Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction
- Part I Developmental cognitive theory and clinical practice
- Part II Engagement and assessment
- Part III Client groups
- Part IV Applications in psychosocial adversity
- Part V Applications in specific child and adolescent psychiatric disorders
- 12 Behavioural approaches to eating and sleeping problems in young children
- 13 Conduct disorders in young children
- 14 Attention deficit hyperactivity disorder
- 15 Children with developmental disabilities and their parents
- 16 Depressive disorders
- 17 Cognitive behavioural psychotherapy for obsessive compulsive disorders
- 18 Anxiety disorders
- 19 School refusal
- 20 Post-traumatic stress disorders
- 21 Disorders of eating control
- 22 Chronic fatigue syndrome
- 23 Children's interpersonal problems
- 24 Pain in childhood
- 25 Conduct disorders in adolescence
- 26 Drug and alcohol abuse
- Part VI CBT applications in preventive interventions
- Index
- References
24 - Pain in childhood
Published online by Cambridge University Press: 21 August 2009
Edited by
Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction
- Part I Developmental cognitive theory and clinical practice
- Part II Engagement and assessment
- Part III Client groups
- Part IV Applications in psychosocial adversity
- Part V Applications in specific child and adolescent psychiatric disorders
- 12 Behavioural approaches to eating and sleeping problems in young children
- 13 Conduct disorders in young children
- 14 Attention deficit hyperactivity disorder
- 15 Children with developmental disabilities and their parents
- 16 Depressive disorders
- 17 Cognitive behavioural psychotherapy for obsessive compulsive disorders
- 18 Anxiety disorders
- 19 School refusal
- 20 Post-traumatic stress disorders
- 21 Disorders of eating control
- 22 Chronic fatigue syndrome
- 23 Children's interpersonal problems
- 24 Pain in childhood
- 25 Conduct disorders in adolescence
- 26 Drug and alcohol abuse
- Part VI CBT applications in preventive interventions
- Index
- References
Summary
Introduction
The International Association for the Study of Pain has established a standard definition of pain as: ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage’ (Merskey and Bogduk, 1994, p. 210). Cognitive behaviour therapy (CBT) has been used both to influence the presumed cause of pain (usually when the cause is related to ‘stress’) and to ameliorate the sensory and emotional aspects of pain. In this chapter, CBT will be examined in relation to both of these elements in specific pain problems.
There is a wide diversity of pain problems in children and adolescents that can be assisted by CBT. However, discussion will be focused on those problems that are common and for which there is most clinical experience and research. These include: pain from procedures, headache, recurrent abdominal pain and fibromyalgia. Similar strategies used to treat these problems can also be applied to neuropathic pain, pain from sickle cell disease, irritable bowel syndrome and pain from cancer. However, there is little research on disease-related pain interventions.
Why CBT works in pain relief
As will be discussed, there is solid evidence for the effectiveness of CBT in some areas of pain and promising evidence in others. In contrast, there is little or no evidence that simple counselling, psychodynamic or other psychotherapeutic approaches have any effectiveness in paediatric pain.
- Type
- Chapter
- Information
- Cognitive Behaviour Therapy for Children and Families , pp. 426 - 442Publisher: Cambridge University PressPrint publication year: 2004
References
and (1998). Role of parent-mediated pain behavior management strategies in biofeedback treatment of childhood migraines. Behavior Therapy, 29, 477–90CrossRefGoogle Scholar
Apley, J. (1975). The Child with Abdominal Pains, 2nd edn. London: Blackwell
, , et al. (1994). Age-related response to lidocaine-prilocaine (EMLA) emulsion and effect of music distraction on the pain of intravenous cannulation. Pediatrics, 93, 797–801Google ScholarPubMed
, , , , and (1995). Fibromyalgia syndrome in children: an outcome study. Journal of Rheumatology, 22, 525–8Google Scholar
, , et al. (1993). Assessment of nonarticular tenderness and prevalence of fibromyalgia in children. Journal of Rheumatology, 20, 368–70Google ScholarPubMed
, , and (2002). A child-focused intervention for coping with procedural pain: are parent and nurse coaches necessary?Journal of Pediatric Psychology, 27, 749–57CrossRefGoogle ScholarPubMed
, , , and (1999). Comparative study of distraction versus topical anesthesia for pediatric pain management during immunizations. Health Psychology, 18, 591–8CrossRefGoogle ScholarPubMed
(1982). Prevalence of headache in Swedish school children: a questionnaire survey. Acta Paediatrica Scandinavica, 71, 135–40CrossRefGoogle ScholarPubMed
and (2003). Self-administered psychosocial treatments for children and adolescents. Journal of Child Psychology, 59, 1–19Google Scholar
, , , and (1985). The use of dietary fiber in the management of simple, childhood, idiopathic, recurrent, abdominal pain. Results of a prospective, double-blind, randomized, controlled trial. American Journal of Diseases of Children, 139, 1216–18CrossRefGoogle ScholarPubMed
