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Pain in Children: An Overview of Psychological Assessment and Intervention

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Health Psychology

Abstract

The problem of pain in children has received little attention in the medical and psychological literature. In contrast to the wealth of information concerning theory research, and clinical application in the area of pain management with adult patients, the literature on assessment and management of children’s pain is characterized almost exclusively by anecdotal reports and by the absence of systematic, controlled research. The paucity of relevant literature on pediatric pain was illustrated by Eland and Anderson (1977) who conducted a thorough search of the medical literature on pain from 1970 and 1975. The search revealed 1350 articles on pain, yet only 33 of these dealt with pediatric pain. Furthermore, the 33 articles were almost all related to differential diagnosis or specific diagnostic examinations to be done and contained little or no data on assessment or treatment of children’s pain behaviors. Since 1975, psychologists have begun to address the problem of pain in children through research as well as clinical application. The purpose of this chapter is to provide a concise overview of the psychological literature on assessment and intervention in pediatrics.

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References

  • Abu-Saad, H. and Holzemer, W.L., 1981, Measuring children’s self assessment of pain, Iss Comprehen Ped Nurs, 5:337

    Article  Google Scholar 

  • Agras, S., Sylvester, D. and Oliveau, D., 1969, The epidemiology of common fears and phobias, Comprehen Psych, 10:151

    Article  Google Scholar 

  • Andolsek, K. and Novik, B., 1980, Use of hypnosis with children, J_ Fam Prac, 10(3):503

    Google Scholar 

  • Apley, J., 1967, The child with recurrent abdominal pain, Ped Clin North Am, 14(1):63

    Google Scholar 

  • Apley, J., 1975, “The Child with Abdominal Pains,”Blackwell, Oxford England

    Google Scholar 

  • Apley, J. and MacKeith, R. 1962,“The Child and His Symptoms” Black-well, Oxford, England

    Google Scholar 

  • Ayer, W.A., 1973, Use of visual imagery in needle phobic children, J Dentistry for Children, 40:41

    Google Scholar 

  • Barr, R.G., 1983, Recurrent abdominal pain, in: “Development Behavioral Pediatrics,” M.D. Levine, W.B. Carey, A.C. Croker, and R.T. Gross, eds., W.B. Saunders, Philadelphia

    Google Scholar 

  • Beales, J.G., 1979, Pain in children with cancer, in: “Advances in Pain Research and Therapy,” J.J. Bonica and W.F. White, eds., Raven Press, New York

    Google Scholar 

  • Bille, B., 1982, Migraine in childhood and its prognosis, Cephala-gia, 1:71

    Article  Google Scholar 

  • Bonica, J.J., 1979, Introduction to management of pain of advanced cancer, in: “Advances in Pain Research and Therapy,” J.J. Bonica and V. Ventafridda, eds., Vol. 2, Raven Press, New York

    Google Scholar 

  • Brown, J.K., 1977, Migraine and migraine equivalents in children, Dev Med Child Neurology, 19:683

    Article  Google Scholar 

  • Cassell, S., 1965, Effects of brief puppet therapy upon the emotion al responses of children undergoing cardiac catherization, J Con Clin Psychol, 29:1

    Google Scholar 

  • Christensen, M.F. and Mortensen, O., 1975, Long-term prognosis in children with recurrent abdominal pain, Arch Pis Child, 50: 110

    Article  Google Scholar 

  • Curless, R.G. and Corrigan, J.J., 1976, Headache in classical hemophilia: The risk of diagnostic procedures, Child’s Brain, 2: 187

    PubMed  Google Scholar 

  • Dash, J., 1981, Rapid hypno-behavioral treatment of a needle phobia in a five-year-old patient, J Ped Psychol, 6:34

    Article  Google Scholar 

  • Deubner, D.R., 1977, An epidemiologic study of migraine headache in 10–20 year olds. Headache, 17:173

    Article  PubMed  Google Scholar 

  • Diamond, S., 1979, Biofeedback and headache, Headache, 19:180

    Article  PubMed  Google Scholar 

  • Diamack, H.G., 1960, “The Child in the Hospital: A Study of His Emotional and Social Weil-Being,” Davis, Philadelphia

