Evaluation of an intensive interdisciplinary pain treatment based on acceptance and commitment therapy for adolescents with chronic pain and their parents: A nonrandomized clinical trial
Open accessAbstract
Objective: Parental factors are central in the development and maintenance of chronic pain in youths. Only a handful of studies have investigated the impact of psychological treatments for pediatric chronic pain on parental factors, and the relationships between changes in parental and adolescent factors. In the current study, we evaluated the effects of an intensive interdisciplinary pain treatment (IIPT) program based on Acceptance and Commitment Therapy (ACT) for adolescents with chronic pain, on adolescent and parental variables, and the relationship between parental psychological flexibility and adolescent pain acceptance. Methods: Adolescents (N = 164) with chronic pain were included, with a mean age of 15.5 years, and completed the 3-week treatment with an accompanying parent (N = 164). Linear mixed-effects models were used to analyze change over time (from pretreatment to 3-month follow-up) on parent (depression, health-related quality of life and parent psychological flexibility) and adolescent (physical, social and emotional functioning, and adolescent pain acceptance) variables. Additionally, linear mixed-effects models were used to analyze the relationship between parent psychological flexibility and adolescent pain acceptance. Results: Results illustrated significant improvements over time in depressive symptoms and levels of psychological flexibility in parents. Excluding social development, adolescents improved significantly in all assessed aspects of functioning and pain acceptance. Additionally, changes in parent psychological flexibility were significantly associated with changes in adolescent pain acceptance. Conclusions: Results indicated that treatment had positive effects for parents and adolescents, and a significant positive relationship between changes in parent psychological flexibility and adolescent pain acceptance was found.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The significant impact of parental psychological flexibility on both HRQoL and mental health outcomes of parents caring for children with eczema aligns with findings from prior studies.
“The significant impact of parental psychological flexibility, as measured by the level of inflexibility using the AAQ-II scale, on both HRQoL and the mental health outcomes of parents caring for children with eczema aligns with findings from prior studies.”
A systematic review of ACT-based parental support concludes that the approach is a promising intervention for helping parents manage stress and difficulties associated with autism, pediatric diseases, and children's chronic pain.
“A systematic review of ACT based on parental support concludes that the approach is a promising intervention that helps parents manage the stress and difficulties associated with autism [11], pediatric diseases [12,13], and children’s chronic pain [14,15].”
From Psychometric Properties of the Japanese Version of the Parental Acceptance and Action Questionnaire in Parents with Infants and Toddlers (2023) · cites this paper as [15]
In a study by Kemani and colleagues, an ACT-based intervention for adolescents with chronic pain and their family members improved acceptance of chronic pain and psychological flexibility in adolescents and decreased depressive symptoms in their parents.
“In a study conducted by Kemani and colleagues [30], an ACT-based intervention was applied to adolescents with chronic pain and their family members. Results showed improved acceptance of chronic pain and psychological flexibility in adolescents as well as decreased depressive symptoms in their parents.”
The literature in online ACT interventions for parents often reports significant improvements in parent stress, depression, and anxiety, although symptom reduction is not a goal of ACT.
“The literature in online ACT interventions for parents often report significant improvements in parent stress, depression, and anxiety, although symptom reduction is not a goal of ACT [17,56,57,58,59].”
CBT and ACT have been shown effective in improving psychological outcomes such as stress- and health-related quality of life of children with a chronic illness and their families.
“CBT and ACT have been shown effective in improving psychological outcomes such as stress- and health-related quality of life of children with a CI and their families (Kemani et al., 2018; Law et al., 2017; Palermo et al., 2016; Wynne et al., 2019).”
