Kennedy Krieger Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
J Pediatr Psychol. 2010 Mar;35(2):128-37. doi: 10.1093/jpepsy/jsp038. Epub 2009 May 22.
A biopsychosocial model was used to treat pain-associated disability in children and adolescents. We assessed the clinical outcomes of children and adolescents (8-21 years of age) with pain-associated disability who were treated in an interdisciplinary inpatient rehabilitation program which included physical, occupational, and recreational therapy, medicine, nursing, pediatric psychology, neuropsychology, psychiatry, social work, and education. Psychological treatment emphasized cognitive-behavioral intervention for pain and anxiety management, and behavioral shaping to increase functioning.
We conducted a retrospective chart review of 41 consecutive patients. School attendance, sleep, and medication usage were assessed at admission and discharge; functional disability and physical mobility were assessed at admission, discharge, and 3-month follow-up.
As a group, significant improvements were observed in school status, sleep, functional ability, physical mobility, and medication usage.
Findings support the efficacy of an inpatient interdisciplinary behavioral rehabilitation approach to the treatment of pain-associated disability in pediatric patients.
采用生物-心理-社会模式治疗儿童和青少年的疼痛相关残疾。我们评估了在一个包含物理、职业和娱乐治疗、医学、护理、儿科心理学、神经心理学、精神病学、社会工作和教育的跨学科住院康复计划中治疗的疼痛相关残疾的儿童和青少年(8-21 岁)的临床结果。心理治疗强调认知行为干预治疗疼痛和焦虑管理,以及行为塑造以增加功能。
我们对 41 例连续患者进行了回顾性图表审查。在入院和出院时评估了上学情况、睡眠和药物使用情况;在入院、出院和 3 个月随访时评估了功能障碍和身体活动能力。
作为一个整体,在上学状况、睡眠、功能能力、身体活动能力和药物使用方面观察到显著改善。
研究结果支持住院跨学科行为康复方法治疗儿科患者疼痛相关残疾的疗效。