    Google Scholar 

  • Eland, J.M. and Anderson, J.E., 1977, The experience of pain in children, in: “Pain: A Sourcebook for Nurses and Other Health Professionals,” A. Jacox, ed., Little, Brown and Company, Boston

    Google Scholar 

  • Elliott, C.H. and Olson, R.A., in press, The management of children’s behavioral distress in response to painful medical treatment for burn injuries, Behavior Research and Therapy

    Google Scholar 

  • Epstein, L., 1976, Psychophysiological measurement in assessment, in “Behavioral Assessment: A Practical Handbook,” M. Hersen and A.S. Bellack, eds., Pergamon, New York

    Google Scholar 

  • Ferguson, J.M., Taylor, C.B. and Wermuth, B., 1978, A rapid behavioral treatment for needle phobias, J Ner Mental Disease, 166: 294

    Article  Google Scholar 

  • Fernald, C.D. and Corry, J., 1981, Emphathic versus directive preparation of children for needles, Child Health Care, 10:44

    Article  PubMed  Google Scholar 

  • Fordyce, W., 1976,Behavioral Methods for Chronic Pain and Illness Mosby, St. Louis

    Google Scholar 

  • Gardner, G.G. and Olness, K., 1981, “Hypnosis and Hypnotherapy with Children,” Grune and Stratton, New York

    Google Scholar 

  • Graner, A., 1976, The effects of pain on child, parent, and health professional, in: “Home Care for the Dying Child: Professional and Family Perspectives,” J.M. Martinson, ed., Appleton-Century Crofts, New York

    Google Scholar 

  • Green, M., 1983, Headache, in “Developmental Behavioral Pediatrics” M.D. Levine, W.B. Carey, A.C. Croker, and R.T. Gross, eds., W.B. Saunders, Philadelphia

    Google Scholar 

  • Green, M., 1983b, Sources in pain, in “Developmental Behavioral Pediatrics,” M.D. Levine, W.B. Carey, A.C. Corker, and R.T. Gross, eds., W.B. Saunders, Philadelphia

    Google Scholar 

  • Ă–aslam, D.R., 1969, Age and the perception of pain, Psychon Sci, 15:86

    Google Scholar 

  • Heyn, R.M., Beatty, E.C., Hammond, D., Louis, J., Pierce, M., Murphy, M.L. and Severo, N., 1966, Vincristine in the treatment of acute leukemia in children, Pediatrics, 38(5):82

    PubMed  Google Scholar 

  • Huskisson, E., 1974, Measurement of pain, Lancet, 2:1127

    Article  PubMed  Google Scholar 

  • Jay, S.M. and Elliott, C.H., 1983, Psychological intervention for pain in pediatric cancer patients, in: “Pediatric Oncology,” Vol. 3, G.B. Humphrey, L.P. Dehner, G.B. Grindey and R.T. Acton, eds., Martinus Nijhoff, Boston

    Google Scholar 

  • Jay, S.M., Ozolins, M., Elliott, C.H. and Caldwell, S., 1983, Assessment of children’s distress during painful medical procedures, Health Psychol, 2(2):133

    Article  Google Scholar 

  • Johnson, B.M., 1974, Before hospitalization: A preparation program for the child and his family, Child Today, 3:18

    PubMed  Google Scholar 

  • Johnson, J.E., Kirckhoff, K.T. and Endress, M.P., 1975, Altering children’s distress behavior during orthopedic cast removal, Nursing Res, 24:404

    Article  Google Scholar 

  • Katz, R.C., 1974, Single session recovery from hemodialysis phobia: A case study, J Behav Ther Exper Psych, 5:205

    Article  Google Scholar 

  • Katz, E.R., Kellerman, J. and Siegel, S.E., 1980, Behavioral dis tress in children undergoing medical procedures: Developmental considerations, J Con Clin Psychol, 48(3):356

