Objective: Chronic pain is common in paediatric populations and many patients do not respond to the currently available evidence-based treatments. Mindfulness-based interventions (MBIs) have a growing evidence-base in adults, but evidence is limited in youth with chronic pain. Methods: We conducted an open-label pilot study to test the feasibility of an 8-week MBI for this population. Results: Seven adolescents (age range 14–17; median age 15; six female) completed the intervention. There were no dropouts. Median class attendance was seven of eight total sessions (SD = 0.76). Only one (14.3%) participant reported not finding it useful; five (71.4%) reported that they would recommend it to a friend; and the remaining two (28.6%) reported “maybe”. There was no worsening of internalizing symptoms. Secondary outcomes included significant reduction of pain intensity, which was maintained at three-month follow-up. Somatic symptoms and functional disability were both non-significantly lower immediately following the intervention; but were significantly improved at three-month follow-up. Conclusion: An eight-week group MBI is a feasible intervention for adolescents with chronic pain, and warrants further investigation as a potential alternative to cognitive behavioural therapy in this population.

中文翻译：

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正念治疗青少年慢性疼痛：可行性初步研究

目的：慢性疼痛在儿科人群中很常见，许多患者对目前可用的循证治疗无反应。基于正念的干预措施（MBI）在成人中的证据基础不断增长，但在患有慢性疼痛的青年中，证据有限。方法：我们进行了一项开放标签的先导研究，以测试该人群进行8周MBI的可行性。结果：七名青少年（年龄段14-17；中位年龄15；六名女性）完成了干预。没有辍学。上课人数中位数为八堂课中的七堂（SD = 0.76）。只有一名（14.3％）的参与者报告说没有用处；五（71.4％）报告称他们会推荐给朋友；其余两个（28.6％）报告为“可能”。内在症状没有恶化。次要结果包括疼痛强度明显降低，并在三个月的随访中得以维持。干预后，躯体症状和功能障碍均无明显降低。但在三个月的随访中有明显改善。结论：为期8周的MBI治疗对于患有慢性疼痛的青少年是一种可行的干预措施，值得进一步研究，作为该人群认知行为治疗的潜在替代方法。