From Online psychosocial group intervention for parents: Positive effects on anxiety and depression. (2021) · cites this paper as Kemani et al., 2018
Cites
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007) · Behavior Research Methods · doi:10.3758/bf03193146 · Cited by 65,971 · see citing works
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · see citing works
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
Des Jarlais, D. C., Lyles, C., Crepaz, N., & the TREND Group (2004) · American Journal of Public Health · doi:10.2105/ajph.94.3.361 · Cited by 2,817 · see citing works
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502 · see citing works
Intensive Longitudinal Methods: An Introduction to Diary and Experience Sampling Research
Bolger, N. P., & Laurenceau, J. (2013) · Cited by 2,029 · see citing works
Manea, L., Gilbody, S., & McMillan, D. (2012) · Canadian Medical Association Journal · doi:10.1503/cmaj.110829 · Cited by 1,966 · see citing works
A review of chronic pain impact on patients, their social environment and the health care system
Duenas, M., Ojeda, B., Salazar, A., Mico, J. A., & Failde, I. (2016) · Journal of Pain Research · doi:10.2147/jpr.s105892 · Cited by 985 · see citing works
Feingold, A. (2009) · Psychological Methods · doi:10.1037/a0014699 · Cited by 851 · see citing works
Systematic review and meta-analysis of psychological therapies for children with chronic pain
Fisher, E., Heathcote, L., Palermo, T. M., de C Williams, A. C., Lau, J., & Eccleston, C. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu008 · Cited by 710 · see citing works
The PedsQL™ family impact module: Preliminary reliability and validity
Varni, J. W., Sherman, S. A., Burwinkle, T. M., Dickinson, P. E., & Dixon, P. (2004) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-2-55 · Cited by 699 · see citing works
von Baeyer, C. L., Spagrud, L. J., McCormick, J. C., Choo, E., Neville, K., & Connelly, M. A. (2009) · Pain · doi:10.1016/j.pain.2009.03.002 · Cited by 575 · see citing works
Assessment of the SF-36 version 2 in the United Kingdom.
Jenkinson, C., Stewart-Brown, S., Petersen, S., & Paice, C. (1999) · Journal of Epidemiology and Community Health · doi:10.1136/jech.53.1.46 · Cited by 565 · see citing works
Wicksell, R. K., Melin, L., Lekander, M., & Olsson, G. L. (2009) · Pain · doi:10.1016/j.pain.2008.11.006 · Cited by 393 · see citing works
Groenewald, C. B., Essner, B. S., Wright, D., Fesinmeyer, M. D., & Palermo, T. M. (2014) · The Journal of Pain · doi:10.1016/j.jpain.2014.06.002 · Cited by 391 · see citing works
Parent and family factors in pediatric chronic pain and disability: An integrative approach
Palermo, T. M., & Chambers, C. T. (2005) · Pain · doi:10.1016/j.pain.2005.10.027 · Cited by 384 · see citing works
Psychological interventions for parents of children and adolescents with chronic illness
Eccleston, C., Palermo, T. M., Fisher, E., & Law, E. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009660.pub2 · Cited by 378 · see citing works
Systematic review of family functioning in families of children and adolescents with chronic pain
Lewandowski, A. S., Palermo, T. M., Stinson, J., Handley, S., & Chambers, C. T. (2010) · The Journal of Pain · doi:10.1016/j.jpain.2010.04.005 · Cited by 374 · see citing works
Analyzing longitudinal data with missing values
Enders, C. K. (2011) · Rehabilitation Psychology · doi:10.1037/a0025579 · Cited by 321 · see citing works
Eccleston, C. (2003) · Archives of Disease in Childhood · doi:10.1136/adc.88.10.881 · Cited by 276 · see citing works
Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial.
