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Behavior Management of Recurrent Pain in Children

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Handbook of Child Behavior Therapy

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

Abstract

Recurrent pain represents a clinically significant health problem for many children and adolescents. Recurrent pain is characterized by repeated painful episodes experienced across several months that occur in the absence of well-defined organic pathology. The most common types of recurrent pain involve headaches and recurrent abdominal pain (RAP), and those most affected are typically school-aged children and adolescents who are usually healthy and pain-free between episodes.

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References

References

  • Allen, K.D., and McKeen, L. (1991). Home-based multicomponent treatment of pediatric migraine. Headache,31, 467–472.

    Article  PubMed  Google Scholar 

  • Allen, K.D., and Shriver, M.D. (1997). Enhanced performance feedback to strengthen biofeedback treatment outcome with childhood migraine. Headache,37, 169–173.

    Article  PubMed  Google Scholar 

  • Allen, K.D., Barone, V.J., and Kuhn, B.R. (1993). A behavioral prescription for promoting applied behavior analysis within pediatrics. Journal ofApplied Behavior Analysis,26, 493–502.

    Article  Google Scholar 

  • Andrasik, E, Kabela, E., Quinn, S., Attanasio, V, Blanchard, E., and Rosenblum, E.L. (1988). Psychological functioning of children who have recurrent migraine. Pain, 34,43–52.

    Article  PubMed  Google Scholar 

  • Apley, J. (1975). The child with abdominal pain (2nd ed). Oxford, England: Blackwell.

    Google Scholar 

  • Apley, J., and Naish, N. (1958). Recurrent abdominal pains: A field survey of 1,000 school children. Archives of Disease in Children, 33, 165–170.

    Article  Google Scholar 

  • Apley, J., Haslam, D.R., and Tulloch, G. (1971). Pupillary reaction in children with recurrent pain. Archives of Diseases in Children,46, 337.

    Article  Google Scholar 

  • Barlow, C.F. (1984). Headaches and migraine in childhood. Philadelphia: Lippincott.

    Google Scholar 

  • Barr, R.G. (1983). Recurrent abdominal pain. In M.D. Levine, W.B. Carey, A.C. Crocker, and R.T. Gross (Eds.), Developmental behavioral pediatrics (pp. 521–528). Philadelphia: Saunders.

    Google Scholar 

  • Barr, R.G., Levine, M.D., and Watkins, J.B. (1979). Recurrent abdominal pain of childhood due to lactose intolerance, New England Journal of Medicine, 300,1449–1452.

    Article  PubMed  Google Scholar 

  • Bieri, D., Reeve, R.A., Champion, G.D., Addicoat, L., and Zeigler, J.B. (1990). The faces pain scale for the self-assessment of the severity of pain experienced by children: Developmental, initial validation, and preliminary investigation for ratio scale properties. Pain, 41,139–1250.

    Article  PubMed  Google Scholar 

  • Bille, B. (1962). Migraine in schoolchildren. Acta Paediatrica Scandinavica,51, 1–151.

    Article  Google Scholar 

  • Budd, K.S., Workman, D.E., Lemsky, C.M., and Quick, D.M. (1994). The Children’s Headache Assessment Scale (CHAS): Factor structure and psychometric properties. Headache,17, 159–179.

    Google Scholar 

  • Burke, E., and Andrasik, E (1989). Home vs clinic-based biofeedback treatment for pediatric migraine: Results of treatment through one-year follow-up. Headache,29, 434–440.

    Article  PubMed  Google Scholar 

  • Christensen, M.F., and Mortensen, O. (1975). Long-term prognosis in children with recurrent abdominal pain. Archives of Disease in Children, 50,110–114.

    Article  Google Scholar 

  • Cooper, P., Bawden, H., Camfield, P., and Camfield, C. (1987). Anxiety and life events in childhood migraine. Pediatrics,79, 999–1104.

    PubMed  Google Scholar 

  • Cunningham, S.J., McGrath, P.J., Ferguson, H.B., Humphreys, E, D’Astous, J., Latter, J., Goodman, J., and Firestone, P. (1987). Personality and behavioral characteristics in pediatric migraine. Headache, 27,16–20.

    Article  PubMed  Google Scholar 

  • Dimson, S.B. (1971). Transit time related to clinical findings in children with recurrent abdominal pain. Pediatrics,47, 666–674.

