Improving Distress and Behaviors for Parents of Adolescents with Chronic Pain Enrolled in an Intensive Interdisciplinary Pain Program

Karen E. Weiss, Ashley N. Junghans-Rutelonis, Rachel Aaron, Cindy Harbeck-Weber, Emily McTate, Connie Luedtke, Barbara Bruce

Research output: Contribution to journalArticle

Abstract

Objectives: Intensive interdisciplinary treatment is emerging as an effective treatment of chronic pain in youth. These programs often include a parental component with the belief that targeting parental distress and responses to a child's pain will improve outcomes. However, few studies have evaluated the impact of a parental intervention in the interdisciplinary treatment of pediatric chronic pain. The present study consists of a nonrandomized pre-post design to evaluate change in psychological and behavioral functioning of parents who participated in intensive parent programming that utilized Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), delivered within the context of an interdisciplinary intensive 3-week pain treatment program for youth with chronic pain. Methods: Two hundred and twelve parents and their children participated in the study, with 116 participants completing 3-month follow-up measures. Parents completed measures of depressive symptoms, pain catastrophizing, protective responses, and psychological flexibility at admission, discharge, and 3-months after the program. Child functional disability was assessed at the same time points. We examined change in parent factors over time, while controlling for change in child distress. Results: Parents reported significant improvements in all areas of functioning from admission to discharge and improvements were maintained at 3-month follow-up. Discussion: This study provides evidence suggesting parent interventions can be effective in reducing parent distress and behaviors known to be associated with child outcomes.

Original languageEnglish (US)
JournalClinical Journal of Pain
DOIs
StatePublished - Jan 1 2019

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Adolescent Behavior
Chronic Pain
Parents
Pain
Acceptance and Commitment Therapy
Catastrophization
Psychology
Cognitive Therapy
Therapeutics
Depression
Pediatrics

Keywords

  • chronic pain
  • interdisciplinary
  • parent
  • pediatric
  • rehabilitation

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Improving Distress and Behaviors for Parents of Adolescents with Chronic Pain Enrolled in an Intensive Interdisciplinary Pain Program. / Weiss, Karen E.; Junghans-Rutelonis, Ashley N.; Aaron, Rachel; Harbeck-Weber, Cindy; McTate, Emily; Luedtke, Connie; Bruce, Barbara.

In: Clinical Journal of Pain, 01.01.2019.

Research output: Contribution to journalArticle

Weiss, Karen E. ; Junghans-Rutelonis, Ashley N. ; Aaron, Rachel ; Harbeck-Weber, Cindy ; McTate, Emily ; Luedtke, Connie ; Bruce, Barbara. / Improving Distress and Behaviors for Parents of Adolescents with Chronic Pain Enrolled in an Intensive Interdisciplinary Pain Program. In: Clinical Journal of Pain. 2019.
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