Wicksell, R. K., Kemani, M., Jensen, K., Kosek, E., Kadetoff, D., Sorjonen, K., Ingvar, M., & Olsson, G. L. (2013) · European Journal of Pain · doi:10.1002/j.1532-2149.2012.00224.x · Cited by 244 · see citing works
Palermo, T. M., Law, E. F., Fales, J., Bromberg, M. H., Jessen-Fiddick, T., & Tai, G. (2016) · Pain · doi:10.1097/j.pain.0000000000000348 · Cited by 244 · see citing works
Peyre, H., Leplège, A., & Coste, J. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9740-3 · Cited by 237 · see citing works
Systematic review on intensive interdisciplinary pain treatment of children with chronic pain
Hechler, T., Kanstrup, M., Holley, A. L., Simons, L. E., Wicksell, R., Hirschfeld, G., & Zernikow, B. (2015) · Pediatrics · doi:10.1542/peds.2014-3319 · Cited by 230 · see citing works
Psychological interventions for parents of children and adolescents with chronic illness
Eccleston, C., Fisher, E., Law, E., Bartlett, J., & Palermo, T. M. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009660.pub3 · Cited by 216 · see citing works
Chronic idiopathic pain in adolescence—High prevalence and disability: The young hunt study 2008
Hoftun, G. B., Romundstad, P. R., Zwart, J.-A., & Rygg, M. (2011) · Pain · doi:10.1016/j.pain.2011.05.007 · Cited by 206 · see citing works
Vinall, J., Pavlova, M., Asmundson, G. J. G., Rasic, N. F., & Noel, M. E. (2016) · Children · doi:10.3390/children3040040 · Cited by 186 · see citing works
Vowles, K. E., Witkiewitz, K., Sowden, G., & Ashworth, J. (2014) · The Journal of Pain · doi:10.1016/j.jpain.2013.10.002 · Cited by 181 · see citing works
Eccleston, C., Jordan, A., McCracken, L. M., Sleed, M., Connell, H., & Clinch, J. (2005) · Pain · doi:10.1016/j.pain.2005.08.025 · Cited by 172 · see citing works
Self-citationMediators of change in Acceptance and Commitment Therapy for pediatric chronic pain
Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2011) · Pain · doi:10.1016/j.pain.2011.09.003 · Cited by 160 · see citing works
Gauntlett-Gilbert, J., Connell, H., Clinch, J., & McCracken, L. M. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jss098 · Cited by 131 · see citing works
Feingold, A. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0037721 · Cited by 126 · see citing works
Chow, E. T., Otis, J. D., & Simons, L. E. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.02.014 · Cited by 111 · see citing works
McCracken, L. M., Gauntlett‐Gilbert, J., & Eccleston, C. (2010) · European Journal of Pain · doi:10.1016/j.ejpain.2009.05.002 · Cited by 104 · see citing works
Kanstrup, M., Wicksell, R., Kemani, M., Wiwe Lipsker, C., Lekander, M., & Holmström, L. (2016) · Children · doi:10.3390/children3040030 · Cited by 88 · see citing works
A test of missing completely at random for generalised estimating equations with missing data
Chen, H. Y. (1999) · Biometrika · doi:10.1093/biomet/86.1.1 · Cited by 86 · see citing works
Palermo, T. M., Law, E. F., Bromberg, M., Fales, J., Eccleston, C., & Wilson, A. C. (2016) · Pain · doi:10.1097/j.pain.0000000000000508 · Cited by 82 · see citing works
McCracken, L. M., & Gauntlett-Gilbert, J. (2011) · Pain · doi:10.1016/j.pain.2010.12.001 · Cited by 73 · see citing works
The Cost-Effectiveness of Intensive Interdisciplinary Pediatric Chronic Pain Rehabilitation
Evans, J. R., Benore, E. R., & Banez, G. A. (2015) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsv100 · Cited by 73 · see citing works
Wallace, D. P., McCracken, L. M., Weiss, K. E., & Harbeck-Weber, C. (2015) · The Journal of Pain · doi:10.1016/j.jpain.2014.11.013 · Cited by 63 · see citing works
Wallace, D. P., Woodford, B., & Connelly, M. (2016) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000160 · Cited by 61 · see citing works
Law, E. F., Fisher, E., Howard, W. J., Levy, R., Ritterband, L., & Palermo, T. M. (2017) · Pain · doi:10.1097/j.pain.0000000000000999 · Cited by 61 · see citing works
Palermo, T. M., Law, E. F., Essner, B. S., Jessen-Fiddick, T., & Eccleston, C. (2014) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000067 · Cited by 60 · see citing works
A Broad Consideration of Risk Factors in Pediatric Chronic Pain: Where to Go from Here?