    PubMed  Google Scholar 

  • Duckro, P.N., and Cantwell-Simmons, E. (1989). A review of studies evaluating biofeedback and relaxation training in the management of pediatric headache. Headache,29, 428–433.

    Article  PubMed  Google Scholar 

  • Edwards, M.C., Finney, J.W., and Bonner, M. (1991). Matching treatment with recurrent abdominal pain symptoms: An evaluation of dietary fiber and relaxation treatments. Behavior Therapy, 22,257–267.

    Article  Google Scholar 

  • Egger, J., Carter, C.M., Wilson, J., Turner, M.W., and Soothill, J.F. (1983). Is migraine food allergy? A double-blind controlled trial of oligoantigenic diet treatment. Lancet,2, 865–869.

    Article  PubMed  Google Scholar 

  • Farrell, M.K. (1984). Abdominal pain. Pediatrics,74(Suppl.), 955–957.

    PubMed  Google Scholar 

  • Feldman, W, McGrath, P.J., Hodgson, C., Riter, H., and Shipman, R.T. (1985). The use of dietary fibre in the management ofsimple childhood idiopathic recurrent abdominal pain: Results in a prospective double blind randomized controlled trial. American Journal of Disease in Children, 139, 1216–1218.

    Google Scholar 

  • Feuerstein, M., Barr, R.G., Francoeur, T.E., Houle, M., and Rafman, S. (1982). Potential biobehavioral mechanisms of recurrent abdominal pain in children. Pain,13, 287–298.

    Article  PubMed  Google Scholar 

  • Finney, J.W., Lemanek, K.L., Cataldo, M.F., Katz, H.P., and Fuqua, R.W. (1989). Pediatric psychology in primary health care: Brief targeted therapy for recurrent abdominal pain. Behavior Therapy, 20, 283–291.

    Article  Google Scholar 

  • Fordyce, W.E. (1976). Behavioral methods for chronic pain and illness. St. Louis: Mosby.

    Google Scholar 

  • Fordyce, W.E., and Steger, J.C. (1979). Chronic pain. In O.F. Pomerleau and J.P. Brady (Eds.). Behavioral medicine: Theory and practice (125–153). Baltimore: Williams and Wilkins.

    Google Scholar 

  • Gaffney, A., and Gaffney, P.R. (1987). Recurrent abdominal pain in children and the endogenous opiates: A brief hypothesis. Pain,30, 217–219.

    Article  PubMed  Google Scholar 

  • Grazzi, L., Leone, M., Frediani, E, and Bussone, G. (1990). A therapeutic alternative for tension headache in children: Treatment and 1-year follow-up results. Biofeedback and Self-Regulation, 15(1), 1–6.

    Article  PubMed  Google Scholar 

  • Guarnieri, P., and Blanchard, E.B. (1990). Evaluation of home-based thermal biofeedback treatment of pediatric migraine headache. Biofeedback and Self-Regulation, 15, 179–184.

    Article  PubMed  Google Scholar 

  • Guidetti, V, Fornara, R., Ottaviano, S., Petrilli, A., Seri, S., and Cortesi, E (1987). Personality inventory for children and childhood migraine. Cephalalgia,7, 225–230.

    Article  PubMed  Google Scholar 

  • Haynes, S.N., Gannon, L.R., Orimoto, L., O’Brien, W.H., and Brandt, M. (1991). Psychophysiological assessment of post-stress recovery. Psychological Assessment, 3,356–365.

    Article  Google Scholar 

  • Hodges, K., Kline, J.J., Barbero, G., and Flanery, R. (1985). Depressive symptoms in children with recurrent abdominal pain and in their families. Journal of Pediatrics, 107,622–626.

    Article  PubMed  Google Scholar 

  • Hodges, K., Kline, J.J., Barbero, G., and Woodruff, C. (1985). Anxiety in children with recurrent abdominal pain and their parents. Psychosomatics,26, 859–866.

    Article  PubMed  Google Scholar 

  • Holden, E.W., Gladstein, J., Trulsen, M., and Wall, B. (1994). Chronic daily headache in children and adolescents. Headache, 34,508–514.

    Article  PubMed  Google Scholar 

  • International Headache Society. (1988). Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia,8, 19–28

    Article  Google Scholar 

  • Janis, I., Defares, P., and Grossman, P. (1983). Hypervigilant reactions to threat. In H. Selye (Ed.), Selye guide to stress research (Vol. 3). New York: Scientific and Academic Editions.

