Effectiveness of a 3-week multimodal inpatient pain treatment for adolescents suffering from chronic pain statistical and clinical significance

Clinical Journal of Pain

Volumn 25, Issue 2, 2009, Pages 156-166

  Hechler, Tanja ^a   Dobe, Michael ^a   Kosfelder, Joachim ^b   Damschen, Uta ^a   Hübner, Bettina ^a   Blankenburg, Markus ^a   Sauer, Claudia ^a   Zernikow, Boris ^a  

^a UNIVERSITY OF WITTEN HERDECKE   (Germany)

^b UNIVERSITY OF APPLIED SCIENCES   (Germany)

Author keywords

Adolescents; Clinical significance; Headache; Inpatient pain treatment; Somatoform pain disorder

Indexed keywords

ANALGESIC AGENT; ANTIDEPRESSANT AGENT; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; TRIPTAN DERIVATIVE;

ABDOMINAL PAIN; ADOLESCENT; ADULT; ARTICLE; BACKACHE; CHILD; CHRONIC PAIN; COMPLEX REGIONAL PAIN SYNDROME; DISABILITY; DRUG EFFICACY; EMOTIONAL STRESS; FEMALE; FIBROMYALGIA; HEADACHE; HOSPITAL CARE; HUMAN; MAJOR CLINICAL STUDY; MALE; PAIN ASSESSMENT; PRIORITY JOURNAL; SCHOOL CHILD; SCHOOL HEALTH SERVICE; TREATMENT DURATION; TREATMENT OUTCOME; CHRONIC DISEASE; EMOTION; FOLLOW UP; HOSPITALIZATION; LONGITUDINAL STUDY; MULTIMODALITY CANCER THERAPY; PAIN; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; REPRODUCIBILITY;

ADOLESCENT; CHILD; CHRONIC DISEASE; COMBINED MODALITY THERAPY; EMOTIONS; FEMALE; FOLLOW-UP STUDIES; HUMANS; LONGITUDINAL STUDIES; MALE; PAIN; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; YOUNG ADULT;

EID: 67049136593     PISSN: 07498047     EISSN: 15365409     Source Type: Journal    
DOI: 10.1097/AJP.0b013e318185c1c9     Document Type: Article

References (70)