    Article  Google Scholar 

  • Katz, E.R., Sharp, B., Kellerman, J., Marston, A.R., Hershman, J.M. and Siegel, S.E., 1982, Beta-Endorphin immunoreactivity and acute behavioral distress in children with leukemia, J Nerv Men Pis, 170(2):72

    Article  Google Scholar 

  • Katz, E.R., Varni, J.W. and Jay, S.M., in press, Behavioral assessment and management of pediatric pain, in: “Progress in Behavior Modification,” M. Hersen, R.M. Eisler, and P.M. Miller, eds., Academic Press, New York

    Google Scholar 

  • Kellerman, J., Zeltzer, L., Ellenberg, L. and Dash, J., 1983, Adolescents with cancer: Hypnosis for the reduction of the acute pain and anxiety associated with medical procedures, J Adoles Health Care, 4(2):85

    Article  Google Scholar 

  • Kilko, D.J. and Milan, M.A., 1980, Misconception correction through reading in the treatment of a self-injection phobia. J Behav Ther Exper Psych, 11:173

    Article  Google Scholar 

  • Korsch, B.M., 1961, Psychologic reactions to physical illness in children. 107th Annual Session of the Medical Association of Georgia, Atlanta, 50:519

    Google Scholar 

  • Lang, P., 1971, The application of psychophysiological methods, in: “Handbook of Psychotherapy and Behavior Change,” A. Bergen and S. Garfield, eds., Wiley, New York

    Google Scholar 

  • Lindsay, S.J.E. and Roberts, G.J., 1980, Methods for behavioral research on dentally anxious children, Br Dental Jour, 149:175

    Article  Google Scholar 

  • Lipowski, Z.J., 1970, Physical illness, the individual, and the coping process, Psych Med, 1:91

    Article  Google Scholar 

  • McCue, K, 1980, Preparing children for medical procedures, in “Psychological Aspects of Childhood Cancer,” J. Kellerman, ed., Charles C. Thomas, Springfield

    Google Scholar 

  • Meichenbaum, D., 1977, “Cognitive Behavior Modification,” Plenum, New York

    Google Scholar 

  • Meichenbaum, D. and Turk, K., 1976,The cognitive-behavioral management of anxiety, anger, and pain, in “The Behavioral Management of Anxiety, Depression, and Pain,” P. Davidson, ed., Brunner/Mazel, New York

    Google Scholar 

  • Melamed, B.G., 1979, Behavioral approaches to fear in dental setings,Prog Behav Mod, 7:171

    Google Scholar 

  • Melamed, B.G., Hawes, R., Heiby, E. and Gluck, J., 1975, The use of film modeling to reduce uncooperative behavior of children during dental treatment, J Dental Res, 54:797

    Article  Google Scholar 

  • Melamed, B.G., Myer, R., Gee, C. and Soule, L., 1976, The influence of time and type of preparation on children’s adjustment to hospitalization, J Ped Psych, 1:31

    Article  Google Scholar 

  • Melamed, B.G. and Siegel, L.J., 1975, Reduction of anxiety in chil dren facing hospitalization and surgery by use of filmed modeling, J Con Clin Psychol, 43(4):511

    Article  Google Scholar 

  • Melamed, B.G. and Siegel, L., 1980, “Behavioral Medicine,” Springer Verlag, New York

    Google Scholar 

  • Melamed, B.G., Weinstein, D., Hawes, R. and Katin-Borland, M., 1975 Reduction of fear-related dental management problems using filmed modeling, J Am Dental Assoc, 90:822

    Google Scholar 

  • Melamed, B.G., Yurcheson, R., Fleece, E., Hurcherson, S. and Hawes, R., 1978, Effects of film modeling on the reduction of anxiety-related behaviors in individuals varying in levels of previous experience in the stress situation, J Con Clin Psy chol, 46(6): 1357

    Article  Google Scholar 

  • Miller, A.J. and Kratochwill, T.R., 1979, Reduction of frequent stomach ache complaints by time out, Behav Ther, 10:211

    Article  Google Scholar 

  • Miller, S.M., 1979, Coping with impending stress: Psychophysiologi cal and cognitive correlates of choice, Psychophysiol, 16: 572

