A Randomized, Controlled Trial of a Neurological and Psychoeducational Group Appointment Model for Pediatric Headaches

Abram, Harry S.; Buckloh, Lisa M.; Schilling, Lisa M.; Wiltrout, Stacey Armatti; Ramírez-Garnica, Gabriela; Turk, William R.

doi:10.1080/02739610701377939

Cited by 20 publications

(24 citation statements)

References 26 publications

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“…However, five studies were later excluded because they did not meet the minimum criteria of 10 participants in each arm, therefore, leaving 29 studies. The third, which searched databases from 2008 to March 2012 yielded 851 abstracts, of which 25 papers were read in full, and eight further RCTs were included in the review, giving a total of 37 RCTs (Abram 2007; Alfven 2007; Barakat 2010; Barry 1997; Bussone 1998; Connelly 2006; Duarte 2006; Fichtel 2001; Gil 1997; Griffiths 1996; Hicks 2006; Humphreys 2000; Kashikar-Zuck 2005; Kashikar-Zuck 2012; Kroener-Herwig 2002; Labbe 1984; Labbe 1995; Larsson 1987a; Larsson 1987b; Larsson 1990; Larsson 1996; Levy 2010; Palermo 2009; McGrath 1988; McGrath 1992; Osterhaus 1997; Passchier 1990; Richter 1986;Robins 2005; Sanders 1994; Sartory 1998; Scharff 2002; Stinson 2010; Trautmann 2010; van Tilburg 2009; Vlieger 2007; Wicksell 2009). Nine further studies did not meet the inclusion criteria and were excluded (Fentress 1986; Kroener-Herwig 1998; Larsson 1986; Olness 1987;Sanders 1989; Trautmann 2008; Vlieger 2012; Weydert 2006; Youssef 2009).…”

Section: Resultsmentioning

confidence: 99%

“…The first is best described as behavioural, typically relaxation based, with or without biofeedback, and including autogenic or hypnotherapeutic content (Bussone 1998; Fichtel 2001; Labbe 1984; Labbe 1995; Larsson 1987a; Larsson 1987b; Larsson 1990; Larsson 1996; McGrath 1988; McGrath 1992; Passchier 1990; Vlieger 2007). The second is best described as cognitive behavioural therapy, including cognitive coping, coping skills training, and parent operant strategies (Abram 2007; Alfven 2007; Barakat 2010; Barry 1997; Connelly 2006; Duarte 2006; Gil 1997; Griffiths 1996; Hicks 2006; Humphreys 2000; Kashikar-Zuck 2005; Kashikar-Zuck 2012; Kroener-Herwig 2002; Levy 2010; McGrath 1992; Osterhaus 1997; Palermo 2009; Richter 1986; Robins 2005; Sanders 1994; Sartory 1998; Scharff 2002; Stinson 2010; Trautmann 2010; van Tilburg 2009; Wicksell 2009). Different control conditions were employed that were categorised into either active control (e.g.…”

Section: Resultsmentioning

confidence: 99%

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Psychological therapies for the management of chronic and recurrent pain in children and adolescents

