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The development of a mindfulness-based stress reduction group for adolescents with chronic pain (pp. 301-312) $45.00
Authors:  Danielle Ruskin, Sara Ahola Kohut, and Jennifer Stinson
Abstract:
Mindfulness-based stress reduction (MBSR) approaches are an effective treatment for individuals with chronic pain, however research has largely focused on adult populations. MBSR approaches should also help reduce pain and improve function among adolescents with chronic pain, particularly given the success of MBSR programs for adolescents with other health conditions. Objective: As part of a quality improvement initiative, two iterations of a mindfulness group intervention adapted for adolescents with chronic pain (MBSR-A) were examined to identify a) the acceptability and strengths and weaknesses of the intervention and b) refinement of group content in preparation for a pilot randomized controlled study. Methods: Sixteen adolescent females attending a hospital pediatric chronic pain clinic participated in an 8-week MBSR-A group intervention. Participants completed baseline measures and post-intervention qualitative evaluation of the MBSR-A. Results: At baseline, participants had an average pain duration of over 3 years and report moderate levels of pain 6.23 out of 10
(SD = 1.61), and functional disability. Lower disability was associated with greater trait mindfulness and less avoidant coping behaviour (pís < .05). Detailed session content and adaptations for adolescent chronic pain populations are provided. All participants would recommend the MBSR-A to a friend. Strengths included the experiential exercises, being with other teens with pain, and learning new approaches to cope with pain. Limitations included barriers to attending sessions, lack of techniques to immediately improve pain flare-ups, and limited time to share pain stories. Conclusions: The MBSR-A offers a promising intervention for adolescent chronic pain populations and is refined according to areas identified for a future effectiveness study. 


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The development of a mindfulness-based stress reduction group for adolescents with chronic pain (pp. 301-312)