Improved pain acceptance and interference following outpatient interdisciplinary pediatric chronic pain treatment

Bibliographic Data

ID21579637
AuthorsKatherine S Salamon (0000-0003-0372-7670, Division of Behavioral Health, Department of Pediatrics, Nemours Children’s Hospital, Wilmington, DE, USA, corresponding author), Richa Aggarwal Dutta (0000-0002-5867-4417, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA), Aimee K Hildenbrand (0000-0003-0147-3232, Division of Behavioral Health, Department of Pediatrics, Nemours Children’s Hospital, Wilmington, DE, USA)
Year2023
Volume38
Issue11
Pages1482-1493
Publication date2023-11-02
Open AccessNo
TypeARTICLE
VenuePsychology & Health (JOURNAL)
Journal identifiersISSN: 0887-0446 • E-ISSN: 1476-8321
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/08870446.2021.2024540
PMID35049389
OpenAlexW4205740865
LanguageEN
Citations received1
References cited36

Objectives Intensive interdisciplinary chronic pain treatment programs have demonstrated that pain acceptance predicts positive treatment outcomes, but limited research has focused on less-intensive programs. This study aimed to examine associations between changes in pain acceptance and pain interference among youth participating in an outpatient interdisciplinary chronic pain treatment program.Design Youth presenting to an evaluation within an interdisciplinary outpatient pediatric chronic pain program completed questionnaires at initial program evaluation (T1) and three months later (T2).Main Outcome Measures Youth (N = 94, Mage = 14.59 years, 74% female) completed the Chronic Pain Acceptance Questionnaire, Adolescent Version (CPAQ-A) and PROMIS Pediatric Pain Interference scale.Results Pain acceptance increased significantly from T1 to T2 (p=.001), driven primarily by activity engagement (p=.001). Pain interference decreased from T1 to T2 (p<.001). Improvements in acceptance were strongly associated with reductions in interference (p<.001). An exploratory cross-lagged structural equation model revealed a number of direct and indirect effects between pain acceptance and pain interference at T1 and T2.Conclusion Pain acceptance and interference improved after three months in an outpatient chronic pain treatment program. Improvements in acceptance were strongly related to reductions in interference. Future research should examine these relationships over longer periods, in larger samples

Brief Pain Inventory · Chronic pain · Exploratory research · Outpatient clinic · Pain catastrophizing · Physical therapy · Clinical Psychology · Medicine · Musculoskeletal pain and rehabilitation · Pain Management and Treatment · Pediatric Pain Management Techniques · Psychology · Internal Medicine

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