Pain in children: A review of the literature from a developmental perspective

Abstract

This article presents a review of the current psychological literature about pediatric pain. Prevalence and types of pain problems encountered in children are considered briefly, followed by a developmental perspective on the experience of pain in children, encompassing physical, cognitive, social and behavioral factors. A discussion of the clinical significance of pain in children includes its use in differential diagnosis and the impact of pain on a developing child. Recommendations are made for assessing pain and factors relevant to managing its effects in children. The review concludes with an overview of clinical techniques for management, and recommendations for future research.     

Individual Differences in Instructor Attitudes Underlying Maltreatment and Effective Mentoring in Basic Military Training

U.S. Air Force noncommissioned officers assigned to basic military training instructor (MTI) duty completed measures of attitudes previously linked to sexual harassment and sexual assault in the research literature: (a) attitudes of antipathy toward women (hostile sexism, Glick &; Fiske, 1996 Glick, P., &; Fiske, S. T. (1996). The ambivalent sexism inventory: Differentiating hostile and benevolent sexism. Journal of Personality and Social Psychology, 70, 491–512. 10.1037/0022-3514.70.3.491[Crossref], [Web of Science ®] , [Google Scholar]), and (b) attitudes favoring authoritarian use of power. Concurrent validation against trainee evaluations of MTIs on broader criteria showed that proauthoritarian attitudes were negatively associated with ratings of MTI effectiveness in mentoring and leadership; additionally, MTIs with stronger attitudes of hostile sexism were more likely reported as engaging in maltreatment of female trainees. These initial results contribute to ongoing understanding of individual differences as relevant to improve screening for a position of authority over the lowest ranking, and potentially most vulnerable military members. Directions for future research and implications for personnel selection and broader cultural changes are discussed.     

Executive function performance on the children's kitchen task assessment with children with sickle cell disease and matched controls

Objective: The aim of this study was to compare executive function abilities of 8- to 12-year-old children with sickle cell disease (SCD) with a matched control sample. The measures included the parent and teacher Behavior Rating Inventory of Executive Function (BRIEF); the Delis-Kaplan Executive Function System (D-KEFS), Free Sorting Test and Color Word Interference Test; and the Children's Kitchen Task Assessment (CKTA), a new performance measure. Methods: Twenty-two children with SCD were recruited from one hematology clinic and 22 community children, matched on characteristics of age, gender, and race, were selected from a larger sample of controls for comparison. Parents and teachers completed rating scales. Results:As hypothesized, children with SCD scored significantly lower than matched controls on Digit Span Forward; on 5 of the 9 D-KFES Color Word Interference and Sorting tasks; on CKTA organization, initiation, and task completion; and on the BRIEF's parent and teacher Metacognitive Index (MI) and Global Executive Composite (GEC) scores. Conclusion:Cognitive and performance evaluations indicate lower executive function among children with SCD. Results substantiate the need for evaluative triangulation for children with SCD: Neurocognitive testing supported by performance testing, and adult reflection of a child's daily performance compared to other children. These elements will provide rich data to create educational support for children with SCD who have frequent hospitalizations, school absences, and the potential presence of cerebral vascular accident symptomology.     

Predictors of Reading Comprehension in Children with Cerebral Palsy and Typically Developing Children

Predictors of reading comprehension were evaluated in 41 children with cerebral palsy and 74 typically developing children between the ages of 6 and 12 years. Regression analyses were conducted to determine the relative contributions of measures of phonemic awareness, receptive vocabulary, and general reasoning to variance in reading comprehension. All three independent variables were statistically significant predictors of reading comprehension in both groups of participants. The impact of phonemic awareness on reading comprehension was moderated by age, but only in the typically developing group. Within the group with cerebral palsy, there was an indirect effect of functional expressive ability on reading comprehension, mediated by phonemic awareness. It is concluded that largely the same variables predict reading comprehension in children with cerebral palsy as in typically developing children, but that children with cerebral palsy continue to rely on phonological processing for a more protracted period of time.     

