Mindfulness-Based Stress Reduction for Adolescents with Functional Somatic Syndromes: A Pilot Cohort Study - 18/04/17
, Theresa R. Weiss, MPH 1, Anne Dutton, MA, MSW 3, Douglas McKee, PhD 4, Kim D. Jones, RN, PhD 5, Susmita Kashikar-Zuck, PhD 6, Wendy K. Silverman, PhD 7, 8, Eugene D. Shapiro, MD 1, 9Abstract |
Objective |
To assess the feasibility of a mindfulness-based stress reduction (MBSR) program for adolescents with widespread chronic pain and other functional somatic symptoms and to make preliminary assessments of its clinical utility.
Study design |
Three cohorts of subjects completed an 8-week MBSR program. Child- and parent-completed measures were collected at baseline and 8 and 12 weeks later. Measures included the Functional Disability Inventory (FDI), the Fibromyalgia/Symptom Impact Questionnaire-Revised (FIQR/SIQR), the Pediatric Quality of Life Inventory, the Multidimensional Anxiety Scale (MASC2), and the Perceived Stress Scale. Subjects and parents were interviewed following the program to assess feasibility.
Results |
Fifteen of 18 subjects (83%) completed the 8-week program. No adverse events occurred. Compared with baseline scores, significant changes were found in mean scores on the FDI (33% improvement, P = .026), FIQR/SIQR (26% improvement, P = .03), and MASC2 (child: 12% improvement, P = .02; parent report: 17% improvement, P = .03) at 8 weeks. MASC2 scores (child and parent) and Perceived Stress Scale scores were significantly improved at 12 weeks. More time spent doing home practice was associated with better outcomes in the FDI and FIQR/SIQR (44% and 26% improvement, respectively). Qualitative interviews indicated that subjects and parents reported social support as a benefit of the MBSR class, as well as a positive impact of MBSR on activities of daily living, and on pain and anxiety.
Conclusions |
MBSR is a feasible and acceptable intervention in adolescents with functional somatic syndromes and has preliminary evidence for improving functional disability, symptom impact, and anxiety, with consistency between parent and child measures.
Trial registration |
ClinicalTrials.gov: NCT02190474.
Le texte complet de cet article est disponible en PDF.Keywords : chronic pain, quality of life, fibromyalgia, irritable bowel syndrome
Abbreviations : CBT, FDI, FIQR, MASC2, MBSR, PedsQL, PSS, SIQR
Plan
| Supported by the National Center for Complementary and Integrative Health (K23AT006703), National Center for Advancing Translational Sciences (Clinical and Translational Science Award UL1TR001863) at the National Institutes of Health (NIH), and NIH roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIH. The authors declare no conflicts of interest. |
Vol 183
P. 184-190 - avril 2017 Retour au numéro
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