PM & R : the journal of injury, function, and rehabilitation
-
Chronic pain is frequently experienced in adolescents; it affects functionality and requires interventions to decrease the impairments caused by pain. Cognitive behavioral therapy (CBT) has been analyzed in numerous studies that evaluated its effects on reducing the different types of chronic pain in children and adolescents. Interestingly, the outcome of CBT was initially focused on pain intensity, but, because there is no correspondence between children's pain intensity and level of disability, the ability to participate in school and social and recreational activities have been the primary focus of recent studies. ⋯ Parents of children with chronic pain are usually included in these programs, either as coaches in the intervention or as recipients of psychological therapies (including CBT) to optimize benefits. CBT has no adverse effect on chronic pain in adolescents, and there is no literature that makes reference to the effectiveness of CBT in preventing chronic pain in adolescents. A review of the role of CBT in chronic pain in adolescents via a PubMed database search was performed to identify the role of CBT in the management of chronic pain in adolescents.
-
Multicenter Study Comparative Study
Effect of postacute rehabilitation setting on mental and emotional health among persons with dysvascular amputations.
To examine the effect of postacute rehabilitation settings on depression and emotional and social functioning among patients undergoing major lower extremity dysvascular amputations. ⋯ This study showed an association between reduction in depressive symptoms and emotional suffering and management after lower limb amputation on an inpatient rehabilitation unit. These results add to the growing body of literature suggesting better outcomes for persons with vascular-related amputations who receive care at an IRF relative to other postacute care settings.
-
Comparative Study
Association of daytime somnolence with executive functioning in the first 6 months after adolescent traumatic brain injury.
To determine the relationship between severity of injury and self-reports and parent reports of daytime somnolence in adolescents after traumatic brain injury (TBI), and to determine the relationship between daytime somnolence and self-report and parent report of executive functioning in daily life. ⋯ The parent report of daytime somnolence correlated with TBI severity and predicted executive functioning difficulties of the teens in everyday circumstances. Although a correlation between daytime somnolence and executive dysfunction were also apparent on self-report, this did not differ based on injury severity. Teens tended to report fewer difficulties with executive function, which suggests that the teens have decreased awareness of their impairments.