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Chronic and Recurrent Pain: Hemophilia, Juvenile Rheumatoid Arthritis, and Sickle Cell Disease

  • Gary A. Walco
  • James W. Varni

Abstract

Pain in children represents a complex cognitive-developmental phenomenon, involving a number of biobehavioral components that synergistically interact to produce differential levels of pain perception and verbal and nonverbal manifestations (Varni, 1983). In marked contrast to the rather extensive literature on adult chronic pain assessment and management, the systematic investigation of pediatric chronic and recurrent pain from a cog-nitive-biobehavioral perspective represents a relatively new area of inquiry (Varni, Jay, Masek, & Thompson, 1986; Varni, Katz, & Dash, 1982). Given children’s various cognitive developmental stages, conceptualizations of pain and discomfort must be taken into consideration (Thompson & Varni, 1986). Thus, an accurate understanding of pain perception in children cannot be gleaned from simply applying downward the knowledge of pain perception in adults; rather, research and clinical practice in pediatric pain assessment and management must develop a separate, if not parallel, data base from the adult field that is sensitive to the unique characteristics of children. In the past several years a growing number of investigators have begun generating a substantial data base from which the clinical potential of cognitive-biobehavioral techniques in managing pediatric chronic and recurrent pain has become clear (McGrath, 1987a; Varni, Walco, & Wilcox, 1990).

Keywords

Pain Perception Juvenile Rheumatoid Arthritis Sickle Cell Disease Patient Recurrent Pain Chronic Musculoskeletal Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag New York Inc. 1991

Authors and Affiliations

  • Gary A. Walco
  • James W. Varni

There are no affiliations available

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