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Tijdschrift voor Kindergeneeskunde

, Volume 76, Issue 4, pp 172–179 | Cite as

Chronische pijn bij adolescenten: psychosociale gevolgen, predictoren en interventie

De eerste ervaringen in een exploratief onderzoek met een adolescent-ouder programma
  • J. A. M. HunfeldEmail author
  • V. P. B. M. Merlijn
Article

Samenvatting

Chronische pijn komt vaak voor: in de eerste prevalentiestudie in de algemene Nederlandse populatie van kinderen en jongeren (n=6636) rapporteerde 25% chronische pijn zonder lichamelijke oorzaak. De pijn nam toe met de leeftijd en kwam het meest voor bij adolescenten. Hoe intenser hun pijn, des te slechter was hun kwaliteit van leven.

Onderwerp. In deze studie worden de psychologische gevolgen en predictoren van de pijn beschreven en wordt gerapporteerd over een exploratief onderzoek naar het effect van een psychosociale interventie voor adolescenten en hun ouders. De interventie bestond onder andere uit leren omgaan met de pijn, educatie over pijn, positief denken en lichaamsbeweging.

Methode. De 31 adolescenten die deelnamen aan de studie, vulden gedurende drie weken een pijndagboek in, en vragenlijsten over omgaan met pijn en kwaliteit van leven. Dit gebeurde zowel voor als na de interventie.

Resultaten. Wij vonden geen verschillen tussen de interventiegroep (n=18) en de controlegroep (n=13) in afname van pijn en verbetering van kwaliteit van leven.Wel waren de adolescenten uit de interventiegroep minder medicijnen gaan gebruiken. Opmerkelijk is dat de interventiegroep juist meer problemen rapporteerde als gevolg van de pijn en tendeerde naar emotiegericht vermijdend omgaan met de pijn (catastroferen).

Discussie. De resultaten worden besproken, in het bijzonder de discrepantie tussen de hoge pijnprevalentie en de geringe deelname aan onze interventie en effectstudie. Onze aanbevelingen zijn om meer gebruik te maken van internettechnieken en om de ouders meer te betrekken bij de interventie.

Summary

Chronic pain is a common experience: in the first prevalence study in the general Dutch population of children and adolescence (n=6636), 25% reported chronic unexplained pain. The pain increased with age, was most reported by adolescents (12-18 years) and the more their pain the less their quality of life. Objective.We describe psychological consequences and predictors of the pain and report about our explorative study to assess the effect of a psychosocial intervention for adolescents and their parents. The intervention consisted of - among others - relaxation and pain coping techniques, education about pain, positive thinking and physical movements.

Method. The 31 adolescents who participated in the study completed a pain diary during three weeks, and questionnaires on coping with their pain and quality of life, before and after the intervention.

Results. The intervention did not lead to differences in pain or quality of life between the intervention group (n=18) and the control group (n=13). However, the adolescents of the intervention group showed a reduction in pain medication use. Surprisingly, they showed more pain-related problems and tended to use more emotion-focused avoidance coping strategies at post treatment and six months follow-up than the control group.

Discussion.We discuss the results and the observed discrepancy between pain prevalence and participation rate in our intervention and effect study.We recommend the use of e-health techniques and more involvement of the parents in the intervention.

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Copyright information

© Bohn Stafleu van Loghum 2008

Authors and Affiliations

  1. 1.

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