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Biopsychosocial Approaches to Pediatric Chronic Pain Management

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Opioid Therapy in Infants, Children, and Adolescents

Abstract

Pediatric chronic pain is prevalent among children and adolescents and the incidence is rising, resulting in considerable patient and family distress and impairment, as well as significant financial burden to health-care systems. The biopsychosocial framework has emerged as the predominant conceptualization of pediatric chronic pain. This framework highlights the complex relations among biological, psychological, sociocultural, and health behavior factors that contribute to interpersonal variability in the course and severity of chronic pain. It also guides treatment: the interdisciplinary pediatric chronic pain assessment and treatment model is structured to include clinicians of varying expertise who may together comprehensively address the biopsychosocial contributors to a given patient’s and family’s pain experience. This chapter provides an overview of the biopsychosocial framework, the interdisciplinary pediatric chronic pain treatment model, and examples of specific, evidence-based interventions including pharmacological, exercise-, and sensory discrimination-based, biobehavioral, and psychological treatments.

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Author information

Authors and Affiliations

  1. Pritzker Department of Psychiatry & Behavioral Health, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA

    Bonnie S. Essner

  2. Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA

    Bonnie S. Essner

  3. Department of Psychology, DePaul University, Chicago, IL, USA

    Susan T. Tran & Marissa L. Koven

Authors
  1. Bonnie S. Essner
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  2. Susan T. Tran
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  3. Marissa L. Koven
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Corresponding author

Correspondence to Bonnie S. Essner .

Editor information

Editors and Affiliations

  1. Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Ravi D. Shah

  2. Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Santhanam Suresh

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Essner, B.S., Tran, S.T., Koven, M.L. (2020). Biopsychosocial Approaches to Pediatric Chronic Pain Management. In: Shah, R., Suresh, S. (eds) Opioid Therapy in Infants, Children, and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-36287-4_16

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  • DOI: https://doi.org/10.1007/978-3-030-36287-4_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36286-7

  • Online ISBN: 978-3-030-36287-4

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