Wiertz C, Goossens M, Spek E M, Verbunt J A
Department of Rehabilitation Medicine, Research School CAPHRI, Maastricht University, The Netherlands.
Department of Clinical Psychological Science, Maastricht University, The Netherlands.
Eur J Pain. 2017 Oct;21(9):1571-1581. doi: 10.1002/ejp.1058. Epub 2017 May 23.
The purpose of the study is to evaluate the feasibility of a newly developed parent program for parents of children with non-specific chronic musculoskeletal pain. This program is part of the child's interdisciplinary outpatient pain rehabilitation treatment. The goal of the parent program is to change parent's thoughts/behaviour regarding pain with the ultimate intention to further improve their child's functioning. There were two main objectives in the study: First, to evaluate the feasibility of the parent program. Second, to evaluate changing in parental behavioral factors pre- and posttreatment.
Participants were parents of adolescents, who underwent a interdisciplinary outpatient pain program for non-specific chronic musculoskeletal pain. Parents participated in a parent program as part of their child's treatment. Adolescents reported their level of disability, pain intensity, fear of pain and pain catastrophizing by filling out questionnaires. Parents reported catastrophic thinking about their child's pain, fear of pain and disabilities of their child. In addition, they evaluated the parent program.
Sixty five parents (36 mothers and 29 fathers) of 44 adolescents filled in the baseline questionnaires. Result showed significant and clinically relevant improvements for both parents as well for adolescents. Parents were positive about the content of the parent program, they evaluated the program as supportive and informative.
Adding a parent program to a interdisciplinary outpatient pain program for adolescent with chronic musculoskeletal pain, seems to be feasible in daily life of the parents and results in positive behavioural changes for both parents and adolescents.
A parent program, designed to change cognition and behaviour of parents of children with chronic musculoskeletal pain is feasible.
本研究的目的是评估一项新开发的针对患有非特异性慢性肌肉骨骼疼痛儿童的家长的项目的可行性。该项目是儿童跨学科门诊疼痛康复治疗的一部分。家长项目的目标是改变家长对疼痛的想法/行为，最终目的是进一步改善其孩子的功能。本研究有两个主要目标：第一，评估家长项目的可行性。第二，评估治疗前后家长行为因素的变化。
参与者为青少年的家长，这些青少年接受了针对非特异性慢性肌肉骨骼疼痛的跨学科门诊疼痛项目。家长作为孩子治疗的一部分参与了一个家长项目。青少年通过填写问卷报告他们的残疾程度、疼痛强度、对疼痛的恐惧和疼痛灾难化情况。家长报告他们对孩子疼痛的灾难化思维、对疼痛的恐惧以及孩子的残疾情况。此外，他们对家长项目进行了评估。
44名青少年的65名家长（36名母亲和29名父亲）填写了基线问卷。结果显示家长和青少年都有显著且具有临床意义的改善。家长对家长项目的内容持积极态度，他们认为该项目具有支持性且信息丰富。
在针对患有慢性肌肉骨骼疼痛青少年的跨学科门诊疼痛项目中增加一个家长项目，在家长的日常生活中似乎是可行的，并且会使家长和青少年都产生积极的行为改变。
一个旨在改变患有慢性肌肉骨骼疼痛儿童家长认知和行为的家长项目是可行的。