, and (1996). Mothers' attitudes and behaviour towards medicating children's pain. Pain, 67, 469–75CrossRefGoogle Scholar
, , , , and (1989). Topical skin anesthesia for venous, subcutaneous drug reservoir and lumbar punctures in children. Pediatrics, 84, 281–4Google ScholarPubMed
Hilgard, J. R. and LeBaron, S. (1984). Hypnotherapy of Pain in Children with Cancer. Los Altos, CA: Kaufmann
, and (1999). Empirically supported treatments in pediatric psychology: recurrent pediatric headache. Journal of Pediatric Psychology, 24, 91–109CrossRefGoogle ScholarPubMed
and (1999). Empirically supported treatments in pediatric psychology: recurrent abdominal pain. Journal of Pediatric Psychology, 24, 115–27CrossRefGoogle ScholarPubMed
and (1993). Sociodemographic differences in the prevalence of self-reported headache in Icelandic school-children. Headache, 33, 376–80CrossRefGoogle ScholarPubMed
(1988). Favorite stories: a hypnotic pain-reduction technique for children in acute pain. American Journal of Clinical Hypnosis, 30, 289–95CrossRefGoogle ScholarPubMed
(1988). The role of psychological, health behaviour and medical factors in adolescent headache. Developmental Medicine and Child Neurology, 30, 616–25CrossRefGoogle ScholarPubMed
and (1986). Chronic headaches in adolescents: treatment in a school setting with relaxation training as compared with information-contact and self-registration. Pain, 25, 325–36CrossRefGoogle Scholar
and (1988). The psychological treatment of recurrent headache in adolescents – short-term outcome and its prediction. Headache, 28, 187–95CrossRefGoogle ScholarPubMed
and (1989). Follow-up on behavioural treatment of recurrent headache in adolescents. Headache, 29, 249–53CrossRefGoogle ScholarPubMed
, , and (1987a). Therapist-assisted versus self-help relaxation treatment of chronic headaches in adolescents: a school-based intervention. Journal of Child Psychology and Psychiatry, 28, 127–36CrossRefGoogle Scholar
, , and (1990). Recurrent tension headache in adolescents: treatment with self-help relaxation training and a muscle relaxant drug. Headache, 30, 665–71CrossRefGoogle Scholar
, , and (1987b). A school-based treatment of chronic headaches in adolescents. Journal of Pediatric Psychology, 12, 553–66CrossRefGoogle Scholar
, and (1992). Idiopathic muculoskeletal pain syndromes in children. Journal of Rheumatology, 19, 1786–9Google Scholar
McGrath, P. J., Cunningham, S. J., Lascelles, M. A. and Humphreys, P. (1990). Help Yourself: A Treatment for Migraine Headaches, Professional Handbook. Ottawa: University of Ottawa Press
, , et al. (1988). Relaxation prophylaxis for childhood migraine: a randomized placebo-controlled trial. Developmental Medicine and Child Neurology, 30, 626–31CrossRefGoogle ScholarPubMed
, , et al. (1992). The efficacy and efficiency of a self-administered treatment for adolescent migraine. Pain, 49, 321–4CrossRefGoogle ScholarPubMed
Merskey, H. and Bogduk, N. (eds.) (1994). Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms, 2nd edn. Seattle: IASP Press
, , et al. (1988). Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalgia, 8 (suppl 7), 1–96Google Scholar
Rappaport, L. and Leichtner, A. M. (1993). Recurrent abdominal pain. In N. L. Schecter, C. B. Berde and M. Yaster (eds.) Pain in Infants, Children, and Adolescents. Baltimore: Williams and Wilkins, pp. 561–70
, and (1996). Primary juvenile fibromyalgia: psychological adjustment, family functioning, coping and functional disability. Arthritis and Rheumatism, 40 752–60CrossRefGoogle Scholar
Report of the Multicenter Criteria Committee (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis and Rheumatism, 33, 16–72
, , , , and (1986). Cognitive and relaxation treatment of paediatric migraine. Pain, 25, 195–203CrossRefGoogle ScholarPubMed
, , and (1989). Cognitive-behavioural treatment of recurrent nonspecific abdominal pain in children: an analysis of generalization, maintenance and side effects. Journal of Consulting and Clinical Psychology, 57, 294–300CrossRefGoogle Scholar
, , and (1994). The treatment of recurrent abdominal pain in children: a controlled comparison of cognitive-behavioural family intervention and standard pediatric care. Journal of Consulting and Clinical Psychology, 62, 306–14CrossRefGoogle Scholar
and (1996). Increasing prevalence of headache in 7-year-old school children. Headache, 36, 466–70CrossRefGoogle Scholar
(1986a). Hypnotic behavior: a social-psychological interpretation of amnesia, analgesia and ‘trance logic’. Behavioral and Brain Sciences, 9, 449–67CrossRefGoogle Scholar
(1986b). More on the social psychology of hypnotic responding. Behavioral and Brain Sciences, 9, 489–502CrossRefGoogle Scholar
, and , (1994). Use of distraction with children during an acute pain experience. Nursing Research, 43, 369–72CrossRefGoogle ScholarPubMed
and (1992). Cognitive-behavioral intervention for juvenile primary fibromyalgia syndrome. Journal of Rheumatology, 19, 1617–19Google ScholarPubMed
, , and (1999). Empirically supported treatments in pediatric psychology: disease-related pain. Journal of Pediatric Psychology, 24, 155–67CrossRefGoogle ScholarPubMed
and (1985). Juvenile primary fibromyalgia syndrome. A clinical study of thirty-three patients and matched normal controls. Arthritis and Rheumatism, 28, 138–45CrossRefGoogle ScholarPubMed
- 1
- Cited by