Abstract
Youth chronic pain management presents unique challenges to the pediatric psychologist in both inpatient and outpatient settings. This chapter includes specific and practical guidance for working with youth and their families/caregivers presenting to an inpatient setting for treatment of chronic pain. Conceptualization of pediatric chronic pain from a biopsychosocial framework informs the chapter which includes guidance in specific domains to consider within an initial assessment. Practical advice is provided regarding communicating with families about taking a rehabilitative treatment approach in such a way as to increase readiness for treatment of their child’s chronic pain upon discharge from the hospital. The chapter gives clinical pearls for psychologists to make valuable contributions to multidisciplinary treatment teams which seek to incorporate psychological information relevant to the child’s treatment within the hospital setting. Finally, information is offered for referring and coordinating care for patients upon discharge when they have ongoing pain needs including school reentry, effective non-pharmacologic treatment, and prioritizing mental health needs that co-occur with patient’s pain symptoms.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American Psychiatric Association. (2013). Diagnositic and statistical manual of mental health disorders: DSM-5 (5th ed.). Washington, DC: American Psychiatric Publishing.
Auvinen, J., Tammelin, T., Taimela, S., Zitting, P., & Karppinen, J. (2008). Associations of physical activity and inactivity with low back pain in adolescents. Scandinavian Journal of Medicine & Science in Sports, 18(2), 188–194.
Brattberg, G. (2004). Do pain problems in young school children persist into early adulthood? A 13-year follow-up. European Journal of Pain, 8(3), 187–199.
Carter, B. D., Kronenberger, W. G., Scott, E. L., & Brady, C. (2020). CHIRP: Children’s health and illness recovery program: Patient and family workbook. New York, NY: Oxford University Press.
Claar, R. L., Simons, L. E., & Logan, D. E. (2008). Parental response to children’s pain: The moderating impact of children’s emotional distress on symptoms and disability. Pain, 138(1), 172–179.
Coakley, R., & Schechter, N. (2013). Chronic pain is like... The clinical use of analogy and metaphor in the treatment of chronic pain in children. Pediatric Pain Letter: Commentaries on Pain in Infants, Children, and Adolescents, 15(1), 1–8.
Dampier, C., Palermo, T. M., Darbari, D. S., Hassell, K., Smith, W., & Zempsky, W. (2017). AAPT diagnostic criteria for chronic sickle cell disease pain. The Journal of Pain, 18(5), 490–498.
Eccleston, C., Palermo, T. M., de Williams, A. C., Lewandowski, A., Morley, S., Fisher, E., & Law, E. (2012). Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database of Systematic Reviews, (12), CD003968.
El-Metwally, A., Salminen, J. J., Auvinen, A., Macfarlane, G., & Mikkelsson, M. (2007). Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: A prospective 1-year follow-up study. BMC Musculoskeletal Disorders, 8, 46.
Fisher, E., Heathcote, L. C., Eccleston, C., Simons, L. E., & Palermo, T. M. (2018). Assessment of pain anxiety, pain catastrophizing, and fear of pain in children and adolescents with chronic pain: A systematic review and meta-analysis. Journal of Pediatric Psychology, 43(3), 314–325.
Gieteling, M. J., Bierma-Zeinstra, S. M., Passchier, J., & Berger, M. Y. (2008). Prognosis of chronic or recurrent abdominal pain in children. Journal of Pediatric Gastroenterology and Nutrition, 47(3), 316–326.
Groenewald, C. B., Essner, B. S., Wright, D., Fesinmeyer, M. D., & Palermo, T. M. (2014). The economic costs of chronic pain among a cohort of treatment-seeking adolescents in the United States. The Journal of Pain, 15(9), 925–933.
Hechler, T., Kanstrup, M., Holley, A. L., Simons, L. E., Wicksell, R., Hirschfeld, G., & Zernikow, B. (2015). Systematic review on intensive interdisciplinary pain treatment of children with chronic pain. Pediatrics, 136, 115–127.
Hoftun, G. B., Romundstad, P. R., & Rygg, M. (2013). Association of parental chronic pain with chronic pain in the adolescent and young adult: Family linkage data from the HUNT study. JAMA Pediatrics, 167(1), 61–69.
