. Mindfulness. 2021; 12:141-51. https://doi.org/ 10.1007/s12671-020-01506-3 [Link]
https://doi.org/10.1007/s12671-020-01506-3 [ DOI:10.1007/s12671-020-01506-3 [Link]] 24. Madi D, Abi Abdallah Doumit M, Hallal M, Moubarak MM. Outlooks on using a mobile health intervention for supportive pain management for children and adolescents with cancer: a qualitative study. BMC nursing. 2023; 22(1):301.
https://doi.org/10.1186/s12912-023-01461-z [ DOI:10.1186/s12912-023-01461-z [Link]] 25. Powers SW, Kashikar-Zuck SM, Allen JR, LeCates SL, Slater SK, Zafar M, Kabbouche MA, O'Brien HL, Shenk CE, Rausch JR, Hershey AD. Cognitive behavioral therapy plus amitriptyline for chronic migraine in children and adolescents: a randomized clinical trial. Jama. 2013; 310(24):2622-30.
https://doi.org/10.1001/jama.2013.282533 [ DOI:10.1001/jama.2013.2825 33 [Link]] 26. Gentili C, Rickardsson J, Holmström L, Wicksell RK, Hesser H, Zetterqvist V. Exploring psychological flexibility as in-treatment behaviour during internet-delivered acceptance and commitment therapy for paediatric chronic pain: Occurrence and relation to outcome. Journal of Contextual Behavioral Science. 2024; 31:100725.
https://doi.org/10.1016/j.jcbs.2024.100725 [ DOI:10.1016/j.jcbs.2024.100725 [Link]] 27. Bratt AS, Rusner M, Svensson I. An exploration of group-based compassion-focused therapy for adolescents and their parents. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology. 2020; 8(1):38-47. https://doi. org/10.21307/sjcapp-2020-005 [Link] [ DOI:10.21307/sjcapp-2020-005] 28. Sahler OJ, Zhao J. Effect on healthcare utilization of incorporating biofeedback into the management of pain and anxiety in adolescents. Alternative and Complementary Therapies. 2017 [ DOI:10.1089/act.2017.29122.ojs] 30. Tsao JC, Meldrum M, Kim SC, Jacob MC, Zeltzer LK. Treatment preferences for CAM in children with chronic pain. Evidence‐Based Complementary and Alternative Medicine. 2007; 4(3):367-74.
https://doi.org/10.1093/ecam/nel084 [ DOI:10.1093/ecam /nel084 [Link]] 31. Lovas DA, Pajer K, Chorney JM, Vo DX, Howlett M, Doyle A, Huber A. Mindfulness for adolescent chronic pain: A pilot feasibility study. Journal of Child & Adolescent Mental Health. 2017; 29(2):129-36. https://doi. org/10.2989/17280583.2017.1355807 [Link]
10.2989/17280583.2017.1355807 [ ] 32. Bagheri Sheykhangafshe F, Mohammadi Sangachin Doost A, Savabi Niri V, Mojez N, Bourbour Z. The Efficacy of Cognitive-Behavioral Group Therapy on Psychological Well-being and Resilience of Students with Depressive Syndrome. J Child Ment Health 2023; 10 (1): 108-124. [Persian]
https://doi.org/10.61186/jcmh.10.1.9 [ DOI:10.61186/jcmh.10.1.9 [Link]] 33. Shaygan M, Jahandide Z, Zarifsanaiey N. An investigation of the effect of smartphone-based pain management application on pain intensity and the quality-of-life dimensions in adolescents with chronic pain: a cluster randomized parallel-controlled trial. Quality of Life Research. 2021; 30(12):3431-42.
https://doi.org/10.1007/s11136-021-02891-5 [ DOI:10.1007/ s11136-021-02891-5 [Link]] 34. Hamid N, Hamedy V, Bashlideh K, Marashy SA. Comparison the Effectiveness of Cognitive-Behavioral Therapy of Pain Management and its Computerized Version on Reduction of Pain Intensity and depression in Children with Cancer. Int J Onco Radiother. 2024; 5(1):3. [Link] 35. Gooding H, Stedmon J, Crix D. 'All these things don't take the pain away but they do help you to accept it': making the case for compassion-focused therapy in the management of persistent pain. British journal of pain. 2020; 14(1):31-41.
https://doi.org/10.1177/2049463719857099 [ DOI:10.1177/2049463719857099 [Link]] 36. Hasannattaj F, Shokohiyekta M, Hasanzade S, Ghobari Bonab B, Arjmandnia A A. Primary Regulatory Problems in Infancy and Behavioral Outcomes in Childhood: A Systematic Review Study. J Child Ment Health 2023; 10 (3):5. [Persian]
https://doi.org/10.61186/jcmh.10.3.6 [ DOI:10.61186/jcmh.10.3.6 [Link]] 37. Amiralsadat Hafshejani F, Akbari B, HosseinKhanzadeh A A, Abolghasemi A. Meta-analysis of Effective Treatments in Reducing Children's Anxiety. J Child Ment Health 2023; 10 (2):8. [Persian]
https://doi.org/10.61186/jcmh.10.2.9 [ DOI:10.61186/jcmh.10.2.9 [Link]] 38. Ruskin D, Kohut SA, Stinson J. The development of a mindfulness-based stress reduction group for adolescents with chronic pain. Journal of Pain Management. 2014; 7(4):301. [Link] 39. Hesse T, Holmes LG, Kennedy-Overfelt V, Kerr LM, Giles LL. Mindfulness‐based intervention for adolescents with recurrent headaches: a pilot feasibility study. Evidence‐Based Complementary and Alternative Medicine. 2015; 20(1):508958.