Eccleston

Palermo

Williams

et al. 2012

Cochrane Database of Systematic Reviews

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Background Chronic pain affects many children, who report severe pain, distressed mood, and disability. Psychological therapies are emerging as effective interventions to treat children with chronic or recurrent pain. This update adds recently published randomised controlled trials (RCTs) to the review published in 2009. Objectives To assess the effectiveness of psychological therapies, principally cognitive behavioural therapy and behavioural therapy, for reducing pain, disability, and improving mood in children and adolescents with recurrent, episodic, or persistent pain. We also assessed the risk of bias and methodological quality of the included studies. Search methods Searches were undertaken of MEDLINE, EMBASE, and PsycLIT. We searched for RCTs in references of all identified studies, meta-analyses and reviews. Date of most recent search: March 2012. Selection criteria RCTs with at least 10 participants in each arm post-treatment comparing psychological therapies with active treatment were eligible for inclusion (waiting list or standard medical care) for children or adolescents with episodic, recurrent or persistent pain. Data collection and analysis All included studies were analysed and the quality of the studies recorded. All treatments were combined into one class: psychological treatments; headache and non-headache outcomes were separately analysed on three outcomes: pain, disability, and mood. Data were extracted at two time points; post-treatment (immediately or the earliest data available following end of treatment) and at follow-up (at least three months after the post-treatment assessment point, but not more than 12 months). Main results Eight studies were added in this update of the review, giving a total of 37 studies. The total number of participants completing treatments was 1938. Twenty-one studies addressed treatments for headache (including migraine); seven for abdominal pain; four included mixed pain conditions including headache pain, two for fibromyalgia, two for pain associated with sickle cell disease, and one for juvenile idiopathic arthritis. Analyses revealed five significant effects. Pain was found to improve for headache and non-headache groups at post-treatment, and for the headache group at follow-up. Mood significantly improved for the headache group at follow-up, although, this should be interpreted with caution as there were only two small studies entered into the analysis. Finally, disability significantly improved in the non-headache group at post-treatment. There were no other significant effects. Authors’ conclusions Psychological treatments are effective in reducing pain intensity for children and adolescents (<18 years) with headache and benefits from therapy appear to be maintained. Psychological treatments also improve pain and disability for children with non-headache pain. There is limited evidence available to estimate the effects of psychological therapies on mood for children and adolescents with headache and non-headache pain. There is also limite...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Psychological therapies for the management of chronic and recurrent pain in children and adolescents

Eccleston

Palermo

Williams

et al. 2012

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

“…Group models allow for a more time- and cost-efficient platform to educate patients with similar needs. The RCT by Abram and colleagues [42] described above delivered psychoeducation within a group setting, and revealed some positive effects. A group model of education may be a more efficient way to deliver information to patients instead of incorporating it into individual appointments [42].…”

Section: Delivery Methodsmentioning

confidence: 99%

“…The RCT by Abram and colleagues [42] described above delivered psychoeducation within a group setting, and revealed some positive effects. A group model of education may be a more efficient way to deliver information to patients instead of incorporating it into individual appointments [42]. In addition to increasing efficiency, group PNE sessions may be advantageous in that they give patients an opportunity to connect with other patients and even learn from others’ experiences.…”

Section: Delivery Methodsmentioning

confidence: 99%

“…There is preliminary evidence that psychoeducation may be efficacious for improving pediatric outcomes, however, most studies have investigated educational programs focused on pain management rather than explaining the biology and neuroscience of pain. In 2007, Abram and colleagues [42] randomized pediatric headache patients to receive either a traditional neurological examination only, or the examination alongside a group educational session. The education session comprised information regarding stressors contributing to pain, pharmaceutical and behavioral treatments, and guided relaxation skills practice.…”

Section: Overview Of Pain Neuroscience Educationmentioning

confidence: 99%

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Pain Neuroscience Education: State of the Art and Application in Pediatrics

et al. 2016

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Chronic pain is a widespread problem in the field of pediatrics. Many interventions to ameliorate pain-related dysfunction have a biobehavioral focus. As treatments for chronic pain (e.g., increased movement) often stand in stark contrast to treatments for an acute injury (e.g., rest), providing a solid rationale for treatment is necessary to gain patient and parent buy-in. Most pain treatment interventions incorporate psychoeducation, or pain neuroscience education (PNE), as an essential component, and in some cases, as a stand-alone approach. The current topical review focuses on the state of pain neuroscience education and its application to pediatric chronic pain. As very little research has examined pain neuroscience education in pediatrics, we aim to describe this emerging area and catalyze further work on this important topic. As the present literature has generally focused on adults with chronic pain, pain neuroscience education merits further attention in the realm of pediatric pain in order to be tailored and implemented in this population.

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Psychological therapies for the management of chronic and recurrent pain in children and adolescents

Eccleston

Palermo

Williams

et al. 2009

Cochrane Database of Systematic Reviews

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173

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A Randomized, Controlled Trial of a Neurological and Psychoeducational Group Appointment Model for Pediatric Headaches

Cited by 20 publications

References 26 publications

Psychological therapies for the management of chronic and recurrent pain in children and adolescents

Psychological therapies for the management of chronic and recurrent pain in children and adolescents

Pain Neuroscience Education: State of the Art and Application in Pediatrics

Psychological therapies for the management of chronic and recurrent pain in children and adolescents

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