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Efficacy of Complementary and Alternative Medicine Approaches for Pediatric Pain

State of the Science

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Abstract

Pain may be a major cause of physical and emotional distress in chronic pediatric conditions, including cancer, juvenile arthritis, and cystic fibrosis. Complementary and alternative medical (CAM) therapies have become important and frequently used modalities in treating children’s pain. Yet, many practitioners have questioned whether there is sufficient evidence to support the efficacy and safety of CAM approaches for pain relief. This chapter aims to address these concerns by presenting a critical review of the available published evidence. We evaluated published studies testing CAM interventions for chronic or acute procedural pain; these study methodologies employed either controlled trials or multiple baseline studies. The evaluation criteria were developed by the American Psychological Association Division 12 Task Force on Promotion and Dissemination of Psychological Procedures to assess nonpharmacological therapies. Few of the CAM modalities qualify as empirically supported therapies under these rigorous criteria, although several met the standard for possibly efficacious or promising for pediatric pain. Our review of the published literature revealed a number of methodological flaws in existing studies. Clearly, more research on CAM therapies for children’s pain is needed.

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Authors and Affiliations

  1. Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA

    Jennie C. I. Tsao PhD

  2. John C. Liebeskind History of Pain Collection,Louise M. Darling Biomedical Library, University of California, Los Angeles, Los Angeles, CA

    Marcia Meldrum PhD

  3. Pediatric Pain Program, Department of Pediatrics, Anesthesiology, Psychiatry, and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA

    Lonnie K. Zeltzer MD

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  1. Jennie C. I. Tsao PhD
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  2. Marcia Meldrum PhD
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  3. Lonnie K. Zeltzer MD
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Editor information

Editors and Affiliations

  1. Departments of Anesthesia and Psychology, Dalhousie University and IWK Health Centre, Halifax, Nova Scotia, Canada

    G. Allen Finley MD, FRCPC, FAAP

  2. Departments of Psychology, Pediatrics, and Psychiatry, Dalhousie University and IWK Health Centre, Halifax, Canada

    Patrick J. McGrath OC, PhD, FRSC

  3. Departments of Pediatrics and Psychology, Dalhousie University and IWK Health Centre, Halifax, Canada

    Christine T. Chambers PhD

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Tsao, J.C.I., Meldrum, M., Zeltzer, L.K. (2006). Efficacy of Complementary and Alternative Medicine Approaches for Pediatric Pain. In: Finley, G.A., McGrath, P.J., Chambers, C.T. (eds) Bringing Pain Relief to Children. Humana Press. https://doi.org/10.1007/978-1-59745-125-3_6

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