McKillop, H. N., & Banez, G. A. (2016) · Children · doi:10.3390/children3040038 · Cited by 50 · see citing works
Kemani, M. K., Hesser, H., Olsson, G. L., Lekander, M., & Wicksell, R. K. (2016) · European Journal of Pain · doi:10.1002/ejp.754 · Cited by 39 · see citing works
Law, E. F., Fales, J. L., Beals-Erickson, S. E., Failo, A., Logan, D., Randall, E., Weiss, K., Durkin, L., & Palermo, T. M. (2016) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsw087 · Cited by 33 · see citing works
Wiwe Lipsker, C., Kanstrup, M., Holmström, L., Kemani, M., & Wicksell, R. (2016) · Children · doi:10.3390/children3040032 · Cited by 23 · see citing works
Parental behaviour in paediatric chronic pain: A qualitative observational study
Dunford, E., Thompson, M., & Gauntlett‐Gilbert, J. (2013) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104513492347 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Pediatric pain treatment and prevention for hospitalized children
Friedrichsdorf, S. J., & Goubert, L. (2019) · PAIN Reports · doi:10.1097/pr9.0000000000000804 · Cited by 203 · see citing works
Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain
Harrison, L. E., Pate, J. W., Richardson, P. A., Ickmans, K., Wicksell, R. K., & Simons, L. E. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8091267 · Cited by 140 · see citing works
“Following a thorough assessment within a biopsychosocial framework, including an assessment of functional goals, a developmentally-appropriate and individualized therapeutic treatment plan is developed and implemented [24].”
MethodA systematic review of the use of acceptance and commitment therapy in supporting parents.
Byrne, G., Ghráda, Á. N., O’Mahony, T., & Brennan, E. (2021) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12282 · Cited by 129 · see citing works
Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis.
Han, A., Yuen, H. K., & Jenkins, J. (2021) · Journal of Health Psychology · doi:10.1177/1359105320941217 · Cited by 82 · see citing works
Claus, B. B., Stahlschmidt, L., Dunford, E., Major, J., Harbeck-Weber, C., Bhandari, R. P., Baerveldt, A., Neß, V., Grochowska, K., Hübner-Möhler, B., et al. (2022) · Pain · doi:10.1097/j.pain.0000000000002636 · Cited by 59 · see citing works
Online psychosocial group intervention for parents: Positive effects on anxiety and depression.
Douma, M., Maurice-Stam, H., Gorter, B., Krol, Y., Verkleij, M., Wiltink, L., Scholten, L., & Grootenhuis, M. A. (2021) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsaa102 · Cited by 45 · see citing works
“CBT and ACT have been shown effective in improving psychological outcomes such as stress-and health-related quality of life of children with a CI and their families (Kemani et al., 2018; Law et al., 2017; Palermo et al., 2016; Wynne et al., 2019).”
