Treatment Preferences for CAM in Children with Chronic Pain

CAM therapies have become increasingly popular in pediatric populations. Yet, little is known about children's preferences for CAM. This study examined treatment preferences in chronic pediatric pain patients offered a choice of CAM therapies for their pain. Participants were 129 children (94 girls) (mean age = 14.5 years ± 2.4; range = 8–18 years) presenting at a multidisciplinary, tertiary clinic specializing in pediatric chronic pain. Bivariate and multivariate analyses were used to examine the relationships between CAM treatment preferences and patient's sociodemographic and clinical characteristics, as well as their self-reported level of functioning. Over 60% of patients elected to try at least one CAM approach for pain. The most popular CAM therapies were biofeedback, yoga and hypnosis; the least popular were art therapy and energy healing, with craniosacral, acupuncture and massage being intermediate. Patients with a diagnosis of fibromyalgia (80%) were the most likely to try CAM versus those with other pain diagnoses. In multivariate analyses, pain duration emerged as a significant predictor of CAM preferences. For mind-based approaches (i.e. hypnosis, biofeedback and art therapy), pain duration and limitations in family activities were both significant predictors. When given a choice of CAM therapies, this sample of children with chronic pain, irrespective of pain diagnosis, preferred non-invasive approaches that enhanced relaxation and increased somatic control. Longer duration of pain and greater impairment in functioning, particularly during family activities increased the likelihood that such patients agreed to engage in CAM treatments, especially those that were categorized as mind-based modalities.

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Interventional pain-management techniques for chronic pain

Oxford Textbook of Pediatric Pain ◽

10.1093/med/9780198818762.003.0046 ◽

2021 ◽

pp. 483-493

Author(s):

Navil F. Sethna ◽

Walid Alrayashi ◽

Pradeep Dinakar ◽

Karen R. Boretsky

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Treatment Modalities ◽

Multidisciplinary Management ◽

Neuraxial Blockade ◽

Pediatric Chronic Pain ◽

Injection Techniques ◽

Pediatric Populations ◽

Interventional Pain Management

As part of the multidisciplinary management of pediatric chronic pain, interventional pain-management (IPM) techniques can play an important role when pain is unrelieved by conventional treatment modalities. Many procedures and indications are extrapolated from adult studies, and evidence for long-term efficacy in pediatric populations is limited. Interventions range from injection techniques with local anesthetic and/or corticosteroids to neuraxial blockade with implanted catheters. In selected patients, IPM procedures can serve as useful adjuncts in multidisciplinary management of chronic pain disorders.

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Patterns of anxiety symptoms in pediatric chronic pain as reported by youth, mothers, and fathers.

Clinical Practice in Pediatric Psychology ◽

10.1037/cpp0000126 ◽

2016 ◽

Vol 4 (1) ◽

pp. 51-62 ◽

Cited By ~ 17

Author(s):

Susan T. Tran ◽

Kristen E. Jastrowski Mano ◽

Kim Anderson Khan ◽

W. Hobart Davies ◽

Keri R. Hainsworth

Keyword(s):

Chronic Pain ◽

Anxiety Symptoms ◽

Mothers And Fathers ◽

Pediatric Chronic Pain

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Role of Ethnicity on Pain Perception, Fatigue, and Quality of Life in a Pediatric Chronic Pain Population

PsycEXTRA Dataset ◽

10.1037/e691752007-001 ◽

2007 ◽

Author(s):

Jeffrey I. Gold ◽

Trina Haselrig ◽

D. Colette Nicolaou ◽

Katharine A. Belmont

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Pain Perception ◽

Pediatric Chronic Pain

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A functional linear modeling approach to sleep–wake cycles in dogs

Scientific Reports ◽

10.1038/s41598-020-79274-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Hope J. Woods ◽

Ming Fei Li ◽

Ujas A. Patel ◽

B. Duncan X. Lascelles ◽

David R. Samson ◽

...

Keyword(s):

Chronic Pain ◽

Cognitive Dysfunction ◽

Healthy Adult ◽

Activity Patterns ◽

Linear Modeling ◽

Activity Monitors ◽

Companion Dogs ◽

Non Invasive ◽

Normal Sleep ◽

The Times

AbstractThe study of companion (pet) dogs is an area of great translational potential, as they share a risk for many conditions that afflict humans. Among these are conditions that affect sleep, including chronic pain and cognitive dysfunction. Significant advancements have occurred in the ability to study sleep in dogs, including development of non-invasive polysomnography; however, basic understanding of dog sleep patterns remains poorly characterized. The purpose of this study was to establish baseline sleep–wake cycle and activity patterns using actigraphy and functional linear modeling (FLM), for healthy, adult companion dogs. Forty-two dogs were enrolled and wore activity monitors for 14 days. FLM demonstrated a bimodal pattern of activity with significant effects of sex, body mass, and age; the effect of age was particularly evident during the times of peak activity. This study demonstrated that FLM can be used to describe normal sleep–wake cycles of healthy adult dogs and the effects of physiologic traits on these patterns of activity. This foundation makes it possible to characterize deviations from normal patterns, including those associated with chronic pain and cognitive dysfunction syndrome. This can improve detection of these conditions in dogs, benefitting them and their potential as models for human disease.

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Art Therapy Drawing Protocols for Chronic Pain: Quantitative Results from a Mixed Method Pilot Study

The Arts in Psychotherapy ◽

10.1016/j.aip.2020.101749 ◽

2020 ◽

pp. 101749

Author(s):

Noah Hass-Cohen ◽

Rebecca Bokoch ◽

Katherine Goodman ◽

K.J. Conover

Keyword(s):

Chronic Pain ◽

Pilot Study ◽

Art Therapy ◽

Mixed Method ◽

Quantitative Results

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(263) School-Related Attentional Biases in Pediatric Chronic Pain: Initial Development and Validation of a Novel Attentional Bias Task

Journal of Pain ◽

10.1016/j.jpain.2017.02.155 ◽

2017 ◽

Vol 18 (4) ◽

pp. S41

Author(s):

K. Jastrowski ◽

R. Gibler ◽

E. Beckmann ◽

A. Lynch-Jordan ◽

S. Kashikar-Zuck

Keyword(s):

Chronic Pain ◽

Attentional Bias ◽

Attentional Biases ◽

Initial Development ◽

Pediatric Chronic Pain ◽

Development And Validation

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Management of Chronic Nonmalignant Pain

Journal of Pharmacy Practice ◽

10.1177/089719009801100507 ◽

1998 ◽

Vol 11 (5) ◽

pp. 374-381 ◽

Cited By ~ 1

Author(s):

James T. O'Donnell ◽

Moriah B. Richie ◽

Lori A. Nesbitt

Keyword(s):

Chronic Pain ◽

Clinical Research ◽

Interpersonal Relationships ◽

State Level ◽

Social Consequences ◽

High Quality ◽

Level Of Functioning ◽

Nonmalignant Pain ◽

Chronic Nonmalignant Pain

Although advances in knowledge about the pathophysiology of pain have been impressive in recent years, high-quality clinical research in patients with chronic pain has not been abundant. Because chronic pain often leads to profound changes in psychologic state, level of functioning, and interpersonal relationships, treatment requires attention not only to the pathophysiologic cause of the pain (if one can be found) but also to the psychologic and social consequences (and antecedents).

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