Abstract
Pain is a prevalent condition among adolescents. In fact, 30–40% of children and adolescents report experiencing pain at least once a week (Palermo 2000), and 5–25% of adolescents report some form of recurrent or chronic pain (Perquin et al. 2000; Goodman and McGrath 1991). Of those reporting recurrent pain, 30–40% of children report pain episodes at least once a week (Kristjansdottir 1997). In terms of specific pain conditions, data indicate that the most common chronic pain conditions among adolescents are headaches, abdominal pain, back pain, and musculoskeletal pain (Goodman and McGrath 1991; Morsy 2006).
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References
Aasland, A., Flato, B., et al. (1997). Psychosocial outcome in juvenile chronic arthritis: A nine-year follow-up. Clinical and Experimental Rheumatology, 15(5), 561–568 [Journal Article. Research Support, Non-U.S. Gov’t].
Allen, K. D., Elliott, A. J., et al. (2002). Behavioral pain management for pediatric headache in primary care. Children’s Health Care, 31(3), 175–189.
Balousek, S., Plane, M. B., et al. (2007). Prevalence of interpersonal abuse in primary care patients prescribed opioids for chronic pain. Journal of General Internal Medicine, 22(9), 1268–1273.
Banks, S. M., & Kerns, R. D. (1996). Explaining high rates of depression in chronic pain: A diathesis stress framework. Psychological Bulletin, 119, 95–110.
Barry, J., von Baeyer, C. L., et al. (1997). Brief cognitive-behavioral group treatment for children’s headache. The Clinical Journal of Pain, 13(3), 215–220.
Bousema, E. J., Verbunt, J. A., et al. (2007). Disuse and physical deconditioning in the first year after the onset of back pain. Pain, 130(3), 279–286.
Boyer, M., Compas, B., et al. (2006). Attentional biases to pain and social threat in children with recurrent abdominal pain. Journal of Pediatric Psychology, 39, 209–220.
Broome, M. E., Rehwaldt, M., et al. (1998). Relationships between cognitive behavioral techniques, temperament, observed distress, and pain reports in children and adolescents during lumbar puncture. Journal of Pediatric Nursing, 13(1), 48–54.
Brown, J., Berenson, K., et al. (2005). Documented and self-reported child abuse and adult pain in a community sample. The Clinical Journal of Pain, 21(5), 374–377.
Bruni, O., Fabrizi, P., et al. (1997). Prevalence of sleep disorders in childhood and adolescence with headache: A case-control study. (0333-1024).
Bucolo, M. J. S., Cuttle, L., Mill, J., Hilder, M., Miller, K., & Kimble, R. M. (2008). The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: A randomised controlled trial. Burns, 34(6), 803–808.
Campo, J. V., Bridge, J., et al. (2004). Recurrent abdominal pain, anxiety, and depression in primary care. Pediatrics, 113(4), 817–824.
Carson, J. W., Keefe, F. J., et al. (2006). A comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: A daily diary analysis of short- and long-term treatment effects. The Journal of Pain, 7(9), 615–625.
Carver, C. S., & Scheier, M. F. (2000). Perspectives on personality (4th ed.). Boston: Allyn and Bacon.
Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.
Chartier, M. J., Walker, J. R., et al. (2007). Childhood abuse, adult health, and health care utilization: Results from a representative community sample. American Journal of Epidemiology, 165(9), 1031–1038.
Chen, E., Craske, M. G., et al. (2000). Pain-sensitive temperament: Does it predict procedural distress and response to psychological treatment among children with cancer? Journal of Pediatric Psychology, 25(4), 269–278.
Chen, E., Cole, S. W., et al. (2004). A review of empirically supported psychosocial interventions for pain and adherence outcomes in sickle cell disease. Journal of Pediatric Psychology, 29(3), 197–209.
Compas, B. E., Connor-Smith, J. K., et al. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. [Review] [220 refs]. (0033-2909).