https://doi.org/10.1155/2015/508958 [ DOI:10.1155/2015/508958 [Link]] 40. Kanstrup M, Jordan A, Kemani MK. Adolescent and parent experiences of acceptance and commitment therapy for pediatric chronic pain: An interpretative phenomenological analysis. Children. 2019;6(9):101.
https://doi.org/10.3390/children6090101 [ DOI:10.3390/ children6090101 [Link]] 41. Zetterqvist V, Gentili C, Rickardsson J, Sörensen I, Wicksell RK. Internet-delivered acceptance and commitment therapy for adolescents with chronic pain and their parents: a nonrandomized pilot trial. Journal of pediatric psychology. 2020; 45(9):990-1004. https://doi. org/10.1093/jpepsy/jsaa060 [Link] [ DOI:10.1093/jpepsy/jsaa060] 42. Wicksell RK, Dahl J, Magnusson B, Olsson GL. Using acceptance and commitment therapy in the rehabilitation of an adolescent female with chronic pain: A case example. Cognitive and Behavioral Practice. 2005; 12(4):415-23.
https://doi.org/10.1016/S1077-7229(05)80069-0 [ DOI:10.1016/S1077-7229(05)80069-0 [Link]] 43. Balter LJ, Wiwe Lipsker C, Wicksell RK, Lekander M. Neuropsychiatric symptoms in pediatric chronic pain and outcome of acceptance and commitment therapy. Frontiers in Psychology. 2021; 12:576943.
https://doi.org/10.3389/fpsyg.2021.576943 [ DOI:10.3389/ fpsyg.2021.576943 [Link]] 44. Gauntlett-Gilbert J, Connell H, Clinch J, McCracken LM. Acceptance and values-based treatment of adolescents with chronic pain: Outcomes and their relationship to acceptance. Journal of pediatric psychology. 2013; 38(1):72-81.
https://doi.org/10.1093/jpepsy/jss098 [ DOI:10.1093/jpepsy/jss098 [Link]] 45. Shaygan M, Jaberi A. The effect of a smartphone-based pain management application on pain intensity and quality of life in adolescents with chronic pain. Scientific Reports. 2021; 11(1):6588.
https://doi.org/10.1038/s41598-021-86156-8 [ DOI:10.1038/s41598-021-861 56-8 [Link]] 46. Torrijos‐Zarcero M, Mediavilla R, Rodríguez‐Vega B, Del Río‐Diéguez M, López‐Álvarez I, Rocamora‐González C, Palao‐Tarrero Á. Mindful self‐compassion program for chronic pain patients: A randomized controlled trial. European Journal of Pain. 2021; 25(4):930-44. https://doi. org/10.1002/ejp.1734 [Link] [ DOI:10.1002/ejp.1734] 47. Levy RL, Langer SL, Walker LS, Romano JM, Christie DL, Youssef N, DuPen MM, Feld AD, Ballard SA, Welsh EM, Jeffery RW. Cognitive-behavioral therapy for children with functional abdominal pain and their parents decreases pain and other symptoms. Official journal of the American College of Gastroenterology| ACG. 2010; 105(4):946-56.
https://doi.org/10.1038/ajg.2010.106 [ DOI:10.1038/ajg.2010.106 [Link]] 48. Groß M, Warschburger P. Evaluation of a cognitive-behavioral pain management program for children with chronic abdominal pain: a randomized controlled study. International journal of behavioral medicine. 2013; 20:434-43.
https://doi.org/10.1007/s12529-012-9228-3 [ DOI:10.1007/s12529-012-9228-3 [Link]] 49. Kashikar-Zuck S, Sil S, Lynch-Jordan AM, Ting TV, Peugh J, Schikler KN, Hashkes PJ, Arnold LM, Passo M, Richards-Mauze MM, Powers SW. Changes in pain coping, catastrophizing, and coping efficacy after cognitive-behavioral therapy in children and adolescents with juvenile fibromyalgia. The Journal of Pain. 2013; 14(5):492-501.
https://doi.org/10.1016/j.jpain.2012.12.019 [ DOI:10.1016/j.jpain.2012.12.019 [Link]] |
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
|
Bagheri Sheykhangafshe F, Farahani H, Dehghani M, Fathi-Ashtiani A. The effectiveness of psychological interventions in the treatment of children and adolescents with chronic Pain: A systematic review. J Child Ment Health 2024; 11 (1) : 5 URL: http://childmentalhealth.ir/article-1-1443-en.html
|