    Article  Google Scholar 

  • Moe, P.G., 1978, Headaches in children: Meeting the challenge of management, Postgraduate Med, 63:169

    Google Scholar 

  • Morgan, P.H., Wright, L.E., Ingersoll, B.D. and Seime, R.J., 1980, Children’s perceptions of the dental experience, J Dentistry for Children, 47:243

    Google Scholar 

  • Neuhauser, C., Amsterdam, B., Hines, P. and Steward, M. 1978, Children’s concepts of healing: Cognitive development and locus of control factors, Am J Orthopsychiatry, 48:334

    Google Scholar 

  • Nimmer, W.H. and Kapp, R., 1975, A multiple impact program for the treatment of injection phobias, J Behav Ther Exper Psych, 5: 257

    Article  Google Scholar 

  • Nocella, J. and Kaplan, R.M., 1982, Training children to cope with dental treatment, J Ped Psychol, 1:175

    Article  Google Scholar 

  • Oster, J., 1972, Recurrent abdominal pain, headache and limb pains in children and adolescents, Pediatrics, 50:429

    PubMed  Google Scholar 

  • Parkin, S.F., 1981, The effect of ambient music upon the reactions of children undergoing dental treatment, J Dent Child, 48:430

    Google Scholar 

  • Perry, S. and Heidrich, G. 1982, Management of pain during debridement: A survey of U.S. burn units, Pain, 13:267

    Article  PubMed  Google Scholar 

  • Peterson, L. and Ridley-Johnson, R., 1980, Pediatric hospital response to survey on prehospital preparation for children, J Ped Psychol, 5:1

    Article  Google Scholar 

  • Peterson, L. and Shigetoni, C, 1981, The use of coping techniques to minimize anxiety in hospitalized children, Behav Ther, 12:1

    Article  Google Scholar 

  • Sanders, S.H. 1979, Behavioral assessment and treatment of clinical pain: Appraisal and current status, in, “Progress in Behavior Modification,” M. Hersen, R.M. Eisler, and P.M. Miller, eds., Academic Press, New York

    Google Scholar 

  • Sank, L.I. and Biglan, A., 1974, Operant treatment of a case of recurrent abdominal pain in a 10-year-old boy, Behav Ther, 5:677

    Google Scholar 

  • Shaw, E.G. and Routh, D.K., 1982, Effect of mother’s presence on children’s reaction to aversive procedures, J Ped Psychol, 1(1):33

    Article  Google Scholar 

  • Scott, R., 1978, It hurts red: A preliminary study of children’s perception of pain, Perceptual and Motor Skills, 47:787

    Article  PubMed  Google Scholar 

  • Sheridan, M., 1975, Talk time for hospitalized children, Social Work, 20:40–44

    Google Scholar 

  • Sheskin, R.B., Klein, H. and Lowenthal, U., 1982, Assessment of children’s anxiety throughout dental treatment by their drawings, J Dent Child, 49:99

    Google Scholar 

  • Siegel, L.J. and Peterson, L., 1980, Stress reduction in young dental patients through coping skills and sensory information, J Con Clin Psychol, 48:785

    Article  Google Scholar 

  • Siegel, L.J. and Peterson, L., 1981, Maintenance effects of coping skills and sensory information on young children’s response to repeated dental procedures, Behav Ther, 12:530

    Article  Google Scholar 

  • Simeonsson, R.J., Buckley, L. and Monson, L., 1979, Conceptions of illness causality in hospitalized children, J Ped Psychol, 4: 77

    Article  Google Scholar 

  • Sternbach, R.A., 1974, “Pain Patients: Traits and Treatments,” Academic Press, New York

    Google Scholar 

  • Sternbach, R., 1968, “Pain: A Psychophysiological Analysis,” Academic Press, New York

    Google Scholar 

  • Stickler, G.B. and Murphy, D.B., 1979, Recurrent abdominal pain, Am J Diseases of Children, 133:484

    Google Scholar 

  • Tomasi, L.G., 1979, Headaches in children, Comp Therapy, 5:13

    Google Scholar 

  • Travis, G., 1976, “Chronic Illness in Children: Its Impact on Child and Family,” University Press, Stanford

