Trajectories of change during a randomized controlled trial of internet-delivered psychological treatment for adolescent chronic pain: how does change in pain and function relate?

Pain
Tonya M PalermoGabrielle Tai

Abstract

Although pain and function improve at immediate posttreatment for youth receiving cognitive behavioral therapy for chronic pain, limited data are available to understand changes that youth make during psychological treatment. We sought to characterize distinct trajectory patterns of change in pain and function to understand the temporal association of these changes during internet-delivered cognitive behavioral therapy (CBT). Weekly repeated assessments of pain and function were conducted during 8 weeks of treatment among 135 adolescents, aged 11 to 17 years, with chronic pain who were randomized to the cognitive behavioral intervention arm of an ongoing trial of internet-delivered CBT (Web-based management of adolescent pain; Web-MAP2). Using random-effects growth mixture models, we characterized pain and functional disability trajectories finding distinct trajectory groups indicating patterns of both linear and quadratic effects. Trajectories of change showed that some patients' pain and functional disability were improving, others worsened or changed minimally. Paired t tests compared the within-subject relative change rate in pain and function demonstrating similar change range for pain and function during the treatment per...Continue Reading

Associated Clinical Trials

References

Apr 2, 2013·The Journal of Pain : Official Journal of the American Pain Society·Susmita Kashikar-ZuckDaniel J Lovell
Dec 26, 2013·JAMA : the Journal of the American Medical Association·Scott W PowersAndrew D Hershey
Jan 29, 2014·The Clinical Journal of Pain·Rona L LevyWilliam E Whitehead
Mar 8, 2014·Journal of Pediatric Psychology·Emma FisherChristopher Eccleston

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Citations

Jun 3, 2017·European Journal of Pain : EJP·A M StonerK R Hainsworth
Dec 12, 2018·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Dunja TutusMandy Niemitz
Nov 10, 2018·Scandinavian Journal of Pain·Hanna VuorimaaHeini Pohjankoski
Nov 12, 2019·Health Informatics Journal·Christo El MorrFarah Ahmad
Mar 5, 2020·Journal of Medical Internet Research·Kelly M ShafferLee M Ritterband
May 16, 2020·F1000Research·Alessandro AndreucciMichael Skovdal Rathleff
Aug 21, 2015·Der Schmerz·B Zernikow, C Hermann
Jun 23, 2021·European Journal of Pain : EJP·Anna L Hurley-WallaceChristina Liossi

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