Condition: Chronic Pain · Nociplastic Pain · Pain Management · Sponsor: Region Stockholm
One in four children in Sweden experiences chronic pain. For many, the pain is temporary, but for about 5% it significantly affects daily life, leading to sleep problems, school absence, and reduced physical activity. Youth with chronic pain report lower life satisfaction and overall health compared to their peers. In most cases, there is no underlying disease or injury, suggesting that chronic pain is a condition in itself, driven by dysregulation in the pain system and influenced by biological, psychological, and social factors. National guidelines in Sweden recommend cognitive behavioral therapy (CBT) and Acceptance and Commitment Therapy (ACT) for children and adolescents with chronic pain and substantial functional limitations. However, more high-quality randomized controlled trials (RCTs) are needed to strengthen the evidence base for these treatments. The investigators' clinic has developed and evaluated ACT-based treatments for pediatric chronic pain over the past two decades. The protocol has now been adapted into an internet-delivered version to increase accessibility. In a preliminary feasibility study, the investigators observed promising effects on pain interference, though some usability issues have since been addressed. The treatment is grounded in the fear-avoidance model, which explains how avoidance of pain-related activities can worsen disability over time. In ACT, such avoidance is seen as driven by unwanted thoughts, emotions, and bodily sensations. Th…
This description comes directly from the study's public registry record.
Charlotte Gentili, Licensed Psychologist, PhD · +46760482895 · charlotte.s.gentili@regionstockholm.se
Aleksi Bell · +46762362816 · aleksi.bell@regionstockholm.se
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| Karolinska University Hospital | Vallentuna, Sweden | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06981312