Treatment for adolescents with chronic pain and fatigue
Chronic pain and fatigue can have a considerable impact during a child’s or adolescent’s life, especially in important domains of functioning such as school attendance and sports. It is currently unknown which rehabilitation treatment has the best results in improving functional activities and social participation. Previous studies have identified internalizing problems, short sleeping time, high physical activity and smoking as predictors for the persistence of chronic musculoskeletal pain.
The aim of this study was to identify the percentage of adolescents with chronic pain and or fatigue who are successfully treated in a rehabilitation setting. The second aim was to identify predictors for a successful rehabilitation treatment for chronic musculoskeletal pain and/ or fatigue in adolescents.
The inpatient rehabilitation treatment for adolescents with pain and/ or fatigue included cognitive behavioral treatment principles, such as graded exposure to physical training, cognitive behavioral therapy sessions, relaxation, and education for the adolescent and his/ her parents.
This study assessed the succesrate among adolescents who underwent inpatient rehabilitation treatment for chronic musculoskeletal pain and/ or fatigue associated with severe disability and the aim was gaining insight regarding predictors for this success. The results show that following the defined description of a successful treatment, almost half of the participants (49.5%) were successfully treated for their chronic musculoskeletal pain and/ or fatigue.
2 predictors were identified for treatment success: a passive coping style and the pretreatment level of pain and/ or fatigue; the treatment seemed to be more successful for patients with an originally passive coping style. The predictive value of pretreatment of pain and/ or fatigue can be explained by the fact that a higher level of pain and/ or fatigue offers more possibility to improve during treatment.
> From: Westendorp et al., Pain Practice (2017) (Epub ahead of print). All rights reserved to World Institute of Pain. Click here for the online summary.