TY - JOUR
T1 - Randomized Controlled Trial of the Acceptability, Feasibility, and Preliminary Effects of a Cognitive Behavioral Skills Building Intervention in Adolescents With Chronic Daily Headaches
T2 - A Pilot Study
AU - Hickman, Carolyn
AU - Jacobson, Diana
AU - Melnyk, Bernadette Mazurek
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Introduction: The treatment challenge of adolescents with chronic daily headaches (CDHs) creates an urgent need for evidence-based interventions. Therefore the purpose of this pilot study was to evaluate the acceptability, feasibility, and preliminary effects of a brief cognitive behavioral skills building intervention with 36 adolescents, 13 to 17 years of age, who had CDHs and mild to moderate depressive symptoms. Methods: Participants were randomly assigned either to the Creating Opportunities for Personal Empowerment-Headache Education Program (COPE-HEP) or to a headache education comparison group. Results: Adolescents and parents found the COPE-HEP to be highly acceptable. Medium to large positive effects were demonstrated on the adolescents' depression in both groups and on anxiety and beliefs in the COPE-HEP group. COPE-HEP offered additional benefits of a larger decrease in adolescent anxiety over time and stronger beliefs in the teens' ability to manage their headaches. Discussion: Adolescents with CDHs and elevated depressive/anxiety symptoms should be offered headache hygiene education plus cognitive-behavioral skills building interventions.
AB - Introduction: The treatment challenge of adolescents with chronic daily headaches (CDHs) creates an urgent need for evidence-based interventions. Therefore the purpose of this pilot study was to evaluate the acceptability, feasibility, and preliminary effects of a brief cognitive behavioral skills building intervention with 36 adolescents, 13 to 17 years of age, who had CDHs and mild to moderate depressive symptoms. Methods: Participants were randomly assigned either to the Creating Opportunities for Personal Empowerment-Headache Education Program (COPE-HEP) or to a headache education comparison group. Results: Adolescents and parents found the COPE-HEP to be highly acceptable. Medium to large positive effects were demonstrated on the adolescents' depression in both groups and on anxiety and beliefs in the COPE-HEP group. COPE-HEP offered additional benefits of a larger decrease in adolescent anxiety over time and stronger beliefs in the teens' ability to manage their headaches. Discussion: Adolescents with CDHs and elevated depressive/anxiety symptoms should be offered headache hygiene education plus cognitive-behavioral skills building interventions.
KW - Adolescents
KW - Behavioral interventions
KW - Chronic daily headaches
KW - Psychological
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U2 - 10.1016/j.pedhc.2014.05.001
DO - 10.1016/j.pedhc.2014.05.001
M3 - Article
AN - SCOPUS:84918835602
VL - 29
SP - 5
EP - 16
JO - Journal of Pediatric Health Care
JF - Journal of Pediatric Health Care
SN - 0891-5245
IS - 1
ER -