Li, S., Chen, Z., Yong, Y., Xie, J., & Li, Y. (2023) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2023.152426 · Cited by 39 · see citing works
Han, A., Yuen, H. K., Lee, H. Y., & Zhou, X. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.10.004 · Cited by 39 · see citing works
Birnie, K. A., Heathcote, L. C., Bhandari, R. P., Feinstein, A. B., Yoon, I. A., & Simons, L. E. (2020) · Pain · doi:10.1097/j.pain.0000000000001820 · Cited by 38 · see citing works
Benjamin, J. Z., Harbeck-Weber, C., Ale, C., & Sim, L. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.01.003 · Cited by 31 · see citing works
Harris, E., & Samuel, V. (2020) · Journal of Cognitive Psychotherapy · doi:10.1891/jcpsy-d-20-00001 · Cited by 32 · see citing works
Pädiatrische Schmerztherapie und -prävention bei hospitalisierten Kindern
Friedrichsdorf, S. J., & Goubert, L. (2020) · Der Schmerz · doi:10.1007/s00482-020-00519-0 · Cited by 30 · see citing works
Ruskin, D., Young, M., Sugar, C., & Nofech-Mozes, J. (2021) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2020.0191 · Cited by 23 · see citing works
Kanstrup, M., Jordan, A., & Kemani, M. K. (2019) · Children · doi:10.3390/children6090101 · Cited by 19 · see citing works
Frostholm, L., & Rask, C. U. (2019) · Clinical Psychology in Europe · doi:10.32872/cpe.v1i1.32217 · Cited by 18 · see citing works
“The programme was re-evaluated on another 164 patients as regards both ado‐ lescent and parental variables and the relationship between parental psychological flexi‐ bility and adolescent pain acceptance (Kemani et al., 2018).”
MethodPain acceptance in adolescents: Development of a short form of the CPAQ-A
Gauntlett-Gilbert, J., Alamire, B., & Duggan, G. B. (2019) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsy090 · Cited by 18 · see citing works
Collins, A. B. (2023) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2023.01.010 · Cited by 17 · see citing works
Pygott, N., Hartley, A., Seregni, F., Ford, T. J., Goodyer, I. M., Necula, A. I., Banu, A., & Anderson, J. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13786 · Cited by 17 · see citing works
Santucci, N. R., Beigarten, A., Khalid, F. C., El‐Chammas, K. I., Graham, K. D., Sahay, R. D., Fei, L., Rich, K. L., & Mellon, M. W. (2023) · Neuromodulation Technology at the Neural Interface · doi:10.1016/j.neurom.2023.07.005 · Cited by 17 · see citing works
Magnacca, C., Thomson, K. M., & Marcinkiewicz, A. (2021) · Current Developmental Disorders Reports · doi:10.1007/s40474-021-00228-y · Cited by 17 · see citing works
Petersen, J., Ona, P. Z., Blythe, M., Möller, C. M., & Twohig, M. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.12.004 · Cited by 15 · see citing works
Rosenbloom, B. N., Slepian, P. M., Pagé, M. G., Isaac, L., Campbell, F. A., Stinson, J., & Katz, J. D. (2021) · Children · doi:10.3390/children8050360 · Cited by 15 · see citing works
Psychological Interventions for Parents of Youth With Chronic Pain
Lee, S., Dick, B. D., Jordan, A. L., & McMurtry, C. M. (2021) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000977 · Cited by 16 · see citing works
Williams, S. E., Homan, K. J., Crowley, S. L., Pruitt, D. W., Collins, A. B., Deet, E. T., Samuel, N. D., John, A., Banner, K. A., & Rose, J. B. (2019) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000793 · Cited by 14 · see citing works
Ahola Kohut, S., Martincevic, I., Turrell, S. L., Church, P. C., Walters, T. D., Weiser, N., & Iuliano, A. (2021) · Children · doi:10.3390/children8050396 · Cited by 13 · see citing works