Connelly, M., & Schanberg, L. (2006). Latest developments in the assessment and management of chronic musculoskeletal pain syndromes in children. Current Opinion in Rheumatology, 18, 496–502.
Connelly, M., Rapoff, M. A., Thompson, N., & Connelly, W. (2006). Headstrong: A pilot study of a CDROM intervention for recurrent pediatric headache. Journal of Pediatric Psychology ,31, 737–747.
Conrad, R., Schilling, G., et al. (2007). Temperament and character personality profiles and personality disorders in chronic pain patients. Pain, 133(1–3), 197–209.
Conte, P. M., Walco, G. A., et al. (2003). Temperament and stress response in children with juvenile primary fibromyalgia syndrome. Arthritis and Rheumatism, 48(10), 2923–2930.
Crombez, G., Vlaeyen, J. W., Heuts, P. H., et al. (1999). Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability. Pain, 80, 329–339.
Dahlquist, L. M., Weiss, K., Clindaniel, L. D., et al. (2008). Effects of videogame distraction using a virtual reality type head-mounted display helmet on cold pressor pain in children. Journal of Pediatric Psychology. doi:10.1093/jpepsy/jsn023.
Drahovzal, D. N., Stewart, S. H., et al. (2006). Tendency to catastrophize somatic sensations: Pain catastrophizing and anxiety sensitivity in predicting headache. Cognitive Behaviour Therapy, 35(4), 226–235.
Eccleston, C., & Crombez, G. (1999). Pain demands attention: A cognitive-affective model of the interruptive function of pain. Psychological Bulletin, 125(3), 356–366.
Eccleston, C., Morley, S., et al. (2002). Systematic review of randomised controlled trials of psychological therapy for chronic pain in children and adolescents, with a subset meta-analysis of pain relief. Pain, 99(1–2), 157–165.
Eccleston, C., Malleson, P. N., Clinch, J., Connel, H., & Sourbut, C. (2003). Chronic pain in adolescents: Evaluation of a programme of interdisciplinary cognitive behaviour therapy. Archives of Disease in childhood ,88, 881–885.
Elgar, F. J., & McGrath, P. J. (2003). Self-administered psychosocial treatments for children and families. Journal of Clinical Psychology, 59(3), 321–339.
El-Metwally, A., Salminen, J. J., et al. (2004). Prognosis of non-specific musculoskeletal pain in preadolescents: A prospective 4-year follow-up study till adolescence. Pain, 110(3), 550–559.
Evans, S., & Keenan, T. R. (2007). Parents with chronic pain: are children equally affected by fathers as mothers in pain? A pilot study. Journal of Child Health Care ,11, 143–157 (1367–4935).
Fentress, D. W., Masek, B. J., et al. (1986). Biofeedback and relaxation training for pediatric headache disorders. Developmental Medicine and Child Neurology, 28, 139–146.
Fields, L., & Prinz, R. J. (1997). Coping and adjustment during childhood and adolescence. (0272-7358).
Fishbain, D. A., Cole, B., et al. (2006). Chronic pain and the measurement of personality: Do states influence traits? Pain Medicine, 7(6), 509–529 [see comment].
Flato, B., Aasland, A., et al. (1998). Outcome and predictive factors in juvenile rheumatoid arthritis and juvenile spondyloarthropathy. (0315-162X).
Fuggle, P., Shand, P. A., et al. (1996). Pain, quality of life, and coping in sickle cell disease. Archives of Disease in Childhood, 75(3), 199–203.
Gatchel, R. J., & Dersh, J. (2002). Psychological disorders and chronic pain: Are there cause-and-effect relationships. In D. C. Turk & R. J. Gatchel (Eds.), Psychological approaches to pain management. New York: Guilford.
Gil, K. M., Anthony, K. K., et al. (2001). Daily coping practice predicts treatment effects in children with sickle cell disease. Journal of Pediatric Psychology, 26(3), 163–173.
