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. 2011 May-Jun;16(3):192-6.
doi: 10.1155/2011/652853.

Adolescents' pain coping profiles: expectations for treatment, functional outcomes and adherence to psychological treatment recommendations

Robyn Lewis Claar  1 , Laura E Simons
Affiliations

Adolescents' pain coping profiles: expectations for treatment, functional outcomes and adherence to psychological treatment recommendations

Robyn Lewis Claar et al. Pain Res Manag. 2011 May-Jun.

Abstract
in English, French

Objectives: To explore how adolescents' pain coping profiles relate to their expectations regarding psychological treatment recommendations, and to examine patients' functioning and engagement in psychological treatment three months following a multidisciplinary pain clinic evaluation.

Methods: Adolescents and their parents completed measures of pain coping strategies, treatment expectations, pain ratings, somatic symptoms, school absences and functional disability. Parents also reported whether patients followed through with psychological treatment recommendations.

Results: Adaptive copers and their parents were more likely to expect psychological treatments to be helpful; however, at follow-up, there were no significant group differences in patients' participation in psychological treatment. Patients in both groups experienced significantly lower levels of somatic symptoms and functional disability, and had fewer school absences from the initial evaluation to the follow-up.

Discussion: The results of the present study identify preliminary clinical implications for the way in which practitioners in multidisciplinary pain clinics present recommendations for psychological treatment to patients and their families.

OBJECTIFS :: Explorer de quelle manière les profils d’adaptation des adolescents à la douleur sont liés à leurs attentes au sujet des recommandations de subir un traitement psychologique et examiner le fonctionnement et l’engagement du patient dans le cadre du traitement psychologique trois mois après une évaluation en clinique multidisciplinaire de la douleur.

MÉTHODOLOGIES :: Les adolescents et leurs parents ont consigné des mesures de stratégies d’adaptation à la douleur, d’attentes envers les traitements, de classement de la douleur, de symptômes somatiques, d’absences scolaires et d’incapacité fonctionnelle. Les parents ont également indiqué si les patients respectaient les recommandations de subir un traitement psychologique.

RÉSULTATS :: Les jeunes qui s’adaptaient bien et leurs parents étaient plus susceptibles de s’attendre que les traitements psychologiques soient utiles, mais au suivi, on ne remarquait pas de différences significatives entre les groupes pour ce qui est de la participation des patients à ce traitement. Les patients des deux groupes ont présenté des taux de symptômes somatiques et d’incapacité fonctionnelle beaucoup plus faibles et des absences scolaires moins nombreuses entre l’évaluation initiale et le suivi.

EXPOSÉ :: Les résultats de la présente étude indiquent les conséquences cliniques préliminaires de la manière dont les praticiens des cliniques multidisciplinaires de la douleur présentent les recommandations de subir un traitement psychologique aux patients et à leur famille.

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Figures

Figure 1)
Figure 1)
Flow of participants in the study. PRI Pain Response Inventory
See this image and copyright information in PMC

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