Short-Term and Long-Term Effectiveness of Intensive Interdisciplinary Pain Treatment for Children and Adolescents with Chronic Headache: A Longitudinal Observation Study

被引:3
|
作者
Dogan, Meltem [1 ,2 ]
Zernikow, Boris [1 ,2 ]
Wager, Julia [1 ,2 ]
机构
[1] Childrens & Adolescents Hosp, German Paediat Pain Ctr, D-45711 Datteln, Germany
[2] Witten Herdecke Univ, Sch Med, Fac Hlth, Dept Childrens Pain Therapy & Paediat Palliat Car, D-58448 Witten, Germany
来源
CHILDREN-BASEL | 2021年 / 8卷 / 03期
关键词
pediatric; chronic pain; headache; intensive interdisciplinary pain treatment;
D O I
10.3390/children8030220
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Pediatric chronic headache causes significant impairment to those affected and bears the risk of aggravation into adulthood. Intensive interdisciplinary pain treatment (IIPT) was found to positively affect pain-related and emotional outcomes in pediatric patients with chronic pain up to 4 years after treatment. This study was aimed at investigating the effect of IIPT on solely pediatric chronic headache patients. As part of a longitudinal observation study, n = 70 children and adolescents with chronic headache receiving IIPT were included, of which n = 47 completed the assessment at four assessment time points: before treatment (PRE) and at three follow-ups (6-MONTH FOLLOW-UP, 1-YEAR FOLLOW-UP, and 4-YEAR FOLLOW-UP). Pain-related (pain intensity, pain-related disability, school absence), as well as psychological outcome domains (anxiety, depression), were investigated. The results support the short-term and long-term efficacy of IIPT for pediatric chronic headache patients regarding the pain-related outcome measures by significant reductions from PRE to all follow-up measure points. For anxiety and depression, only short-term improvements were found. Future studies should specifically focus on the identification of methods to consolidate the beneficial short-term effects of IIPT on psychological outcome domains in the long term.
引用
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页数:10
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