Development of a group intervention to improve school functioning in adolescents with chronic pain and depressive symptoms: A study of feasibility and preliminary efficacy
Abstract
OBJECTIVE: To establish feasibility and preliminary efficacy of "Coping with Pain in School" (CPS), an intervention to improve school functioning in adolescents with chronic pain and depressive symptoms. METHODS: Forty adolescents and parents participated in this uncontrolled trial. Participants completed measures of pain severity, depression, and school attendance at baseline and one month after participating in a manualized group intervention. Several other indicators of school functioning were explored. RESULTS: CPS was generally acceptable and satisfying to families and feasible to implement but participation was low. Post-treatment analyses suggest that pain, some dimensions of depression, and school attendance improved after treatment. Conclusions CPS is feasible and holds promise in terms of its effects on pain and school attendance. Addressing enrollment challenges, refining the role of depression and its treatment, and further developing treatments with a school-functioning focus for adolescents with chronic pain are key areas for continued research.
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Applying social learning theory to a multifamily setting might foster synergistic changes in the numerous systems impacted by chronic pain and dysfunction.
“Applying social learning theory to a multifamily setting might foster synergistic changes in the numerous systems impacted by chronic pain and dysfunction [11]”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [11]
Logan and Simons employed a CBT protocol with a partial MFT format; the program was satisfying, and participants endorsed improved pain, school attendance, mood, and self-esteem; however, peer support dynamics were not examined.
“Logan and Simons [11] employed a CBT protocol with a partial MFT format. The program was satisfying, and participants endorsed improved pain, school attendance, mood, and self-esteem; however, peer support dynamics were not examined.”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [11]
Treatment principles such as behavioral activation and living life despite discomfort appeared to foster changes in school and social systems as key outcomes in chronic pain.
“Treatment principles such as behavioral activation and living life despite discomfort also appeared to foster changes in school and social systems as key outcomes in chronic pain”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [11]
Findings build on and address some limitations of previous pediatric studies involving multiple families.
“findings also build on and address some limitations of previous pediatric studies involving multiple families”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [11]
Emerging brief psychological interventions for pediatric chronic pain are feasible, acceptable and effective in improving functioning and psychological well-being.
“Emerging brief psychological interventions for pediatric chronic pain have been reported as being feasible, acceptable and effective in improving functioning and psychological well-being”
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“…services could work collaboratively to ensure diagnosis understanding and consistent management; however, families not permitting healthcare services to contact their child's school was a barrier to children taking part in an intervention to improve school functioning (Logan and Simons 2010).”
A Systematic Review of Occupational Therapy-Related Interventions for Pediatric Chronic Pain
Suder, R., DeBoth, K. K., Carrick, A., Davis, J., & Farrar, B. (2022) · OTJR Occupational Therapy Journal of Research · doi:10.1177/15394492221110544 · Cited by 1 · see citing works
“…including outpatient mindfulness programs (Ali et al., 2017; Hesse et al., 2015; Ruskin et al., 2017; Waelde et al., 2017), headache education programs (Hickman et al., 2015), and combinations of CBT and ACT group therapies (Huestis et al., 2017; Kanstrup et al., 2016; Logan & Simons, 2010).”
BackgroundBoyne, H., & Hamza, C. A. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.01.010 · Cited by 1 · see citing works
Beals‐Erickson, S. E., & Connelly, M. A. (2018) · Current Treatment Options in Rheumatology · doi:10.1007/s40674-018-0087-1 · Cited by 1 · see citing works
Treating Pediatric Chronic Pain in Schools: A Primer for School Psychologists
Jones, P., & Salamon, K. S. (2019) · Journal of Applied School Psychology · doi:10.1080/15377903.2019.1619646 · Cited by 1 · see citing works
“Additionally, Logan and Simons (2010) developed a group intervention aimed at improving school functioning, but, to date, work has not included implementing that group within a school setting.”
BackgroundStoll, R. D. (2015) · Cited by 1 · see citing works
CASE REPORT Novel Interventions in Children's Healthcare for Youth Hospitalized for Chronic Pain
Harris, M. A., Wagner, D. V., Wilson, A. C., Spiro, K., Heywood, M., & Hoehn, D. (2015)
Commentary Brief group therapy for chronic pain in adolescents
Willard, V. W., Parris, K. R., Jurbergs, N., Crabtree, V. M., & Ehrentraut, J. H. (2015)
Nelson, S., & Logan, D. E. (2019) · Children s Health Care · doi:10.1080/02739615.2019.1603995
“Consistent with this, research has indicated that psychological intervention is significantly beneficial for alleviating school-related impairment in these youths (Guite et al., 2012; Logan & Simons, 2010; Simons, Logan, Chastain, & Cerullo, 2010).”
BackgroundThe Problem of Pain: Chronic Pain
Foxen-Craft, E. C., Williams, A. E., & Scott, E. L. (2020) · Issues in clinical child psychology · doi:10.1007/978-3-030-35598-2_13
Executive Functioning in Children with Chronic Pain
Jones, K. (2020) · doi:10.11575/prism/38000
Original Research Article_Psychological interventions for the management of Pediatric Chronic Pain
Dang, P., & Chahal, S. (2020) · Indian Journal of Mental Health(IJMH) · doi:10.30877/ijmh.7.4.2020.352-359
Psychosocial interventions for pediatric pain management
Uhl, K., Wright, L. A., Coakley, R. M., & Logan, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med/9780198818762.003.0051
Saw, J. A., Tam, C. L., Thanzami, V., Bonn, G. B., Guan, S. T., & Ariaratnam, S. (2021) · Monash University Research Portal (Monash University)
Remerie, S. C., & Westendorp, T. (2019) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2230-5_11
Sullivan, L., Ferguson, E., Vriese, H., Lemanek, K. L., Vater, L., Wrona, S. K., Renner, L., Armstrong, M., Williams, H., & Xiang, H. (2025) · Canadian Journal of Pain · doi:10.1080/24740527.2025.2562440
“86,87 It is unclear to what extent pediatric chronic pain programs provide a medical explanation of an adolescent’s chronic pain to teachers and peers that affect how pain is perceived and managed in the school setting by fostering empathy, understanding, and support.”
- Authors
- Logan, D. E., & Simons, L. E.
- Affiliations
- Boston Children's Hospital (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02-18
- Volume
- 35
- Issue
- 8
- Pages
- 823-836
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2118355888
- Cited by
- 54
- References
- 52
- Citations by year
- 2025: 5 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 7 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 3 · 2012: 4
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Klingenstein Third Generation Foundation
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Education › Youth Substance Use and School Attendance
- Keywords
- chronic pain, adolescents, depressive symptoms, school functioning, group intervention, school attendance, pain coping, feasibility, intervention efficacy, parental involvement
- MeSH terms
- Adaptation, Psychological, Adolescent, Behavior Therapy, Child, Chronic Disease, Cross-Sectional Studies, Depression, Feasibility Studies, Female, Humans, Male, Pain, Pain Measurement, Parents, Pilot Projects, Schools, Self Concept, Treatment Outcome, Patient Selection, Pain Management
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