    Google Scholar 

  • Kopel, F.B., Kim, I.C., and Barbers, G.J. (1967). Comparison of rectosigmoid motility in normal children, children with recurrent abdominal pain and children with ulcerative colitis. Pediatrics,64, 539–545.

    Google Scholar 

  • Kuhn, B.R., and Allen, K.D. (1993, November). Long-term follow-up of home-based treatment of pediatric migraine. Paper presented at the annual convention of Association for Advancement of Behavior Therapy, Atlanta, GA.

    Google Scholar 

  • Kuhn, B.R., Allen, K.D., and Shriver, M.D. (1995). Behavioral management of children’s seizure activity: Intervention guidelines for primary care providers. Clinical Pediatrics, 34, 570–575.

    Article  PubMed  Google Scholar 

  • Labbe, E. (1995). Treatment of childhood migraine with auto-genic and skin temperature biofeedback: A component analysis. Headache,35, 10–13.

    Article  PubMed  Google Scholar 

  • Larsson, B., Melin, L., and Doberi, A. (1990). Recurrent tension headache in adolescents treated with self-help relaxation training and muscle relaxant drug. Headache,30, 665–671.

    Article  PubMed  Google Scholar 

  • Levine, M.D., and Rappaport, L.A. (1984). Recurrent abdominal pain in school children: The loneliness of the long distance physician. Pediatric Clinics of North America, 31,969–991.

    PubMed  Google Scholar 

  • Linet, M.S., Stewart, W.F., Celentano, D.D., Ziegler, D., Sprecher, M. (1989). An epidemiological study of headache among adolescents and young adults. Journal ofAmerican Medical Association,261(15), 2211–2216.

    Article  Google Scholar 

  • McGrath, P.A. (1987). The multidimensional assessment and management of recurrent pain syndromes in children and adolescents. Behavior Research and Therapy,25, 251–262.

    Article  Google Scholar 

  • McGrath, P.A. (1990). Pain in children: Nature,assessment and treatment. New York: Guilford.

    Google Scholar 

  • McGrath, P.A., and deVerber, L.L. (1986). The management of acute pain evoked by medical procedures in children with cancer. Journal of Pain and Symptom Management, 1, 145–150.

    Article  PubMed  Google Scholar 

  • McGrath, P.J., and Feldman, W. (1986). Clinical approach to recurrent abdominal pain in children. Developmental and Behavioral Pediatrics, 7, 56–63.

    Article  Google Scholar 

  • McGrath, P.J., and Unruh, A.M. (1987). Pain in children and adolescents. New York: Elsevier.

    Google Scholar 

  • McGrath, P.J., Goodman, J.T., Firestone, P., Shipman, R., Peters, S. (1983). Recurrent abdominal pain: A psychogenic disorder? Archives of Disease in Childhood,58, 888–890.

    Article  PubMed  Google Scholar 

  • McGrath, P.J., Cunningham, S.J., Lascelles, M.A., and Humphreys, P. (1990). Help yourself A treatment for migraine headaches [Patient manual and audiotape]. Ottawa, Ontario, Canada: University of Ottawa Press.

    Google Scholar 

  • McGrath, P.J., Humphreys, P., Keene, D., Goodman, J., Las-celles, M., Cunningham, J., and Firestone, P. (1992). The efficacy and efficiency of a self-administered treatment for adolescent migraine. Pain, 49,321–324.

    Article  PubMed  Google Scholar 

  • McMahon, C., Harper, D.C., and Cruikshank, B. (1990). Assessment and treatment of recurrent abdominal pain: Guidelines for the school psychologist. School Psychology Review, 19(2), 212–222.

    Google Scholar 

  • Newacheck, P.W., and Taylor, W. (1992). Childhood chronic illness: Prevalence, severity, and impact. American Journal of Public Health,82, 364–371.

    Article  PubMed  Google Scholar 

  • Oster, J. (1972). Recurrent abdominal pain, headache and limb pains in children and adolescents. Pediatrics,50, 429–436.

    PubMed  Google Scholar 

  • Parcel, G.S., Nader, P.R., and Meyer, M.P. (1977). Adolescent health concerns, problems, and patterns of utilization in a true ethnic urban population. Pediatrics, 60,157.

    PubMed  Google Scholar 

  • Rachlin, H. (1985). Pain and behavior. Behavioral and Brain Sciences, 8(1), 43–83.