Huguet, A., & Miro, J. (2008). The severity of chronic pediatric pain: An epidemiological study. The Journal of Pain, 9(3), 226–236.
Kalapurakkel, S., Carpino, E. A., Lebel, A., & Simons, L. E. (2015). “Pain Can’t Stop Me”: Examining pain self-efficacy and acceptance as resilience processes among youth with chronic headache. Journal of Pediatric Psychology, 40(9), 926–933.
Kashikar-Zuck, S., Goldschneider, K. R., Powers, S. W., Vaught, M. H., & Hershey, A. D. (2001). Depression and functional disability in chronic pediatric pain. The Clinical Journal of Pain, 17(4), 341–349.
King, S., Chambers, C. T., Huguet, A., MacNevin, R. C., McGrath, P. J., Parker, L., & MacDonald, A. J. (2011). The epidemiology of chronic pain in children and adolescents revisited: A systematic review. Pain, 152(12), 2729–2738.
Law, E. F., Noel, M., Nagel, M. S., & Dahlquist, L. M. (2017). Chronic and recurrent pain. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (5th ed., pp. 134–145). New York, NY: The Guilford Press.
Lewandowski, A. S., Palermo, T. M., Stinson, J., Handley, S., & Chambers, C. T. (2010). Systematic review of family functioning in families of children and adolescents with chronic pain. The Journal of Pain, 11(11), 1027–1038.
Logan, D. E., Conroy, C., Sieberg, C. B., & Simons, L. E. (2012). Changes in willingness to self-manage pain among children and adolescents and their parents enrolled in an intensive interdisciplinary pediatric pain treatment program. Pain, 153(9), 1863–1870.
Logan, D. E., & Simons, L. E. (2010). Development of a group intervention to improve school functioning in adolescents with chronic pain and depressive symptoms: A study of feasibility and preliminary efficacy. Journal of Pediatric Psychology, 35(8), 823–836.
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971–979.
Miller, M. M., Meints, S. M., & Hirsh, A. T. (2018). Catastrophizing, pain, and functional outcomes for children with chronic pain: A meta-analytic review. Pain, 159, 2442.
Miller, M. M., Scott, E. L., Trost, Z., & Hirsh, A. T. (2016). Perceived injustice is associated with pain and functional outcomes in children and adolescents with chronic pain: A preliminary examination. The Journal of Pain, 17(11), 1217–1226.
Miller, M. M., Wuest, D., Williams, A. E., Scott, E. L., Trost, Z., & Hirsh, A. T. (2018). Injustice perceptions about pain: Parent-child discordance is associated with worse functional outcomes. Pain, 159(6), 1083–1089.
Noel, M., Groenewald, C. B., Beals-Erickson, S. E., Gebert, J. T., & Palermo, T. M. (2016). Chronic pain in adolescence and internalizing mental health disorders: A nationally representative study. Pain, 157(6), 1333–1338.
Paananen, M. V., Taimela, S. P., Auvinen, J. P., Tammelin, T. H., Kantomaa, M. T., Ebeling, H. E.,... Karppinen, J. I. (2010). Risk factors for persistence of multiple musculoskeletal pains in adolescence: A 2-year follow-up study. European Journal of Pain, 14(10), 1026–1032.
Palermo, T. M. (2012). Cognitive-behavioral therapy for chronic pain in children and adolescents. New York, NY: Oxford University Press.
Palermo, T. M., Eccleston, C., Lewandowski, A. S., Williams, A. C., & Morley, S. (2010). Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: An updated meta-analytic review. Pain, 148(3), 387–397.
Palermo, T. M., Valrie, C. R., & Karlson, C. W. (2014). Family and parent influences on pediatric chronic pain: A developmental perspective. The American Psychologist, 69(2), 142–152.
Palermo, T. M., Wilson, A. C., Peters, M., Lewandowski, A., & Somhegyi, H. (2009). Randomized controlled trial of an internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain. Pain, 146(1–2), 205–213.
