Allen Laura B, Tsao Jennie C I, Seidman Laura C, Ehrenreich-May Jill, Zeltzer Lonnie K
Pediatric Pain Program, David Geffen School of Medicine at UCLA.
University of Miami.
Cogn Behav Pract. 2012 Feb;19(1):56-67. doi: 10.1016/j.cbpra.2011.04.007.
Chronic pain disorders represent a significant public health concern, particularly for children and adolescents. High rates of comorbid anxiety and unipolar mood disorders often complicate psychological interventions for chronic pain. Unified treatment approaches, based on emotion regulation skills, are applicable to a broad range of emotional disorders and suggest the possibility of extending these interventions to chronic pain and pain-related dysfunction. This case report describes the use of a unified protocol for treatment of an adolescent boy with chronic daily headache and social anxiety and an adolescent girl with whole body pain and depression. Following weekly, 50-minute individual treatment sessions, the boy demonstrated notable improvement in emotional symptoms, emotion regulation skills, somatization, and functional disability. The girl showed some improvement on measures of anxiety and depression, although there appeared to be a worsening of pain symptoms and somatization. However, both patients demonstrated improvement over follow-up. This case study illustrates the potential utility of a unified treatment approach targeting pain and emotional symptoms from an emotion regulation perspective in an adolescent population.
慢性疼痛障碍是一个重大的公共卫生问题，对儿童和青少年来说尤为如此。高比例的共病焦虑和单相情绪障碍常常使慢性疼痛的心理干预变得复杂。基于情绪调节技能的统一治疗方法适用于广泛的情绪障碍，并表明有可能将这些干预措施扩展到慢性疼痛和与疼痛相关的功能障碍。本病例报告描述了使用统一方案治疗一名患有慢性每日头痛和社交焦虑的青少年男孩以及一名患有全身疼痛和抑郁症的青少年女孩。在每周进行50分钟的个体治疗 sessions 后，男孩在情绪症状、情绪调节技能、躯体化和功能残疾方面有显著改善。女孩在焦虑和抑郁测量方面有一些改善，尽管疼痛症状和躯体化似乎有所恶化。然而，两名患者在随访中均有改善。本案例研究说明了从情绪调节角度针对青少年人群的疼痛和情绪症状采用统一治疗方法的潜在效用。