Jordan, A. L., Parchment, A., Gauntlett‐Gilbert, J., Jones, A., Donaghy, B., Wainwright, E. M., Connell, H., Walden, J., & Moore, D. (2024) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsae004 · Cited by 13 · see citing works
Schneider, R. L., & Petersen, J. M. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.100716 · Cited by 12 · see citing works
Complementary Parent Components for Pediatric Pain Families: Innovations in Treatment
Russell, B. S., Guite, J. W., Homan, K. J., Tepe, R. M., & Williams, S. E. (2020) · Children · doi:10.3390/children7010004 · Cited by 11 · see citing works
Parental Catastrophizing and Goal Pursuit in the Context of Child Chronic Pain: A Daily Diary Study
Caes, L., Gampelaere, C. V., Hoecke, E. V., Winckel, M. V., Kamoen, K., & Goubert, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.680546 · Cited by 10 · see citing works
Cutting the cord? Parenting emerging adults with chronic pain
Lunde, C. E., Fisher, E., Donovan, E., Serbic, D., & Sieberg, C. B. (2022) · Paediatric and Neonatal Pain · doi:10.1002/pne2.12072 · Cited by 10 · see citing works
Harbeck‐Weber, C., Sim, L., Morrow, A. S., & Murad, M. H. (2022) · European Journal of Pain · doi:10.1002/ejp.1986 · Cited by 9 · see citing works
Beveridge, J. K., Walker, A., Orr, S. L., Wilson, A. C., Birnie, K. A., & Noel, M. E. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.03.008 · Cited by 9 · see citing works
Guerrini Usubini, A., Cattivelli, R., Bertuzzi, V., Varallo, G., Rossi, A. A., Volpi, C., Bottacchi, M., Tamini, S., De Col, A., Pietrabissa, G., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126225 · Cited by 7 · see citing works
Chronic Pediatric Pain Management: a Review of Multidisciplinary Care and Emerging Topics
Collins, A. B. (2019) · Current Physical Medicine and Rehabilitation Reports · doi:10.1007/s40141-019-0211-7 · Cited by 7 · see citing works
Lee, S., Edwards, K. R., & McMurtry, C. M. (2021) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000385 · Cited by 7 · see citing works
Effects of an Online Acceptance and Commitment Therapy Intervention on Children’s Quality of Life
Sairanen, E., Lappalainen, R. I., Lappalainen, P., & Hiltunen, A. J. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02234-z · Cited by 10 · see citing works
Greenough, M. J., Jibb, L., Lewis, K. B., Bucknall, T. K., Lamontagne, C., Varin, M. D., Sokalski, A., & Squires, J. E. (2023) · PAIN Reports · doi:10.1097/pr9.0000000000001099 · Cited by 7 · see citing works
Krietsch, K. N., Beebe, D. W., King, C. D., Homan, K. J., & Williams, S. E. (2021) · Children · doi:10.3390/children8010042 · Cited by 7 · see citing works
Okajima, J., & Okajima, I. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20095674 · Cited by 5 · see citing works
“A systematic review of ACT based on parental support concludes that the approach is a promising intervention that helps parents manage the stress and difficulties associated with autism [11], pediatric diseases [12,13], and children’s chronic pain [14,15].”
BackgroundChong, Y. Y., Kwan, J. Y. M., Yau, P. T., Cheng, H. Y., & Chien, W. T. (2023) · Healthcare · doi:10.3390/healthcare11202708 · Cited by 6 · see citing works
“…tend to have better mental health and enhanced caregiving capabilities when caring for their children experiencing various types of medical health conditions, including asthma [66], chronic pain with significant pain-related disabilities [67], and cancer or life-saving cardiac surgeries [68].”