    Article  Google Scholar 

  • Rappaport, L.A., and Leichnter, A.M. (1993). Recurrent abdominal pain. In N.L. Schechter, C.B. Berde, and M. Yaster (Eds.), Pain in infants, children, and adolescents (pp. 561–569). Philadelphia: Williams and Wilkins.

    Google Scholar 

  • Routh, D.K., Ernst, A.R., and Harper, D.C. (1988). Recurrent abdominal pain in children and somatization disorder. In D.K. Routh (Ed.), Handbook of pediatric psychology (pp. 492–504). New York: Guilford.

    Google Scholar 

  • Sanders, M.R., Rebgetz, M., Morrison, M., Bor, W, Gordon, A., Dadds, M., and Sheperd, R. (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, 57,294–300.

    Article  PubMed  Google Scholar 

  • Sanders, M.R., Shepherd, R.W., Cleghorn, G., and Woolford, H. (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, 62,306–314.

    Article  PubMed  Google Scholar 

  • Schwartz, M.S. (1995). Baselines. In M.S. Schwartz (Ed.), Biofeedback: A practitioners guide. (2nd ed.). New York: Guilford.

    Google Scholar 

  • Sillanpaa, M. (1983). Changes in the prevalence of migraine and other headaches during the first seven school years. Headache,23, 15–19.

    Article  PubMed  Google Scholar 

  • Skinner, B.F. (1957). Science and human behavior. New York: Macmillan.

    Google Scholar 

  • Stokes, T.F., and Baer, D.M. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis,10, 349–367.

    Article  PubMed  Google Scholar 

  • Turk, D.C., and Flor, H. (1987). Pain>pain behaviors: The utility and limitations of the pain behavior construct. Pain,31, 277–295.

    Article  PubMed  Google Scholar 

  • Walker, L.S., Garber, J., Van Slyke, D.A., and Greene, J.W. (1995). Long-term health outcomes in patients with recurrent ab- dominal pain. Journal of Pediatric Psychology 20, 233–245.

    Article  PubMed  Google Scholar 

  • Wall, P.D. (1984). Mechanisms of acute and chronic pain. In L. Kruger and J.C. Liebeskind (Eds.), Advances in pain re-search and therapy (Vol. 9, pp. 575–587). New York: Raven.

    Google Scholar 

  • Zeltzer, L.K., Barr, R.G., McGrath, P.A., and Schechter, N.L. (1992). Pediatric pain: Interacting behavioral and physical factors. Pediatrics,90(5), 816–821.

    PubMed  Google Scholar 

Bibliography

  • Barlow, C.F. (1984). Headaches and migraine in childhood. Philadelphia: J.B. Lippincott.

    Google Scholar 

  • Barr, R.G. (1983). Recurrent abdominal pain. In M.D. Levine, W.B. Carey, A.C. Crocker, and R.T. Gross (Eds.), Developmental behavioral pediatrics (pp. 521–528). Philadelphia: Saunders.

    Google Scholar 

  • Fordyce, W.E. (1976). Behavioral methods for chronic pain and illness. St. Louis: Mosby.

    Google Scholar 

  • Levine, M.D., and Rappaport, L.A. (1984). Recurrent abdominal pain in school children: The loneliness of the long distance physician. Pediatric Clinics of North America, 31,969–991.

    PubMed  Google Scholar 

  • Rachlin, H. (1985). Pain and behavior. Behavioral and Brain Sciences,8(1), 43–83.

    Article  Google Scholar 

  • Schwartz, M.S. (Ed.). (1995). Biofeedback: A practitioners guide (2nd ed.). New York: Guilford.

    Google Scholar 

  • Zeltzer, L.K., Barr, R.G., McGrath, P.A., and Schechter, N.L. (1992). Pediatric pain: Interacting behavioral and physical factors. Pediatrics, 90(5),816–821.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric Psychology, Munroe-Meyer Institute for Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, 68198-5450, USA

    Keith D. Allen & Judith R. Matthews

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  1. Keith D. Allen
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Editors and Affiliations

  1. Mississippi State University, Starkville, Mississippi, USA

    T. Steuart Watson

  2. University of California, Riverside, Riverside, California, USA

    Frank M. Gresham

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Allen, K.D., Matthews, J.R. (1998). Behavior Management of Recurrent Pain in Children. In: Watson, T.S., Gresham, F.M. (eds) Handbook of Child Behavior Therapy. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5323-6_14

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  • DOI: https://doi.org/10.1007/978-1-4615-5323-6_14

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