Goldberg, R. T., Pachas, W. N., et al. (1999). Relationship between traumatic events in childhood and chronic pain. Disability and Rehabilitation, 21(1), 23–30.
Goodman, J. E., & McGrath, P. J. (1991). The epidemiology of pain in children and adolescents: A review. Pain, 46(3), 247–264.
Greco, L. A., Freeman, K. E., et al. (2007). Overt and relational victimization among children with frequent abdominal pain: links to social skills, academic functioning, and health service use. (0146-8693): 20060713.
Haugland, S., Wold, B., et al. (2001). Subjective health complaints in adolescence. A cross-national comparison of prevalence and dimensionality. European Journal of Public Health, 11(1), 4–10.
Hermann, C., Kim, M., et al. (1995). Behavioral and prophylactic pharmacological intervention studies of pediatric migraine: An exploratory meta-analysis. Pain, 60(3), 239–255.
Hicks, C. L., von Baeyer, C. L., et al. (2006). Online psychological treatment for pediatric recurrent pain: A randomized evaluation. Journal of Pediatric Psychology, 31(7), 724–736.
Hoffman, H. G., Richards, T. L., Coda, B., Bills, A. R., Blough, D., Richards, A. L., & Sharar, S. R. (2004). Modulation of thermal pain-related brain activity with virtual reality: Evidence from fMRI. NeuroReport, 15(8), 1245–1248 [Clinical Trial. Journal Article. Randomized Controlled Trial. Research Support, Non-U.S. Gov’t. Research Support, U.S. Gov’t, P.H.S.].
Holden, E., Deichmann, M. M., et al. (1999). Empirically supported treatments in pediatric psychology: Recurrent pediatric headache. Journal of Pediatric Psychology, 24(2), 91–109.
Hunsley, J., Aubrey, T., et al. (1997). A profile of Canadian consumers of psychological services. Ottawa: Canadian Psychological Association.
Janicke, D. M., Finnev, J. W., et al. (1999). Empirically supported treatments in pediatric psychology: Recurrent abdominal pain. Journal of Pediatric Psychology, 24(2), 115–127 [see comment].
Kashikar-Zuck, S., Swain, N. F., et al. (2005). Efficacy of cognitive-behavioral intervention for juvenile primary fibromyalgia syndrome. The Journal of Rheumatology, 32(8), 1594–1602.
Kaslow, N. J., Collins, M. H., et al. (1997). Empirically validated family interventions for pediatric psychology: Sickle cell disease as an exemplar. Journal of Pediatric Psychology, 22(2), 213–227.
Kazak, A. E., Simms, S., et al. (2002). Family systems practice in pediatric psychology. Journal of Pediatric Psychology, 27(2), 133–143.
Kendall-Tackett, K., & Kendall-Tackett, K. (2001). Chronic pain: The next frontier in child maltreatment research. Child Abuse & Neglect, 25(8), 997–1000 [see comment].
Kleiber, C., Suwanraj, M., et al. (2007). Pain-sensitive temperament and postoperative pain. Journal for Specialists in Pediatric Nursing, 12(3), 149–158.
Kristjansdottir, G. (1997). Prevalence of pain combinations and overall pain: A study of headache, stomach pain and back pain among school-children. (0300-8037).
Labbe, E. E. (1995). Treatment of childhood migraine with autogenic training and skin temperature biofeedback: A component analysis. Developmental and Behavioral Pediatrics, 11, 65–68.
Langeveld, J. H., Koot, H. M., et al. (1997). Headache intensity and quality of life in adolescents. How are changes in headache intensity in adolescents related to changes in experienced quality of life? Headache, 37(1), 37–42.
Larsson, B., Melin, L., et al. (1987). A school-based treatment of chronic headaches in adolescents. Journal of Pediatric Psychology, 12(4), 553–566.
Larsson, B., Carlsson, J., et al. (2005). Relaxation treatment of adolescent headache sufferers: Results from a school-based replication series. Headache, 45(6), 692–704.