1. Fendrich K, Vennemann M, Pfaffenrath V, et al. Headache prevalence among adolescents-the German DMKG headache study. Cephalalgia. 2007;27:347-354.
2. Perquin CW, Hazebroek-Kampschreur AAJM, Hunfeld JAM, et al. Pain in children and adolescents: a common experience. Pain. 2000;87:51-58.
3. Eccleston C, Bruce E, Carter B. Chronic pain in children and adolescents. Paediatr Nurs. 2006;18:30-33.
4. Eccleston C, Crombez G, Scotford A, et al. Adolescent chronic pain: patterns and predictors of emotional distress in adolescents with chronic pain and their parents. Pain. 2004; 108:221-229.
5. Bursch B, Walco GA, Zeltzer LK. Clinical assessment and management of chronic pain and pain-associated disability syndrome. Dev Behav Pediatr. 1998;19:45-53.
6. Zeltzer LK, Tsao JC. What's in a face: can parents "read pain" in their children's faces? Pain. 2006;126:1-2.
7. Perquin CW, Hunfeld JA, Hazebroek-Kampschreur AA, et al. The natural course of chronic benign pain in childhood and adolescence: a two-year population-based follow-up study. Eur J Pain. 2003;7:551-559.
8. Eccleston C, Malleson P, Clinch J, et al. Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy. Arch Dis Child. 2003;88:881-885.
9. Hagenah U, Herpertz-Dahlmann B. Somatisierungsstö rungen bei Kindern und Jugendlichen. Deutsches Ä rzteblatt. 2005;8: 361-366.
10. Eccleston C, Morley S, Williams AC, et al. Systematic review of randomised controlled trials of psychological therapy for chronic pain in children and adolescents, with a subset of metaanalysis of pain relief. Pain. 2002;99:157-165.
11. Eccleston C, Malleson P. Managing chronic pain in children and adolescents. Br Med J. 2003;326:1408-1409.
12. Palermo TM, Scher MS. Treatment of functional impairment in severe somatoform pain disorder: a case example. J Pediatr Psychol. 2001;26:429-434.
13. Kashikar-Zuck S. Treatment of children with unexplained chronic pain. Lancet. 2006;367:380-382.
14. Lanzi G, D'Arrigo S, Termine C, et al. The effectiveness of hospitalization in the treatment of paediatric idiopathic headache patients. Psychopathology. 2007;40:1-7.
15. Jacobson NS, Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol. 1991;59:12-19.
16. Turk DC, Rudy TE, Sorkin BA. Neglected topics in chronic pain treatment outcome studies: determination of success. Pain. 1993;53:3-16.
17. Sherry DD, Wallace CA, Kelley C, et al. Short- and long-term outcomes of children with complex regional pain syndrome type I treated with exercise therapy. Clin J Pain. 1999; 15:218-223.
18. McCracken LM, MacKichan F, Eccleston C. Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change. Eur J Pain. 2007;11:314-322.
19. Asenlof P, Denison E, Lindberg P. Idiographic outcome analyses of the clinical significance of two interventions for patients with musculoskeletal pain. Behav Res Ther. 2006;44: 947-965.
20. Turk DC, Okifuji A, Sinclair JD, et al. Interdisciplinary treatment for fibromyalgia syndrome: clinical and statistical significance. Arthritis Care Res. 1998;11:186-195.
21. Harkapaa K, Jarvikoski A, Mellin G, et al. A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. Pain, disability, compliance, and reported treatment benefits three months after treatment. Scand J Rehabil Med. 1989;21:81-89.
22. Harkapaa K, Mellin G, Jarvikoski A, et al. A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part III. Long-term follow-up of pain, disability, and compliance. Scand J Rehabil Med. 1990;22:181-188.
23. Sleed M, Eccleston C, Beecham J, et al. The economic impact of chronic pain in adolescence: methodological considerations and a preliminary costs-of-illness study. Pain. 2005;119: 183-190.
24. Kroener-Herwig B, Heinrich M, Morris L. Headache in German children and adolescents: a population-based epidemiological study. Cephalalgia. 2007;27:519-527.
25. Hotopf M, Carr S, Mayou R, et al. Why do children have chronic abdominal pain, and what happens to them when they grow up? Population based cohort study. Br Med J. 1998; 316:1196-1200.
26. Palermo TM. Impact of recurrent and chronic pain on child and family daily functioning: a critical review of the literature. Dev Behav Pediatr. 2000;21:58-69.
27. Hü bner B, Hechler T, Dobe M, et al. Pain-related disability in adolescents suffering from chronic pain-preliminary examination of the Pediatric Pain Disability Index (P-PDI). Der Schmerz. 2008. In press.
28. Dobe M, Damschen U, Reiffer-Wiesel B, et al. Three-week multimodal inpatient treatment of children with chronic pain. First results of the long-term follow-up. Schmerz. 2006; 20:51-60.
29. Remschmidt H, Schmidt M, Poustka F. Multiaxiales Klassifikationsschema fü r Psychische Störungen des Kindes- und Jugendalters nach ICD-10 der WHO. Bern: Hans Huber; 2006:211-221.
30. Denecke H, Hü nseler C. Assessment and measurement of pain. Der Schmerz. 2000;14:302-308.
31. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, eds. Handbook of Pain Assessment. New York: Guilford Press; 2001:15-34.
32. Sijtsma K, van der Ark LA. Investigation and treatment of missing item scores in test and questionnaire data. Multivariate Behav Res. 2003;38:505-528.
33. Wieczerkowski W, Nickel H, Janowksi A, et al. Angstfragebogen fü r Schü ler (FS). Gö ttingen: Westermann; 1981.
34. Stiensmeier-Pelster J, Schü rmann M, Duda K. Depressions- Inventar fü r Kinder und Jugendliche (DIKJ). Gö ttingen: Hogrefe; 2000.
35. Reddemann L. Imagination als heilsame Kraft. Stuttgart: Pfeiffer bei Klett-Cotta; 2001:40-63.
36. Grawe K, Bernauer F, Donati R. Psychotherapie im Wandel. Von der Konfession zur Profession. Gö ttingen: Hogrefe; 1994:47-50.
37. Cohen J. Statistical Power Analysis for the Behavioral Sciences. New Jersey: Lawrence Earlbaum Associates; 1988:8-14, 20-27.
