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Children (Basel). 2016 Dec 6;3(4). pii: E41.

Psychological Neuromodulatory Treatments for Young People with Chronic Pain.

Miró J1,2,3, Castarlenas E4,5,6, de la Vega R7,8, Roy R9,10,11, Solé E12,13,14, Tomé-Pires C15,16,17, Jensen MP18.

Author information

1
Chair in Pediatric Pain URV-Fundación Grünenthal, Unit for the Study and Treatment of Pain, ALGOS, 43007 Tarragona, Catalonia, Spain. jordi.miro@urv.cat.
2
Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Catalonia, Spain. jordi.miro@urv.cat.
3
Institut d'Investigació Sanitària Pere Virgili, Reus 43202, Catalonia, Spain. jordi.miro@urv.cat.
4
Chair in Pediatric Pain URV-Fundación Grünenthal, Unit for the Study and Treatment of Pain, ALGOS, 43007 Tarragona, Catalonia, Spain. elenateresa.castarlenas@urv.cat.
5
Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Catalonia, Spain. elenateresa.castarlenas@urv.cat.
6
Institut d'Investigació Sanitària Pere Virgili, Reus 43202, Catalonia, Spain. elenateresa.castarlenas@urv.cat.
7
Chair in Pediatric Pain URV-Fundación Grünenthal, Unit for the Study and Treatment of Pain, ALGOS, 43007 Tarragona, Catalonia, Spain. rocio.delavega@urv.cat.
8
Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98105, USA. rocio.delavega@urv.cat.
9
Chair in Pediatric Pain URV-Fundación Grünenthal, Unit for the Study and Treatment of Pain, ALGOS, 43007 Tarragona, Catalonia, Spain. ruben.roy@urv.cat.
10
Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Catalonia, Spain. ruben.roy@urv.cat.
11
Institut d'Investigació Sanitària Pere Virgili, Reus 43202, Catalonia, Spain. ruben.roy@urv.cat.
12
Chair in Pediatric Pain URV-Fundación Grünenthal, Unit for the Study and Treatment of Pain, ALGOS, 43007 Tarragona, Catalonia, Spain. ester.sole@urv.cat.
13
Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Catalonia, Spain. ester.sole@urv.cat.
14
Institut d'Investigació Sanitària Pere Virgili, Reus 43202, Catalonia, Spain. ester.sole@urv.cat.
15
Chair in Pediatric Pain URV-Fundación Grünenthal, Unit for the Study and Treatment of Pain, ALGOS, 43007 Tarragona, Catalonia, Spain. catarina.tome-pires@urv.cat.
16
Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Catalonia, Spain. catarina.tome-pires@urv.cat.
17
Institut d'Investigació Sanitària Pere Virgili, Reus 43202, Catalonia, Spain. catarina.tome-pires@urv.cat.
18
Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98105, USA. mjensen@uw.edu.

Abstract

The treatment of young people with chronic pain is a complex endeavor. Many of these youth do not obtain adequate relief from available interventions. Psychological neuromodulatory treatments have been shown to have potential benefit for adults with chronic pain. Here, we review and summarize the available information about the efficacy of three promising psychological neuromodulatory treatments-neurofeedback, meditation and hypnosis-when provided to young people with chronic pain. A total of 16 articles were identified and reviewed. The findings from these studies show that hypnotic treatments are effective in reducing pain intensity for a variety of pediatric chronic pain problems, although research suggests variability in outcomes as a function of the specific pain problem treated. There are too few studies evaluating the efficacy of neurofeedback or meditation training in young people with chronic pain to draw firm conclusions regarding their efficacy. However, preliminary data indicate that these treatments could potentially have positive effects on a variety of outcomes (e.g., pain intensity, frequency of pain episodes, physical and psychological function), at least in the short term. Clinical trials are needed to evaluate the effects of neurofeedback and meditation training, and research is needed to identify the moderators of treatment benefits as well as better understand the mechanisms underlying the efficacy of all three of these treatments. The findings from such research could enhance overall treatment efficacy by: (1) providing an empirical basis for better patient-treatment matching; and (2) identifying specific mechanisms that could be targeted with treatment.

KEYWORDS:

efficacy; hypnosis; meditation; mindfulness; neurofeedback; pediatric chronic pain; psychological neuromodulatory treatments

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