Postier, A. C., Eull, D., Schulz, C., Fitzgerald, M., Symalla, B., Watson, D.,... Friedrichsdorf, S. J. (2018). Pain experience in a US children’s hospital: A point prevalence survey undertaken after the implementation of a system-wide protocol to eliminate or decrease pain caused by needles. Hospital Pediatrics, 8, 515–523.
Price, D. D., & Bushnell, M. C. (2004). Overview of pain dimensions and thier psychological modulation. In D. D. Price & M. C. Bushnell (Eds.), Psychological methods of pain control: Basic science and clinical perspectives (Vol. Progress in Pain research and Management, Vol. 29). Seattle: IASP Press.
Rhudy, J. L., Williams, A. E., McCabe, K. M., Nguyen, M. A., & Rambo, P. (2005). Affective modulation of nociception at spinal and supraspinal levels. Psychophysiology, 42(5), 579–587.
Rosengren, D. B. (2018). Building motivational interviewing skills: A practitioner workbook (2nd ed.). New York, NY: The Guilford Press.
Sanders, S. H. (2002). Operant conditioning with chronic pain: Back to basics. In D. C. Turk & R. J. Gatchel (Eds.), Psychological approaches to pain management: A practitioner’s handbook (2nd ed., pp. 128–137). New York, NY: The Guilford Press.
Simons, L. E., & Basch, M. C. (2016). State of the art in biobehavioral approaches to the management of chronic pain in childhood. Pain Management, 6(1), 49–61.
Simons, L. E., Sieberg, C. B., Carpino, E., Logan, D., & Berde, C. (2011). The fear of pain questionnaire (FOPQ): Assessment of pain-related fear among children and adolescents with chronic pain. The Journal of Pain, 12(6), 677–686.
Simons, L. E., Sieberg, C. B., Pielech, M., Conroy, C., & Logan, D. E. (2012). What does it take? Comparing intensive rehabilitation to outpatient treatment for children with significant pain-related disability. Journal of Pediatric Psychology, 38(2), 213–223.
Tegethoff, M., Belardi, A., Stalujanis, E., & Meinlschmidt, G. (2015). Comorbidity of mental disorders and chronic pain: Chronology of onset in adolescents of a National Representative Cohort. The Journal of Pain, 16(10), 1054–1064.
Valrie, C. R., Bromberg, M. H., Palermo, T., & Schanberg, L. E. (2013). A systematic review of sleep in pediatric pain populations. Journal of Developmental and Behavioral Pediatrics, 34(2), 120–128.
Vinall, J., Pavlova, M., Asmundson, G. J., Rasic, N., & Noel, M. (2016). Mental health comorbidities in pediatric chronic pain: A narrative review of epidemiology, models, neurobiological mechanisms and treatment. Children (Basel), 3(4), E40.
Walther-Larsen, S., Pedersen, M. T., Friis, S. M., Aagaard, G. B., Romsing, J., Jeppesen, E. M., & Friedrichsdorf, S. J. (2017). Pain prevalence in hospitalized children: A prospective cross-sectional survey in four Danish university hospitals. Acta Anaesthesiologica Scandinavica, 61, 328–337.
Williams, A. E., & Rhudy, J. L. (2009). Supraspinal modulation of trigeminal nociception and pain. Headache, 49(5), 704–720.
Wilson, A. C., Samuelson, B., & Palermo, T. M. (2010). Obesity in children and adolescents with chronic pain: Associations with pain and activity limitations. The Clinical Journal of Pain, 26(8), 705–711.
Woolf, C. J. (2011). Central sensitization: Implications for the diagnosis and treatment of pain. Pain, 152(3 Suppl), S2–S15.
Yarnitsky, D. (2010). Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): Its relevance for acute and chronic pain states. Current Opinion in Anaesthesiology, 23(5), 611–615.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Foxen-Craft, E., Williams, A.E., Scott, E.L. (2020). The Problem of Pain: Chronic Pain. In: Carter, B.D., Kullgren, K.A. (eds) Clinical Handbook of Psychological Consultation in Pediatric Medical Settings. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-030-35598-2_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-35598-2_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-35597-5
Online ISBN: 978-3-030-35598-2
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)