Effects of Behavioral Psychophysiological Treatment on Schoolchildren with Migraine in a Nonclinical Setting: Predictors and Process Variables

Osterhaus, S. O. L.; Passchier, Jan; Helm-Hylkema, H. Van Der; Jong, K. T. De; Orlebeke, J.F.; Grauw, A. J. C. De; Dekker, Paul

doi:10.1093/jpepsy/18.6.697

Cited by 47 publications

(23 citation statements)

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“…It may therefore be more difficult to demonstrate an intervention effect, because the pain reduction is expected to be larger in adolescents with higher pre-treatment prospective pain intensity scores. Nevertheless, the reductions in pain reported after our program is in line with other studies on the effectiveness of cognitive-behavioural treatment for children and adolescents with chronic pain [6,11,16,17,[24][25][26]. However, the design of our pilot study does not allow us to conclude that the reductions in pain are only a result of our program.…”

Section: Discussionsupporting

confidence: 78%

A cognitive-behavioural program for adolescents with chronic pain—a pilot study

Merlijn

Hunfeld

Wouden

et al. 2005

Patient Education and Counseling

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The purpose of this pilot study is to evaluate the feasibility of a cognitive-behavioural training program for adolescents with chronic pain irrespective of pain localisation. A secondary aim was to give an impression of the effect of the program on pain and quality of life. Eight adolescents (14-18 years) with chronic non-organic pain recruited from the general population (and their parents) participated in this pilot study. The intervention included five group meetings alternated with four telephone contacts (during the self-management weeks) over a period of 9 weeks. The training aimed to change pain behaviour through pain education, relaxation strategies, problem-solving techniques, assertiveness training, cognitive restructuring and by stimulating the adolescent's physical activity level. The training further addresses the social context of pain by inviting parents to attend two meetings for the parents only, and by asking the adolescents to bring a peer to one of the meetings. Adolescents and their parents were positive about the program. Adolescents felt they were more in control of their pain and parents valued the support they experienced in helping their children to master the pain. The training was considered to be feasible in daily life. Further, the preliminary data showed an effect on pain and quality of life in the expected direction. The results underline the need for a definitive study with a larger sample size and a random controlled design.

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Section: Discussionsupporting

confidence: 78%

A cognitive-behavioural program for adolescents with chronic pain—a pilot study

Merlijn

Hunfeld

Wouden

et al. 2005

Patient Education and Counseling

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“…It seemed from this study that attending a clinic and receiving brief reassurance and assistance was sufficient to bring relief in a number of cases but more recent reports suggest that self help relaxation treatment may be superior to a credible placebo control in reducing migraine attacks (Larsson, 1992). In a highly selected sample Osterhaus et al (1993) combined relaxation training, temperature biofeedback and cognitive techniques to treat schoolchildren with migraine. Compared with a waiting list control group, there was an improvement of headache frequency though not of intensity in the treatment group.…”

Section: Specific Treatments For Individual Conditionsmentioning

confidence: 84%

Somatisation in Children

Garralda

1996

Child Psychology Psychiatry

155

106

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This review summarises recent work on somatisation in childhood. Minor physiological dysfunction may play a part in a number of cases and associated psychiatric disorders are commonly though not universally found. Contributory family factors include high rates of health problems and of parental psychological distress and there is some evidence for the role of family modelling and reinforcement of illness behaviour. There is suggestive evidence linking somatisation to emotional closeness in families, to family togetherness around health matters and to anomalies in children's social relationships. Somatisation in children can respond to treatments involving cognitive-behavioural and family techniques as well as to sensitive, psychologically sound advice from paediatricians.

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“…A therapist guides them throughout this process, as outlined in Table 4. The majority of cognitive therapies have been evaluated only within the context of a broader multimodal treatment program rather than studied as single interventions [29][30][31][32][33][34][35][36]. Children generally experience significant reductions in headache frequency, with some studies reporting concurrent reductions in headache intensity.…”

Section: Cognitive-behavioral Therapiesmentioning

confidence: 99%

Chronic daily headache in children and adolescents

McGrath¹

2001

Current Science Inc

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Chronic daily headache (CDH), an almost continual headache in the absence of organic pathology, is an exceptionally challenging type of headache to treat in children and adolescents. CDH has different expressions in children and adults; the different expressions may reflect several different etiologies or a developmental continuum. Although a positive family history predisposes children to develop headache, many environmental, biological, and psychological processes may share a role in the etiology. To date, no studies have examined the pathophysiology of CDH in children so that our understanding is presumed, rather than documented, and based primarily on extrapolation from adult studies. For some cases with migraine features, presumed mechanisms include a neurogenic inflammatory cascade, vascular reactivity, and serotonin, whereas for other cases, mechanisms may include pericranial muscle tenderness or musculoskeletal abnormalities, as noted recently for adults. A skilled and careful history is the first step to ensuring an accurate diagnosis for children with CDH. Pain assessment is an integral component of diagnosis and treatment. We need an objective measure of headache activity and an understanding of the factors that cause or exacerbate headaches for an individual child. Although many drug and nondrug therapies are available for treating children's headache, we lack data about which therapies are best for children with CDH or its subtypes. The current principles guiding our management of CDH in children and adolescents are extrapolated from the existing literature on childhood headache, CDH in adults, and our clinical experience. A child-centered focus is particularly important in the treatment of CDH because it is not caused by an underlying disease or disorder.

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Effects of Behavioral Psychophysiological Treatment on Schoolchildren with Migraine in a Nonclinical Setting: Predictors and Process Variables

Cited by 47 publications

References 0 publications

A cognitive-behavioural program for adolescents with chronic pain—a pilot study

A cognitive-behavioural program for adolescents with chronic pain—a pilot study

Somatisation in Children

Chronic daily headache in children and adolescents

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