Skip Navigation LinksHome > May 2015 - Volume 31 - Issue 5 > The Influence of Anxiety Reduction on Clinical Response to P...
Text sizing:
A
A
A
Clinical Journal of Pain:
doi: 10.1097/AJP.0000000000000127
Original Articles

The Influence of Anxiety Reduction on Clinical Response to Pediatric Chronic Pain Rehabilitation

Benore, Ethan PhD*; D’Auria, Alexandra BS*,†; Banez, Gerard A. PhD*; Worley, Sarah MS*; Tang, Anne MS*

Collapse Box

Abstract

Objectives: This study investigates the relationship between anxiety reduction and functional outcomes in children and adolescents receiving intensive interdisciplinary rehabilitation services for chronic pain (CP). Specifically, we evaluated whether: (1) anxiety changes over the course of treatment; (2) anxiety covaries with functional outcomes to rehabilitation; and (3) change in anxiety predicts change in functional outcomes from rehabilitation for CP. Using 3 separate measures assessing anxiety-related constructs, we hypothesized that anxiety would be associated with functioning, both before and following intensive rehabilitation for CP. Further, we hypothesized that a decrease in anxiety-related symptoms following rehabilitation would predict a positive change in functional outcomes.

Materials and Methods: Our sample consisted of 119 children and adolescents treated for CP in an interdisciplinary rehabilitation program between 2007 and 2012. Children completed 3 measures related to anxiety (general anxiety, pain-specific anxiety, pain catastrophizing) and 2 functional outcome measures (eg, Bath Adolescent Pain Questionnaire, PedsQL) as part of clinical care.

Results: Measures of anxiety-related constructs were significantly correlated with measures of impairment and functioning, both at admission and at 1-month postdischarge. Regression analyses demonstrated that, after controlling for age, sex, and pain level at admission, a decrease in anxiety significantly predicted between 14% and 40% unique variance in functional outcomes.

Discussion: The findings of this study support existing research on anxiety and CP, specifically the relationship between anxiety and pain-related disability. This study also supports the benefit of intensive interdisciplinary rehabilitation for both reducing anxiety and increasing functional outcomes, suggesting a possible link in children’s response to intervention. Study limitations and future directions for related research are discussed.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.