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Move It Now

Een begeleide zelfhulpinterventie via internet voor jongeren met chronische pijn

Move it now: a guided internet-delivered self-help for adolescents with chronic pain

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Tijdschrift voor Psychotherapie

Samenvatting

Cognitieve gedragstherapie (CGT) is effectief in het verminderen van de frequentie en ernst van chronische pijn bij jongeren. Niet alle jongeren vinden CGT een goede behandeloptie. Het doel van deze studie was het effect van een begeleide zelfhulpinterventie via internet te onderzoeken bij jongeren met chronische pijn. Zeven weken voor de interventie vulden 69 jongeren vragenlijsten in over pijn, coping, beperkingen, catastroferen, beloning van de pijn door ouders en kwaliteit van leven. De vragenlijsten werden herhaald vlak voor de interventie, na afloop en drie maanden daarna. Multilevel modeling-technieken werden gebruikt om de data te analyseren. Intensiteit van de pijn, beperkingen door de pijn, beloning van pijn door de ouders en slaapproblemen verminderden significant tijdens de behandeling. De kwaliteit van leven scores voor algemeen gedrag, mentaal welbevinden, familiacitivteiten en gezondheidsveranderingen verbeterden ook tijdens de behandeling. Bij coping werd alleen een verbetering gezien op de dimensie problem-focused avoidance. Er werden geen verschillen gevonden voor pijngerelateerde beperkingen en catastroferen. In tegenstelling tot de verwachtingen bleken de uitval uit de interventie en de loss to follow-up hoog te zijn.

Abstract

Cognitive behavioral therapy (CBT) is effective in reducing the frequency and intensity of chronic pain in adolescents. However, CBT seems not to be considered acceptable by all adolescents. The main aim of our study was therefore to evaluate the effects of a guided internet-delivered self-help for adolescents with chronic pain. Adolescents (N = 69) were assessed on the outcome measures: pain, coping, disability, catastrophizing, rewarding of pain behavior by parents, and quality of life. Measures were taken seven weeks before treatment, pre-treatment, post-treatment, and at three months follow-up. Multilevel modelling was used for longitudinal analysis of the data. Pain intensity, interference caused by pain, rewarding of pain behavior by parents, and sleep problems significantly decreased during the intervention. The quality of life scores for pain, general behaviour, mental health, family activities, and health changes did also significantly improve during the intervention. Concerning coping, only problem-focused avoidance behaviour significantly increased. No significant differences were found for pain-related disability and pain catastrophizing. Contrary to expectations, a guided internet-delivered self-help for chronic pain is difficult to employ in adolescents, as it suffers from treatment attrition and loss to follow-up.

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Authors and Affiliations

  1. Rotterdam, Nederland

    Jessica S. Voerman, Reinier Timman, Jan J.V. Busschbach & Cora de Klerk

  2. Rotterdam, Nederland

    Sylvia Remerie & Tessa Westendorp

  3. Amsterdam, Nederland

    Jan Passchier

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  1. Jessica S. Voerman
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  2. Sylvia Remerie
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  3. Tessa Westendorp
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  4. Reinier Timman
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  5. Jan J.V. Busschbach
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  6. Jan Passchier
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  7. Cora de Klerk
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Correspondence to Jessica S. Voerman.

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Voerman, J., Remerie, S., Westendorp, T. et al. Move It Now. Tijdschr Psychother 41, 410–432 (2015). https://doi.org/10.1007/s12485-015-0107-7

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  • DOI: https://doi.org/10.1007/s12485-015-0107-7

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