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Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy...
Full Title: Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain
Cognitive-behavioral therapy (CBT) interventions show promise for decreasing chronic pain in youth. However, the availability of CBT is limited by many factors including distance to major treatment centers and expense. This study evaluates a more accessible treatment approach for chronic pediatric pain using an Internet-delivered family CBT intervention. Participants included 48 children, aged 11-17years, with chronic headache, abdominal, or musculoskeletal pain and associated functional disability, and their parents. Children were randomly assigned to a wait-list control group or an Internet treatment group. Primary treatment outcomes were pain intensity ratings (0-10 NRS) and activity limitations on the Child Activity Limitations Interview, both completed via an online daily diary. In addition to their medical care, the Internet treatment group completed 8weeks of online modules including relaxation training, cognitive strategies, parent operant techniques, communication strategies, and sleep and activity interventions. Youth randomized to the wait-list control group continued with the current medical care only. Findings demonstrated significantly greater reduction in activity limitations and pain intensity at post-treatment for the Internet treatment group and these effects were maintained at the three-month follow-up. Rate of clinically significant improvement in pain was also greater for the Internet treatment group than for the wait-list control group. There were no significant group differences in parental protectiveness or child depressive symptoms post-treatment. Internet treatment was rated as acceptable by all children and parents. Findings support the efficacy and acceptability of Internet delivery of family CBT for reducing pain and improving function among children and adolescents with chronic pain.
Pain. 2009 Aug 18. Palermo TM, Wilson AC, Peters M, Lewandowski A, Somhegyi H. Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR, USA.
A widely accepted definition of psychology is that it is "the science of the mind." It is used for a wide variety of research, business, and clinical or therapeutic purposes. The understanding of the human mind is a topic related to fields such as religion, advertising, education, counseling, and healthcare. This is true even though there are those practitioners who consider themselves to be licensed psychologists, who normally focus on counseling and health considerations.
When using this definition, it is important to understand the concept of science. Science simply is a three step...
Too often I encounter people – many of whom are degreed and licensed professionals – who have a phobia about money. Perhaps they grew up thinking that everyone who was well off achieved their wealth through dishonest means. Regardless, I frequently hear them apologizing when they do make an unusual amount of money or constantly saying that making money is not their goal.
Although abundance comes in several mediums such as friends and wonderful experiences, here I am going to concentrate on money as being a representation of abundance and wealth. This rather narrow definition...
Achieve Freedom from your Addiction to Gambling
I remember attending a conference several years ago at a casino in Reno, Nevada. As I was walking to a meeting it became necessary to go through the black jack tables and slot machines areas. My path led me past one of their many cashier facilities. Right where people would get in line to buy their chips there was a sign clearly warning people not to gamble if certain situations existed. These included raising money for medical expenses, to pay a mortgage, and others. During a conversation with a taxi driver he told me about the unusual...