38. Turk DC. Statistical significance and clinical significance are not synonyms! Clin J Pain. 2000;16:185-187.
39. Farrar JT, Young JP Jr, LaMoreaux L, et al. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94: 149-158.
40. Zeltzer LK, Tsao JC, Bursch B, et al. Introduction to the special issue on pain: from pain to pain-associated disability syndrome. J Pediatr Psychol. 2006;31:661-666.
41. Trautmann E, Lackschewitz H, Kroner-Herwig B. Psychological treatment of recurrent headache in children and adolescents-a meta-analysis. Cephalalgia. 2006;26:1411-1426.
42. Roth-Isigkeit A, Thyen U, Raspe HH, et al. Reports of pain among German children and adolescents: an epidemiological study. Acta Pediatrica. 2004;93:258-263.
43. Eccleston C, Connell H, Carmichael N. Residential treatment settings for adolescent chronic pain management: rationale, development, and evidence. In: Fernandez-Jaen A, McGrath PJ, Chambers CT, eds. Bringing Pain Relief to Children: A Guide to Practical Management. Totowa, New Jersey: Human Press; 2008:85-112.
44. McCracken LM, Gauntlett-Gilbert J, Vowles KE. The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability. Pain. 2007;131: 63-69.
45. Van Tulder M, Malmivaara A, Hayden J, et al. Statistical significance versus clinical importance: trials on exercise therapy for chronic low back pain as example. Spine. 2007;32: 1785-1790.
46. Newnham EA, Harwood KE, Page AC. Evaluating the clinical significance of responses by psychiatric inpatients to the mental health subscales of the SF-36. J Affect Disord. 2007;98:91-97.
47. Rose J, Loftus M, Flint B, et al. Factors associated with the efficacy of a group intervention for anger in people with intellectual disabilities. Br J Clin Psychol. 2005;44:305-317.
48. Greeven PG, De RC. Personality disorders in a Dutch forensic psychiatric sample: changes with treatment. Crim Behav Ment Health. 2004;14:280-290.
49. Openshaw C, Waller G, Sperlinger D. Group cognitivebehavior therapy for bulimia nervosa: statistical versus clinical significance of changes in symptoms across treatment. Int J Eat Disord. 2004;36:363-375.
50. Matthey S. Calculating clinically significant change in postnatal depression studies using the Edinburgh Postnatal Depression Scale. J Affect Disord. 2004;78:269-272.
51. Rosqvist J, Thomas JC, Egan D. Home-based cognitivebehavioral treatment of chronic, refractory obsessive-compulsive disorder can be effective. Single case analysis of four patients. Behav Modif. 2002;26:205-222.
52. Jacobson NS, Gortner ET. Can depression be de-medicalized in the 21st century: scientific revolutions, counter-revolutions and the magnetic field of normal science. Behav Res Ther. 2000;38:103-117.
53. Schauenburg H, Strack M. The Symptom Checklist-90-R (SCL-90-R) for presenting statistically and clinically significant psychotherapy outcome. Psychother, Psychosom, Med Psychol. 1998;48:257-264.
54. Cvengros JA, Harper D, Shevell M. Pediatric headache: an examination of process variables in treatment. J Child Neurol. 2007;22:1172-1181.
55. Palermo TM, Chambers CT. Parent and family factors in pediatric chronic pain and disability: an integrative approach. Pain. 2005;119:1-4.
56. Haldorsen EM, Grasdal AL, Skouen JS, et al. Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain. Pain. 2002;95:49-63.
57. Gil KM, Wilson JJ, Edens JL. The stability of pain coping strategies in young children, adolescents, and adults with sickle cell disease over an 18-month period. Clin J Pain. 1997;13 110-115.
58. Roth-Isigkeit A, Schwarzenberger J, Baumeier W, et al. Risk factors for back pain in children and adolescents. Schmerz. 2005;19:535-543.
59. Burba B, Oswald R, Grigaliunien V, et al. A controlled study of alexithymia in adolescent patients with persistent somatoform pain disorder. Can J Psychiatry. 2006;51: 468-471.
60. McGrath PJ, Walco GA, Turk DC, et al. Core outcome domains and measures for pediatric acute and chronic/recurrent pain clinical trials: PedIMMPACT recommendations. J Pain. 2008. In press.
61. Tsao JC, Lu Q, Kim SC, et al. Relationships among anxious symptomatology, anxiety sensitivity and laboratory pain responsivity in children. Cogn Behav Ther. 2006;35:207-215.
62. Martin AL, McGrath PA, Brown SC, et al. Children with chronic pain: impact of sex and age on long-term outcomes. Pain. 2007;128:13-19.
63. von Baeyer CL, Spagrud LJ. Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years. Pain. 2007;127:140-150.
64. Hsu L. On the identification of clinically significant client changes: reinterpretation of Jacobson's cut scores. J Psychopathol Behav Assess. 1996;4:372-385.
65. Kendall PC, Marrs-Garcia A, Nath SR, et al. Normative comparisons for the evaluation of clinical significance. J Consult Clin Psychol. 1999;67:285-299.
66. Tingey R, Lambert M, Burlingame G, et al. Assessing clinical significance: proposed extensions to method. Psychother Res. 1996;6:109-123.
67. Wise EA. Methods for analyzing psychotherapy outcomes: a review of clinical significance, reliable change, and recommendations for future directions. J Pers Assess. 2004;82:50-59.
68. Bauer S, Lambert MJ, Nielsen SL. Clinical significance methods: a comparison of statistical techniques. J Pers Assess. 2004;82:60-70.
69. Lutz W, Martinovich Z, Howard KI, et al. Outcomes management, expected treatment response, and severityadjusted provider profiling in outpatient psychotherapy. J Clin Psychol. 2002;58:1291-1304.
70. Perepletchikova F, Treat TA, Kazdin AE. Treatment integrity in psychotherapy research: analysis of the studies and examination of the associated factors. J Consult Clin Psychol. 2007;75:829-841.