Lovas David Adam, Pajer Kathleen, Chorney Jill MacLaren, Vo Dzung X, Howlett Melissa, Doyle Ashley, Huber Adam
a IWK Health Centre , Halifax , Nova Scotia , Canada.
b Department of Psychiatry , Dalhousie University , Halifax , Nova Scotia , Canada.
J Child Adolesc Ment Health. 2017 Sep;29(2):129-136. doi: 10.2989/17280583.2017.1355807.
Chronic pain is common in paediatric populations and many patients do not respond to the currently available evidence-based treatments. Mindfulness-based interventions (MBIs) have a growing evidence-base in adults, but evidence is limited in youth with chronic pain.
We conducted an open-label pilot study to test the feasibility of an 8-week MBI for this population.
Seven adolescents (age range 14-17; median age 15; six female) completed the intervention. There were no dropouts. Median class attendance was seven of eight total sessions (SD = 0.76). Only one (14.3%) participant reported not finding it useful; five (71.4%) reported that they would recommend it to a friend; and the remaining two (28.6%) reported "maybe". There was no worsening of internalizing symptoms. Secondary outcomes included significant reduction of pain intensity, which was maintained at three-month follow-up. Somatic symptoms and functional disability were both non-significantly lower immediately following the intervention; but were significantly improved at three-month follow-up.
An eight-week group MBI is a feasible intervention for adolescents with chronic pain, and warrants further investigation as a potential alternative to cognitive behavioural therapy in this population.
慢性疼痛在儿科人群中很常见，许多患者对目前可用的循证治疗无反应。基于正念的干预措施（MBIs）在成人中的证据基础不断增加，但在患有慢性疼痛的青少年中的证据有限。
我们进行了一项开放标签的试点研究，以测试为期8周的MBI对该人群的可行性。
7名青少年（年龄范围14 - 17岁；中位年龄15岁；6名女性）完成了干预。无退出者。课程出席中位数为总共8次课程中的7次（标准差 = 0.76）。只有1名（14.3%）参与者报告认为其无用；5名（71.4%）报告他们会向朋友推荐；其余2名（28.6%）报告“可能会”。内化症状没有恶化。次要结果包括疼痛强度显著降低，在三个月随访时仍保持。躯体症状和功能残疾在干预后立即降低但不显著；但在三个月随访时显著改善。
为期8周的团体MBI对患有慢性疼痛的青少年是一种可行的干预措施，作为该人群认知行为疗法的潜在替代方法值得进一步研究。
