• Robyn Lewis Claar and Laura E Simons.
• Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA, USA. robyn.claar@childrens.harvard.edu
• Pain Res Manag. 2011 May 1;16(3):192-6.

ObjectivesTo explore how adolescents' pain coping profiles relate to their expectations regarding psychological treatment recommendations, and to examine patients' functioning and engagement in psychological treatment three months following a multidisciplinary pain clinic evaluation.MethodsAdolescents and their parents completed measures of pain coping strategies, treatment expectations, pain ratings, somatic symptoms, school absences and functional disability. Parents also reported whether patients followed through with psychological treatment recommendations.ResultsAdaptive copers and their parents were more likely to expect psychological treatments to be helpful; however, at follow-up, there were no significant group differences in patients' participation in psychological treatment. Patients in both groups experienced significantly lower levels of somatic symptoms and functional disability, and had fewer school absences from the initial evaluation to the follow-up.DiscussionThe results of the present study identify preliminary clinical implications for the way in which practitioners in multidisciplinary pain clinics present recommendations for psychological treatment to patients and their families.

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