title: [Pain therapy with children and adolescents severely disabled due to chronic pain: long-term outcome after inpatient pain therapy].
abstract: BACKGROUND
  A prospective study controlled for sex and age was conducted evaluating the success of a 3-week inpatient pain therapy after 3, 6 and 12 months for 200 children and adolescents severely disabled due to chronic pain.
  
  
  METHODS
  The following validated German questionnaires were used: pain questionnaire (DSF-K/J/E), pain coping inventory (PPCI-R), anxiety questionnaire (AFS) and depression questionnaire (DIKJ). After an intention-to-treat analysis unifactorial und multifactorial variance analyses were conducted. A significance level of p<0.01 was used.
  
  
  RESULTS
  Durable improvements were observed for average pain intensity, pain disability, days absent from school, depression and for passive and interaction-based pain coping strategies 3 months after finishing inpatient pain therapy. On the other hand general anxiety and school aversion were only reduced at 6 and 12 months, respectively. Girls reported more pain in general and during follow-up. Younger children relied in general more on others when dealing with their pain.
  
  
  CONCLUSIONS
  An inpatient pain therapy can help children and adolescents severely disabled due to chronic pain not only in the short term but also in the long term.
authors: Vodafone Stiftungsinstitut und Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Datteln. m.dobe@kinderklinik-datteln.de
authors: M
authors: M
authors: Dobe
authors: T
authors: T
authors: Hechler
authors: J
authors: J
authors: Behlert
authors: J
authors: J
authors: Kosfelder
authors: B
authors: B
authors: Zernikow
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