    Google Scholar 

  • Turk, D. 1978, Cognitive behavioral techniques in the management of pain, in: “Cognitive Behavior Therapy,” J.P. Foreyt and D.P. Rathjen, eds., Plenum Press, New York

    Google Scholar 

  • Turnage, J.R. and Logan, D., 1974, Treatment of a hypodermic needle phobia by in. vivo desensitization. J Behav Ther Exp Psych, 5:67

    Article  Google Scholar 

  • Varni, J.W., 1981, Self-regulation techniques in the management of chronic arthritic pain in hemophilia, Behav Ther, 12:185

    Article  Google Scholar 

  • Varni, J.W., 1983, Acute and chronic pain, in: “Clinical Behavioral Pediatrics: An Interdisciplinary Approach,” J.W. Varni, ed., Pergamon Press, New York

    Google Scholar 

  • Varni, J.W., Bessman, C., Russo, D.C. and Caltaldo, M.F., 1980, Behavioral management of chronic pain in children: Case study, Arch Physical Med and Rehab, 61:375

    Google Scholar 

  • Varni, J.W., Gilbert, A. and Dietrich, S.L., 1981, Behavioral medicine in pain and analgesia management for the hemophiliac child with factor VIII inhibitor, Pain, 11:121

    Article  PubMed  Google Scholar 

  • Varni, J.W., Katz, E. and Dash, J., 1982, Behavioral and neurochemical aspects of pediatric pain, in: “Behavioral pediatrics: Research and practice,” D.C. Russo and J.W. Varni, eds., Plenum Press, New York

    Google Scholar 

  • Venham, L., Bengston, D. and Cipes, M. 1977, Children’s response to sequential dental visits, J Dental Res, 56:454

    Article  Google Scholar 

  • Venham, C.L., Gaulin-Kremer, E., Munster, E., Bengston-Audia, D. &Cohan, J., 1980, Interval rating scales for children’s dental anxiety and uncooperative behavior, Ped Dentistry, 2:195

    Google Scholar 

  • Vernon, D.T., Foley, J.M., Sipowicz, R.R. and Shulman, J.L., 1965, “The Psychologial Responses of Children to Hospitalization and Illness,” Charles C. Thomas, Springfield, IL

    Google Scholar 

  • Wakeman, R.J. and Kaplan, J.Z., 1978, An experimental study of hypnosis in painful burns, Am J Clin Hypnosis, 21:3

    Article  Google Scholar 

  • Weinstein, P., Getz, T., Ratener, P. and Domoto, P., 1982, The effect of dentists’ behaviors on fear-related behaviors in children, J Am Dental Assoc, 104:32

    Google Scholar 

  • White, J.R., 1975, Effects of counterirritant on perceived pain and hand movements in patients with arthritis, Phys Ther, 53:956

    Google Scholar 

  • Willis, D., Elliott, C.M. and Jay, S.M. 1982, Psychological effects of physical illness and its concomitants, in: “Handbook for the Practice of Pediatric Psychology,” J. Tuma, ed., John Wiley, New York

    Google Scholar 

  • Wolfer, J.A. and Visentainer, M.A., 1975, Pediatric surgical patients’ and parents’ stress responses and adjustment, Nursing Res, 24:244

    Article  Google Scholar 

  • Zeltzer, L.K., Dash, J. and Holland, J.P. 1979, Hypnotically induced pain control in sickle cell anemia, Pediatrics, 64:533

    PubMed  Google Scholar 

  • Zeltzer, L. and Lebaron, S., 1982, Hypnosis and nonhypnotic techniques for reduction of pain and anxiety during painful procedures in children and adolescents with cancer, J Pediatrics, 101(6):1032

    Article  Google Scholar 

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Jay, S.M. (1985). Pain in Children: An Overview of Psychological Assessment and Intervention. In: Zeiner, A.R., Bendell, D., Walker, C.E. (eds) Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4901-3_7

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  • DOI: https://doi.org/10.1007/978-1-4684-4901-3_7

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