Lavigne, J. V., Ross, C. K., et al. (1992). Evaluation of a psychological treatment package for treating pain in juvenile rheumatoid arthritis. Arthritis Care and Research, 5, 101–110.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Levy, R. L., Whitehead, W. E., et al. (2004). Increasedw somatic complaints and health-care utilization in children: Effects of parent IBS status and parent response to gastrointestinal symptoms. The American Journal of Gastroenterology, 99(12), 2442–2451.
Lipani, T. A., Walker, L. S., et al. (2006). Children’s appraisal and coping with pain: Relation to maternal ratings of worry and restriction in family activities. Journal of Pediatric Psychology, 31(7), 667–673.
Lipsitz, J. D., Masia, C., et al. (2005). Noncardiac chest pain and psychopathology in children and adolescents. Journal of Psychosomatic Research, 59(3), 185–188.
Logan, D. E., Coakley, R. M., et al. (2007). Teachers’ perceptions of and responses to adolescents with chronic pain syndromes. (0146-8693): 20060412.
Long, A., Palermo, T. M., et al. (2008). Brief Report: Using actigraphy to compare physical activity levels in adolescents with chronic pain and healthy adolescents. Journal of Pediatric Psychology, 33(6), 660–665.
MacLaren, J. E., & Kain, Z. N. (2007). Perioperative biopsychosocial research: The future is here. (0952-8180).
Martin, A. L., McGrath, P. A., et al. (2007). Children with chronic pain: Impact of sex and age on long-term outcomes. Pain, 128(1–2), 13–19.
McCracken, L. M., Vowles, K. E., et al. (2007). A prospective investigation of acceptance and control-oriented coping with chronic pain. Journal of Behavioral Medicine, 30(4), 339–349.
McGrath, P. A., & Holahan, A. L. (2003). Psychological interventions with children and adolescents: Evidence for their effectiveness in treating chronic pain. Seminars in Pain Medicine, 1, 99–109.
McGrath, P., Humphreys, P., et al. (1988). Relaxation prophylaxis for childhood migraine: A randomized placebo-controlled trial. Developmental Medicine and Child Neurology, 30(5), 626–631.
McGrath, P. A., Speechley, K. N., et al. (2000). A survey of children’s acute, recurrent, and chronic pain: Validation of the pain experience interview. Pain, 87(1), 59–73.
Melzack, R. (1999). From the gate to the neuromatrix. Pain Supplement, 6, S121–S126.
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(699), 971–979.
Melzack, R., & Casey, K. L. (1968). Sensory motivational and central control determinants of pain: A new conceptual model. In D. Kenshalo (Ed.), The Skin Senses, 423–443. Springfield IL: Thomas.
Midence, K., Fuggle, P., et al. (1993). Psychosocial aspects of sickle cell disease (SCD) in childhood and adolescence: A review. The British Journal of Clinical Psychology, 32(Pt 3), 271–280 [Review] [42 refs].
Mikail, S. F., & von Baeyer, C. L. (1990). Pain, somatic focus, and emotional adjustment in children of chronic headache sufferers and controls. Social Science & Medicine, 31(1), 51–59.
Miller, A. J., & Kratochwill, T. R. (1979). Reduction in frequent stomachache complaints by time out. Behavior Therapy, 10, 211–218.
Morsy, A. A. K. (2006). Prevalence of perceived pain and its impact on daily lives and activities of adolescents. African Journal of Health Sciences, 13, 18–28.
Muris, P., Meesters, C., et al. (2007). Personality and temperament correlates of pain catastrophizing in young adolescents. Child Psychiatry and Human Development, 38(3), 171–181.
Murray, C. D., Pettifer, S., Howard, T., Patchick, E. L., Caillette, F., Kulkarni, J., & Bamford, C. (2007). The treatment of phantom limb pain using immersive virtual reality: Three case studies. Disability and Rehabilitation, 29(18), 1465–1469.
