Psychosocial interventions for pediatric pain management

Cognitive behavior therapy (CBT) is the most commonly researched and empirically supported psychotherapy treatment for the management of pediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach. It is based on the concept that thoughts, feelings, and behaviors are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive behavior strategies commonly used for pediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for pediatric pain.

Download Full-text

Cognitive-behavioural interventions

Oxford Textbook of Paediatric Pain ◽

10.1093/med/9780199642656.003.0050 ◽

2013 ◽

pp. 519-530 ◽

Cited By ~ 1

Author(s):

Deirdre E. Logan ◽

Rachael M. Coakley ◽

Brittany N. Barber Garcia

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Practical Problem ◽

Psychological Treatment ◽

Behavioural Therapy ◽

Behavioural Interventions ◽

Empirically Supported ◽

Cognitive Behavioural ◽

Hands On ◽

Cognitive Behavioural Interventions

Cognitive-behavioural therapy (CBT) is the most commonly researched and empirically supported psychological treatment for the management of paediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach (Kendall, 2012). It is based on the concept that thoughts, feelings, and behaviours are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive-behavioural strategies commonly used for paediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for paediatric pain.

Download Full-text

Pediatric Pain and Postoperative Management

10.2310/pm.15028 ◽

2016 ◽

Author(s):

Elizabeth A.M. Frost

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Depressive Disorders ◽

Mental Health Problems ◽

Pediatric Population ◽

Postoperative Management ◽

Pediatric Pain ◽

Key Words Complications ◽

Regional Pain Syndromes ◽

Complex Regional Pain Syndromes

Both assessment and management of pain in children present challenges for perioperative physicians, including surgeons, anesthesiologists, intensivists, and pediatricians, among others. Several reports have indicated that pediatric pain is undertreated postoperatively compared with pain in adults, resulting in both severe physical consequences, such as the development of chronic pain and complex regional pain syndromes, and significant psychological distress, such as nightmares and reversal of learned behavior. Moreover, chronic pain in childhood has been shown to heighten the risk for mental health problems in adulthood. Children with chronic pain (n = 14,790) reported higher rates of lifetime anxiety disorders (21.1% versus 12.4%) and depressive disorders (24.5% vs 14.1%) as adults. Although many evidence-based practice guidelines for pain management in younger people have been developed, adherence is often less than complete. The perioperative physician should be aware of barriers in pediatric pain management and be able to address them, thus improving pain management and patient outcome. Some of the problems in dealing with pediatric pain management include a realization of the controversies as to the age at which children feel pain, how pain can be assessed from the newborn to the adolescent, how the level of education and involvement of parents impact the situation, and a general knowledge of available pain treatments for the pediatric population. Key words: complications, opioids, pediatrics, postoperative pain, regional techniques

Download Full-text

Biofeedback and Integrative Medicine in the Pain Clinic Setting

Biofeedback ◽

10.5298/1081-5937-42.03.10 ◽

2014 ◽

Vol 42 (3) ◽

pp. 111-114 ◽

Cited By ~ 1

Author(s):

Eric Willmarth ◽

Fred Davis ◽

Kevin Fitzgerald

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Integrative Medicine ◽

Management Practice ◽

Psychosocial Interventions ◽

Pain Clinic ◽

Health Practices ◽

Integrative Health ◽

Case Vignettes ◽

Chronic Pain Conditions

Formal pain management clinics have now existed for more than 30 years and from the beginning have incorporated integrative approaches to assist patients suffering from chronic pain conditions. This article will describe the development of these programs and the role that biofeedback and other psychosocial interventions have played in this development. Case vignettes and interviews are used to demonstrate the value of integrating biofeedback and other integrative health practices into a formal pain management practice.

Download Full-text