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

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Children in Pain

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).

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Authors
  1. Gary A. Walco
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  2. James W. Varni
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Editor information

Editors and Affiliations

  1. Department of Psychology, Virginia Commonwealth University, 806 West Franklin Street, 23284-2018, Richmond, VA, USA

    Joseph P. Bush

  2. Department of Gerontology, Virginia Commonwealth University, MCV Station, 23298, Richmond, VA, USA

    Stephen W. Harkins

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© 1991 Springer-Verlag New York Inc.

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Walco, G.A., Varni, J.W. (1991). Chronic and Recurrent Pain: Hemophilia, Juvenile Rheumatoid Arthritis, and Sickle Cell Disease. In: Bush, J.P., Harkins, S.W. (eds) Children in Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-6413-9_12

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  • DOI: https://doi.org/10.1007/978-1-4684-6413-9_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-6415-3

  • Online ISBN: 978-1-4684-6413-9

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