Newacheck, P. W., & Taylor, W. R. (1992). Childhood chronic illness: Prevalence, severity, and impact. American Journal of Public Health, 82(3), 364–371.
Nishina, A., & Juvonen, J. (2005). Daily reports of witnessing and experiencing peer harassment in middle school. Child Development, 76(2), 435–450.
Norton, P. J., & Asmundson, G. J. (2004). Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 111(1–2), 218–223.
Oneal, B. J., Patterson, D. R., Soltani, M., Teeley, A., & Jensen, M. P. (2008). Virtual reality hypnosis in the treatment of chronic neuropathic pain: A case report. The International Journal of Clinical and Experimental Hypnosis, 56(4), 451–462.
Osborne, R. B., Hatcher, J. W., et al. (1989). The role of social modeling in unexplained pediatric pain. Journal of Pediatric Psychology, 14(1), 43–61.
Palermo, T. M. (2000). Impact of recurrent and chronic pain on child and family daily functioning: A critical review of the literature. Journal of Developmental and Behavioral Pediatrics, 21(1), 58–69.
Pells, J., Edwards, C. L., McDougald, C. S., Wood, M., Barksdale, C., Jonassaint, J., Leach-Beale, B., Byrd, G., Mathis, M., Harrison, M. O., Feliu, M., Edwards, L. Y., Whitfield, K. E., & Rogers, L. (2007). Fear of movement (kinesiophobia), pain, and psychopathology in patients with sickle cell disease. The Clinical Journal of Pain, 23(8), 707–713.
Perquin, C. W., Hazebroek-Kampschreur, A. A., et al. (2000). Pain in children and adolescents: A common experience. Pain, 87(1), 51–58.
Peterson, C. C., & Palermo, T. M. (2004). Parental reinforcement of recurrent pain: The moderating impact of child depression and anxiety on functional disability. Journal of Pediatric Psychology, 29(5), 331–341.
Powers, S. W., Mitchell, M. J., et al. (2002). Longitudinal assessment of pain, coping, and daily functioning in children with sickle cell disease receiving pain management skills training. Journal of Clinical Psychology in Medical Settings, 9(2), 109–119.
Ramchandani, P. G., Stein, A., et al. (2006). Early parental and child predictors of recurrent abdominal pain at school age: Results of a large population-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 45(6), 729–736.
Reid, G. J., Gilbert, C. A., et al. (1998). The pain coping questionnaire: Preliminary validation. Pain, 76(1–2), 83–96.
Reiss, S., Peterson, R. A., et al. (1986). Anxiety sensitivity, anxiety frequency and the predictions of fearfulness. Behaviour Research and Therapy, 24(1), 1–8.
Robins, P. M., Smith, S. M., et al. (2005). A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain. Journal of Pediatric Psychology, 30(5), 397–408.
Rocha, E. M., Prkachin, K. M., et al. (2003). Pain reactivity and somatization in kindergarten-age children. Journal of Pediatric Psychology, 28(1), 47–57.
Rocha, E. M., Prkachin, K. M., et al. (2007). Temperament and pain reactivity predict health behavior seven years later. Journal of Pediatric Psychology, 32(4), 393–399.
Roelofs, J., Goubert, L., Peters, M. L., Vlaeyen, J. W., & Crombez, G. (2004). The Tampa Scale for Kinesiophobia: Further examination of psychometric properties in patients with chronic low back pain and fibromyalgia. European Journal of Pain, 8(5), 495–502.
Roth, S., & Cohen, L. J. (1986). Approach, avoidance, and coping with stress. The American Psychologist, 41, 813–819.
Sanders, M. R., Rebgetz, M., et al. (1989). Cognitive-behavioral treatment of recurrent nonspecific abdominal pain in children: An analysis of generalization, maintenance, and side effects. Journal of Consulting and Clinical Psychology, 57(2), 294–300.
Sanders, M. R., Shepherd, R. W., et al. (1994). The treatment of recurrent abdominal pain in children: A controlled comparison of cognitive-behavioral family intervention and standard pediatric care. Journal of Consulting and Clinical Psychology, 62(2), 306–314.
