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Review: psychological interventions reduce the severity and frequency of chronic pain in children and adolescents

Key Words: child • headache • psychotherapy

The first 150 words of the full text of this article appear below.

Data sources
Studies were identified by searching the Cochrane Controlled Trials Register, Medline (1966–99), PsycLIT (1987–99), EMBASE/Excerpta Medica (1980–99), and the Social Sciences indices (1981–99). Bibliographies of relevant articles were reviewed and experts in the field contacted for additional studies.

Study selection
Studies were selected if they were randomised controlled trials (RCTs) comparing a clearly defined psychological treatment for chronic pain in children and adolescents (even when this treatment was concomitant with other non-psychological treatments given as standard care) with a control condition (including waiting list and self monitoring controls).

Data extraction
Data were extracted on study setting, sample size, demographic characteristics of the sample and caregivers, therapist characteristics, details of the interventions, study quality, and outcomes. The main outcome was pain experience denoted as Pain Index, a function of the total amount of pain experience derived from patient diary records of frequency, duration, and intensity characteristic of the pain episodes. A reduction in the Pain . . . [Full text of this article]

Mary Eminson, MD

Royal Bolton Hospital
Bolton, UK