Getting back to living: Further evidence for the efficacy of an interdisciplinary pediatric pain treatment program
Abstract
OBJECTIVE: This study examined key functional outcomes following a 3-week interdisciplinary pediatric pain rehabilitation program for adolescents with chronic pain. Maintenance of gains was evaluated at 3-month follow-up. METHODS: Participants included 171 adolescents (12 to 18 y of age) with chronic pain who completed a hospital-based outpatient pediatric pain rehabilitation program. Participants completed measures of functional disability, depressive symptoms, pain catastrophizing, opioid use, school attendance, and pain severity at admission, discharge, and at 3-month follow-up. RESULTS: Similar to other interdisciplinary pediatric pain rehabilitation program outcome studies, significant improvements were observed at the end of the program. These improvements appeared to be maintained or further improved at 3-month follow-up. Nearly 14% of the patients were taking daily opioid medication at admission to the program. All adolescents were completely tapered off of these medications at the end of the 3-week program and remained abstinent at 3-month follow-up. DISCUSSION: This study adds to the available data supporting interdisciplinary pediatric pain rehabilitation as effective in improving functioning and psychological distress even when discontinuing opioids. Implications for future research and limitations of the study are discussed.
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Conventional treatment has established positive effects.
“This is not necessarily an argument against conventional treatment, which has established positive effects (Bruce et al., 2017; Fisher et al., 2014)”
From Dispositional Mindfulness and Its Relationship With Distress and Functioning in Adolescents With Chronic Pain and Low-Level Pain. (2018) · cites this paper as Bruce et al., 2017
Parents of adolescent patients with POTS are often extremely worried about symptoms.
“Programs may offer intensive education for parents and caregivers for adolescent patients, as parents are often extremely worried about these symptoms as well.186,187”
From Sinus Tachycardia: a Multidisciplinary Expert Focused Review (2022) · cites this paper as [187]
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- Authors
- Bruce, B. K., Ale, C. M., Harrison, T. E., Bee, S., Luedtke, C., Geske, J., & Weiss, K. E.
- Affiliations
- Mayo Clinic (US)
- Anesthesiology
- Nursing
- Corresponding author
- Bruce, Barbara K.
- Ale, Chelsea M.
- Bee, Susan
- Weiss, Karen E.
- ORCID
- Venue
- The Clinical Journal of Pain
- Published
- 2017-06
- Volume
- 33
- Issue
- 6
- Pages
- 535-542
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2516286125
- Cited by
- 34
- References
- 54
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 1
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Clinic
- Mayo Foundation for Medical Education and Research
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- pediatric chronic pain, interdisciplinary pain rehabilitation, adolescents, functional disability, maintenance of treatment gains, opioid tapering, opioid use, pain catastrophizing, depressive symptoms, school attendance, pain intensity
- MeSH terms
- Adolescent, Ambulatory Care, Analgesics, Opioid, Child, Depression, Disability Evaluation, Female, Follow-Up Studies, Humans, Male, Pain Measurement, Schools, Treatment Outcome, Catastrophization, Chronic Pain, Pain Management
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