BackgroundJavadi, T. H. S., Parast, N. A., Shahsavani, S., Chehraghi, M. J., Razavi, L., Rahmani, S., & Nejati, S. (2019) · International Clinical Neuroscience Journal · doi:10.15171/icnj.2019.21 · Cited by 6 · see citing works
Looking inward to improve pediatric chronic pain outcomes: a call for team science research
Hess, C. W., Rosen, M. A., & Simons, L. E. (2022) · Pain · doi:10.1097/j.pain.0000000000002836 · Cited by 5 · see citing works
Guo, J., Liu, X., Huang, N., Yang, F., Bai, Y., Zhang, B., & Lodder, P. (2023) · BMC Psychology · doi:10.1186/s40359-023-01182-7 · Cited by 5 · see citing works
Sheykhangafshe, F. B., Farahani, H., Dehghani, M., & Fathi-Ashtiani, A. (2024) · Quarterly Journal of Child Mental Health · doi:10.61186/jcmh.11.1.6 · Cited by 5 · see citing works
Li, T., Liu, Y.-Q., Sheng, R., Yin, J., Wu, X., & Xu, H.-J. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2020.00017 · Cited by 7 · see citing works
Gentili, C., Rickardsson, J., Holmström, L., Wicksell, R. K., Hesser, H., & Zetterqvist, V. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100725 · Cited by 5 · see citing works
The Dilemma of Hemispherectomy for Rasmussen's Encephalitis in a Neurologically Intact Child
Borlot, F., Yau, I., Olivieri, H., Ibrahim, G. M., & Snead, O. C. (2020) · Journal of Pediatric Epilepsy · doi:10.1055/s-0040-1710509 · Cited by 4 · see citing works
Klages, K. L., Chardon, M. L., Drake, S., Myers, K. C., Morrison, C. F., & Pai, A. L. H. (2022) · Pediatric Blood & Cancer · doi:10.1002/pbc.29846 · Cited by 4 · see citing works
Fear, boldness, and caution: parent effects on how children manage chronic pain
Gauntlett‐Gilbert, J., & Jordan, A. L. (2020) · Pain · doi:10.1097/j.pain.0000000000001821 · Cited by 4 · see citing works
Giving Less Importance to Pain and Focusing on Achieving Objectives
Nieto, R., Sora, B., & Ruiz, G. (2018) · Pain Management · doi:10.2217/pmt-2018-0044 · Cited by 3 · see citing works
Okajima, J., & Okajima, I. (2025) · BioPsychoSocial Medicine · doi:10.1186/s13030-025-00327-x · Cited by 3 · see citing works
Acute and Chronic Pain Management in Children
Cohen, L. L., Bishop, M., Shneider, C. E., Robbertz, A. S., & Sil, S. (2020) · Issues in clinical child psychology · doi:10.1007/978-3-030-44226-2_17 · Cited by 3 · see citing works
Body mass in adolescents with chronic pain: observational study
Gauntlett‐Gilbert, J., Bhat, C. S., & Clinch, J. (2019) · Archives of Disease in Childhood · doi:10.1136/archdischild-2019-317843 · Cited by 3 · see citing works
Acceptance and commitment coaching for music performance anxiety in adolescent singers
Paul, A. E., Juncos, D. G., & Winter, D. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1386559 · Cited by 2 · see citing works
Utility of Acceptance and Commitment Therapy Among Adolescents - A Systematic Review
Baveja, D., Shukla, J., & Srivastava, S. (2022) · Current Psychiatry Research and Reviews · doi:10.2174/2666082218666220301142201 · Cited by 2 · see citing works
Moore, D., Jordan, A. L., Wainwright, E. M., Failla, M. D., Connell, H., & Gauntlett‐Gilbert, J. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.104757 · Cited by 2 · see citing works
Seth, M., Bentley, K. S., Dalal, P. B., Hottinger, K., Vieni, K., & Reineke, A. (2025) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2025.10.005 · Cited by 1 · see citing works
Guddal, M. H., Johansen, S. K., Riiser, K., Sundar, T. K. B., Skonnord, T., Rathleff, M. S., Dunn, K. M., Smedbråten, K., ∅iestad, B. E., & Jahre, H. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13654-0 · Cited by 1 · see citing works
Warner, J. N., Sim, L. A., Cotter, A., Long, J., Weiss, K., Vater, L., Iacobone, R., & Black, W. R. (2026) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-026-10138-z · Cited by 1 · see citing works
Batchelor, R., Cogings, N., McCormack, C., & Hotton, M. (2026) · Children · doi:10.3390/children13050672 · Cited by 1 · see citing works
