Mindfulness-Based Intervention for Adolescents with Recurrent Headaches: A Pilot Feasibility Study

Hesse, Toni; Holmes, Laura Graham; Kennedy-Overfelt, Vicki; Kerr, Lynne M.; Giles, Lisa

doi:10.1155/2015/508958

Cited by 43 publications

(49 citation statements)

References 32 publications

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“…Attrition and recruitment problems were described in five of the studies (Hesse, Holmes, Kennedy-Overfelt, Kerr, & Giles, 2015;Jastrowski Mano et al, 2013;Lovas et al, 2017;Ruskin, Gagnon, Kohut, Stinson, & Walker, 2017;Ruskin, Kohut, & Stinson, 2015) as well as problems with obtaining sufficient post test data to draw valid conclusion about outcome (Ruskin, Gagnon, Kohut, Stinson, & Walker, 2017). However, three other recent studies indicate better feasibility results with low attrition and high acceptability but heterogeneous results when it comes to potential efficacy (Ali et al, 2017;Chadi et al, 2016;Waelde et al, 2017).…”

Section: Evidence For Fss In Children and Adolescentsmentioning

confidence: 99%

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Frostholm¹,

Rask²

2019

CPE

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Functional disorders (FD) are present across the age span and are commonly encountered in somatic health care. Psychological therapies have proven effective, but mostly the effects are slight to moderate. The advent of third wave cognitive behavioural therapies launched an opportunity to potentially improve treatments for FD.A narrative review of the literature on the application of mindfulness-based therapies (MBT) and Acceptance & Commitment Therapy (ACT) in children and adult populations with FD.There were very few and mainly preliminary feasibility studies in children and adolescents. For adults there were relatively few trials of moderate to high methodological quality. Ten MBT randomised trials and 15 ACT randomised trials of which 8 were internet-delivered were identified for more detailed descriptive analysis. There was no evidence to suggest higher effects of third wave treatments as compared to CBT. For MBT, there seemed to be minor effects comparable to active control conditions. A few interventions combining second and third wave techniques found larger effects, but differences in outcomes, formats and dosage hamper comparability.Third wave treatments are getting established in treatment delivery and may contribute to existing treatments for FD. Future developments could further integrate second and third wave treatments across the age span. Elements unambiguously targeting specific illness beliefs and exposure should be included. The benefit of actively engaging close relatives in the treatment not only among younger age groups but also in adults, as well as the effect of more multimodal treatment programmes including active rehabilitation, needs to be further explored.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.

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Section: Evidence For Fss In Children and Adolescentsmentioning

confidence: 99%

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Frostholm¹,

Rask²

2019

CPE

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“…20 In both community and clinical settings, children may benefit from incorporation of CAM approaches in the treatment of pain symptoms; however, there are a number of important considerations. Although many CAM approaches have shown to be promising or probably efficacious for various pain-related disorders in children, 23 the evidence base consists mainly of pilot or uncontrolled trials with limited evidence from randomized controlled trials on any CAM modality 24, 25 . Reasons for limited evidence from randomized CAM trials for chronic pain include that they are difficult to conduct, due to barriers associated with recruitment and retention (e.g., 26, 27 ).…”

Section: Discussionmentioning

confidence: 99%

Complementary and Alternative Medicine Use by Children With Pain in the United States

Groenewald

Beals-Erickson²,

Ralston-Wilson

et al. 2017

Academic Pediatrics

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Objective Chronic pain is reported by 15–25% of children. Growing evidence from clinical samples suggests that complementary and alternative medicine (CAM) therapies are desired by families and may benefit some children with pain conditions. The objective of this study is to provide estimates of CAM use by children with pain in the United States. Methods We analyzed data from the 2012 National Health Interview Survey (NHIS) to estimate patterns, predictors, and perceived benefits of CAM use among children 4–17 years of age with and without painful conditions in the US. We used χ2 tests to compare the prevalence rates of CAM use among children with pain to CAM use among children without pain. Multivariable logistic regression was used to examine factors associated with CAM use within the group of children with pain conditions. Results Parents reported that 26.6% of children had pain conditions (e.g. headache, abdominal, musculoskeletal pain) in the past year; of these children, 21.3% used CAM. In contrast only 8.1% of children without pain conditions used CAM (χ2: p<.001). CAM use among children with pain was associated with female sex (adjusted odds ratio (aOR)=1.49, p=0.005), higher income (aOR=1.61, p=0.027), and presence of 4+ comorbidities (aOR=2.01, p=0.013). Among children with pain who used CAM the 2 most commonly used CAM modalities were biologically-based therapies (47.3%) (e.g., special diets and herbal supplements) and manipulative or body-based therapies (46.3%) (e.g., chiropractic and massage). Conclusions CAM is frequently used by children with pain in the USA and many parents report benefits for their child’s symptoms.

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“…Mindfulness approaches have been recently used with adolescents with chronic pain, either by using an adaptation of the MBSR program that was original developed for adults [50,51,52] or as a part of ACT treatment (although mindfulness training is just one of several treatment components of ACT) [53,54]. These interventions have all been implemented in a group format.…”

Section: Meditationmentioning

confidence: 99%

“…Generally speaking, these interventions that include training in mindfulness meditation are well accepted by adolescents with chronic pain, as reflected by the high attendance rates to sessions and high compliance with home practice recommendations. For example, 81% of the participants in one study [52] and 75% in another [50] completed the interventions.…”

Section: Meditationmentioning

confidence: 99%

“…In one of these studies, Hesse and colleagues [50] conducted a case series study with 20 adolescents with recurrent headache. After eight weeks of treatment, the participants reported a reduction in depressive symptoms and an increase in “pain willingness”; that is, an increase in the belief that pain control is not as important as other life goals.…”

Section: Meditationmentioning

confidence: 99%

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Psychological Neuromodulatory Treatments for Young People with Chronic Pain

et al. 2016

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The treatment of young people with chronic pain is a complex endeavor. Many of these youth do not obtain adequate relief from available interventions. Psychological neuromodulatory treatments have been shown to have potential benefit for adults with chronic pain. Here, we review and summarize the available information about the efficacy of three promising psychological neuromodulatory treatments—neurofeedback, meditation and hypnosis—when provided to young people with chronic pain. A total of 16 articles were identified and reviewed. The findings from these studies show that hypnotic treatments are effective in reducing pain intensity for a variety of pediatric chronic pain problems, although research suggests variability in outcomes as a function of the specific pain problem treated. There are too few studies evaluating the efficacy of neurofeedback or meditation training in young people with chronic pain to draw firm conclusions regarding their efficacy. However, preliminary data indicate that these treatments could potentially have positive effects on a variety of outcomes (e.g., pain intensity, frequency of pain episodes, physical and psychological function), at least in the short term. Clinical trials are needed to evaluate the effects of neurofeedback and meditation training, and research is needed to identify the moderators of treatment benefits as well as better understand the mechanisms underlying the efficacy of all three of these treatments. The findings from such research could enhance overall treatment efficacy by: (1) providing an empirical basis for better patient-treatment matching; and (2) identifying specific mechanisms that could be targeted with treatment.

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Mindfulness-Based Intervention for Adolescents with Recurrent Headaches: A Pilot Feasibility Study

Cited by 43 publications

References 32 publications

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Complementary and Alternative Medicine Use by Children With Pain in the United States

Psychological Neuromodulatory Treatments for Young People with Chronic Pain

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