Sanders, M. R., Cleghorn, G., et al. (1996). Predictors of clinical improvement in children with recurrent abdominal pain. Behavioural and Cognitive Psychotherapy, 24(1), 27–38.
Schanberg, L. E., Anthony, K. K., et al. (2001). Family pain history predicts child health status in children with chronic rheumatic disease. Pediatrics, 108(3), E47.
Scharff, L., Marcus, D. A., et al. (2002). A controlled study of minimal-contact thermal biofeedback treatment in children with migraine. Journal of Pediatric Psychology, 27(2), 109–119.
Shapiro, B. S., Dinges, D. F., et al. (1995). Home management of sickle cell-related pain in children and adolescents: Natural history and impact on school attendance. Pain, 61(1), 139–144.
Stewart, S. H., Asmundson, G. J., et al. (2006). Anxiety sensitivity and its impact on pain experiences and conditions: A state of the art. Cognitive Behaviour Therapy, 35(4), 185–188.
Sullivan, M. J., Rodgers, W. M., et al. (2001). Catastrophizing, depression and expectancies for pain and emotional distress (0304-3959).
Trautmann, E., Lackschewitz, H., et al. (2006). Psychological treatment of recurrent headache in children and adolescents–a meta-analysis. Cephalalgia, 26(12), 1411–1426.
Tsao, J. C., Meldrum, M., et al. (2007). Anxiety sensitivity and health-related quality of life in children with chronic pain. The Journal of Pain, 8(10), 814–823.
Turk, D. C., & Monarch, E. S. (2002). Biopsychosocial perspective on chronic pain. In D. C. Turk & R. J. Gatchel (Eds.), Psychological approaches to pain management. New York: Guilford.
van Tilburg, M. A., Venepalli, N., et al. (2006). Parents’ worries about recurrent abdominal pain in children. Gastroenterology Nursing, 29(1), 50–55. quiz 56–57.
Vancleef, L. M., Peters, M. L., Roelofs, J., & Asmundson, G. J. (2006). Do fundamental fears differentially contribute to pain-related fear and pain catastrophizing? An evaluation of the sensitivity index. European Journal of Pain, 10(6), 527–536.
Violon, A., & Giurgea, D. (1984). Familial models for chronic pain. Pain, 18(2), 199–203.
Viry, P., Creveuil, C., et al. (1999). Nonspecific back pain in children. A search for associated factors in 14-year-old schoolchildren. Revue du Rhumatisme, 66(7–9), 381–388. English Edition.
Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85(3), 317–332.
Vowles, K. E., McCracken, L. M., et al. (2007). Processes of change in treatment for chronic pain: The contributions of pain, acceptance, and catastrophizing. European Journal of Pain, 11(7), 779–787.
Waddell, G., Newton, M., et al. (1993). A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain, 52(2), 157–168.
Walco, G. A., Varni, J. W., et al. (1992). Cognitive-behavioral pain management in children with juvenile rheumatoid arthritis. Pediatrics, 89(6 Pt 1), 1075–1079.
Walco, G. A., Sterling, C. M., et al. (1999). Empirically supported treatments in pediatric psychology: Disease-related pain. Journal of Pediatric Psychology, 24(2), 155–167. discussion 168–171.
Walker, L. S., Garber, J., et al. (1993). Psychosocial correlates of recurrent childhood pain: A comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorders. Journal of Abnormal Psychology, 102(2), 248–258.
Walker, L. S., Guite, J. W., et al. (1998). Recurrent abdominal pain: A potential precursor of irritable bowel syndrome in adolescents and young adults. Journal of Pediatrics, 132(6), 1010–1015.
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Chorney, J.M., Crofton, K., McClain, B.C. (2011). Theories on Common Adolescent Pain Syndromes. In: McClain, B., Suresh, S. (eds) Handbook of Pediatric Chronic Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0350-1_3
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