Moshkabadi, E. G., Heydari, S., & Fakhri, M. (2023) · doi:10.61838/kman.aftj.4.4.3 · Cited by 1 · see citing works
A Pilot Acceptance and Commitment Intervention for Parents of Children With RASopathies
Little, P., Ghriwati, N. A., Siegel, A., Toledo‐Tamula, M. A., Curlee, M. S., Baker, M., Rogge, R. D., Yohe, M. E., Gross, A. M., & Martin, S. C. (2024) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000551 · Cited by 1 · see citing works
Okajima, J., & Okajima, I. (2022) · Research Square · doi:10.21203/rs.3.rs-1637071/v1 · Cited by 1 · see citing works
Caes, L., Forgeron, P. A., & Goubert, L. (2024) · doi:10.1002/9781119645641.ch4 · Cited by 1 · see citing works
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
Chronic Primary Pain in Children and Young People: Evidence Review with Reference to Safeguarding
Gauntlett‐Gilbert, J., Rogers, V., Menzies, M., & Connell, H. (2021) · The British Journal of Social Work · doi:10.1093/bjsw/bcab218
Tham, S. W., Koh, J. L., & Palermo, T. M. (2022) · doi:10.1002/9781119701170.ch41
Future Directions of Contextual Behavioral Science
Wicksell, R. K., Törneke, N., McCracken, L. M., Bricker, J. B., Murrell, A. R., Masuda, A., & Biglan, A. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.32
Pain Management in Curative and Palliative Clinical Settings for Pediatric Cancer Patients
Morgan, K. J., & Allen, J. M. (2022) · Springer eBooks · doi:10.1007/978-3-030-71113-9_42-1
Ali, A. A. M. A. (2023) · Annals of Physiotherapy & Occupational Therapy · doi:10.23880/aphot-16000244
Longitudinal qualitative perspectives of adolescents in an intensive interdisciplinary pain program
Stegenga, K. A., Black, W. R., Christofferson, J. L., Wallace, D. P., & Hoffart, C. M. (2024) · Discover Psychology · doi:10.1007/s44202-024-00222-6
Acceptance and commitment therapy (ACT) for pediatric chronic non-cancer pain: A systematic review
Serrano‐Ibáñez, E. R., Houghton, J. L., Ruiz-Párraga, G. T., Esteve, R., Ramírez‐Maestre, C., & López-Martínez, A. E. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100873
Pain Management in Curative and Palliative Clinical Settings for Pediatric Cancer Patients
Morgan, K. J., & Allen, J. M. (2025) · Springer eBooks · doi:10.1007/978-3-031-76882-8_42
Douleur chronique et thérapies comportementales et cognitives (TCC)
Guillouf, V. (2021) · In Press eBooks · doi:10.3917/pres.laroc.2021.01.0129
Rosello, A., Russell, M., Qi, Y., & Mu, K. (2026) · Occupational Therapy In Health Care · doi:10.1080/07380577.2026.2640978
Acceptance and Commitment Therapy in Occupational Therapy: A Scoping Review
Rider, J. V., LaVerdure, A. E., & Fox, J. (2026) · American Journal of Occupational Therapy · doi:10.1177/19437676261464099
- Authors
- Kemani, M. K., Kanstrup, M., Jordan, A., Caes, L., & Gauntlett-Gilbert, J.
- Affiliations
- Karolinska University Hospital (SE)
- University of Bath (GB)
- University of Stirling (GB)
- Bath Centre for Pain Services, Royal United Hospitals Bath
- Corresponding author
- Kemani, Mike K
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-05-17
- Volume
- 43
- Issue
- 9
- Pages
- 981-994
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2802625481
- Cited by
- 78
- References
- 52
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 12 · 2022: 12 · 2021: 11 · 2020: 15 · 2019: 8 · 2018: 2
- FWCI
- 9.93
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.uwe.ac.uk
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
- UWE Research Repository (UWE Bristol) (submittedVersion, cc-by)
- Funders
- Karolinska University Hospital
- Doctoral School in Health Care Science
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- chronic pain, adolescents, acceptance and commitment therapy, multidisciplinary pain management, parental factors, pain acceptance, parental depression, health-related quality of life, family-based treatment
- MeSH terms
- Adolescent, Female, Humans, Male, Parents, Treatment Outcome, Chronic Pain, Pain Management, Acceptance and Commitment Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
