Merlijn Vivian P B M, Hunfeld Joke A M, van der Wouden Johannes C, Hazebroek-Kampschreur Alice A J M, van Suijlekom-Smit Lisette W A, Koes Bart W, Passchier Jan
Department of Medical Psychology and Psychotherapy, Rotterdam, The Netherlands.
Patient Educ Couns. 2005 Nov;59(2):126-34. doi: 10.1016/j.pec.2004.10.010.
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.
这项试点研究的目的是评估一项针对慢性疼痛青少年的认知行为训练计划的可行性，无论疼痛部位如何。次要目的是了解该计划对疼痛和生活质量的影响。从普通人群中招募了八名患有慢性非器质性疼痛的青少年（14 - 18岁）（及其父母）参与了这项试点研究。干预措施包括在9周的时间内，五次小组会议与四次电话联系（在自我管理周期间）交替进行。该训练旨在通过疼痛教育、放松策略、解决问题的技巧、自信训练、认知重构以及刺激青少年的身体活动水平来改变疼痛行为。该训练还通过邀请家长参加仅为家长举办的两次会议，并要求青少年带一名同龄人参加其中一次会议，来关注疼痛的社会背景。青少年及其父母对该计划持积极态度。青少年觉得他们对自己的疼痛更有掌控力，父母则重视他们在帮助孩子应对疼痛方面所获得的支持。该训练被认为在日常生活中是可行的。此外，初步数据显示该训练在预期方向上对疼痛和生活质量有影响。结果强调了进行一项样本量更大且采用随机对照设计的确定性研究的必要性。