‘Make sure you keep our house safe!’ Thematic analysis of a children's psychotherapy group

This paper describes a systematic thematic analysis of one particular latency-aged children's group and includes a discussion about potentially helpful outcomes measures. The impetus for our small, practice-based qualitative research project came from the two papers by Reid (1999) and Canham (2002) about children's psychotherapy groups, particularly Canham's (2002) paper, ‘Group and gang states of mind’. Canham and Reid used Bion's theories of group functioning as the basis of their technique with children's groups. We felt that it would be an interesting follow-on from Reid and Canham's findings to explore in some detail the specific therapeutic factors involved in a shift from paranoid–schizoid to depressive functioning in group therapy. We hoped that this might give us some helpful clinical indications as to the circumstances in which group rather than individual psychotherapy and parallel parent work should be considered as the treatment of choice. The paper concentrates exclusively on group work with latency-aged children, therefore referring mainly to the limited number of papers published about psychoanalytic group therapy with this age group.     

Measuring parent–infant interaction: the Parent−Infant Relational Assessment Tool (PIRAT)

The paper describes the genesis, construction and preliminary reliability testing of the Parent?Infant Relational Assessment Tool (PIRAT). PIRAT is a clinical assessment tool for the identification of risk in the early parent?infant relationship. The rationale was to design a flexible, reliable measure that would enable professionals working with infants and their caregivers to assess the parent?infant relationship as it appears in the consulting room, clinic or home environment and to pinpoint areas of concern at the earliest possible opportunity. The measure was developed in the Parent–Infant Project at the Anna Freud Centre and a subsequent study was undertaken to establish whether it could be successfully transferred to healthcare professionals for use in their workplace settings. A reliability study was conducted with a panel of health professionals, including midwives, health visitors, child protection social workers and clinical psychologists, using videotapes of their consultations in the home or clinic with mothers and infants of 0?2 years old. The results demonstrate good interrater reliability for the 10 participants in the study. Verbatim excerpts from the training sessions are included to elucidate the process of training and the ways in which participants engaged with and embedded the measure into their practice.     

Motor Performance in the Third,Not the Second Month,Predicts Further Motor Development

ABSTRACT. The aim was to verify if motor performance at second or third month of life better predicts further development. The global motor development was assessed by a neurologist and by a physiotherapist in 111 children at 2, 3, 6, and 9 months. At 2 and 3 months a physiotherapist also performed the assessment of qualitative elements. The physiotherapeutic assessment in the third month showed higher compatibility with the neurological assessment. Proper motor performance at third month could ensure the level of at least 7 months in the ninth month of life. Qualitative score above 7 of 15 points in the third month ensured proper development in ninth month. Third month of life is a better predictor of further motor development.     

Development of an abbreviated Personal Globe Inventory using item response theory: The PGI-Short

The responses of 2813 individuals to the Personal Globe Inventory (Tracey, 2002) were examined with the goal of developing a shorter, yet valid version of the scale using item response theory to guide the process. A random sample of 1000 individuals was used to select the best items and then the remaining 1813 were used as a validation sample to examine psychometric properties. For items to be included in the shortened form, the option characteristic curves had to conform to theory and there could be no presence of differential item functioning across either gender or ethnicity. The best 80 items were retained forming the PGI-Short. This instrument demonstrated excellent reliability and adherence to a circular model, there was no differential item functioning across either gender or ethnicity. The PGI-Short was supported as an alternative to the fuller version of the PGI.     

Assessment of cognition in an adolescent Indigenous population

The assessment of cognition in Indigenous populations is often complicated by cultural and language differences and unfamiliarity with the assessment process. Cognitive tasks are being developed that reduce the impact of these factors. These processes need to be evaluated in different cultural and ethnic groups to determine whether they are appropriate. Such an assessment was recently used in two studies of cognition of 237 Indigenous Australian adolescents (age: M = 16.06 ± 2.16 years). The tasks were completed appropriately, with response times and error rates increasing for difficult tasks. Duration and error rates decreased for the round‐based tasks, in line with performance in non‐Indigenous samples. There were no gender effects. Age associations occurred in some tasks, but significant correlations were only of a small magnitude. Although the battery appeared to be completed appropriately in this study, more work needs to be conducted examining the influence of demographic factors to ensure that control data can be most appropriately matched in future studies.     

Schizotypal and dependent personality characteristics and managerial performance

The study of negatively connotated personality characteristics as predictors of work‐related performance is gaining momentum. While findings have generally suggested such characteristics to be negatively or curvilinearly related to performance, the current study was concerned with investigating any positive relationships that may exist between negatively connotated personality characteristics (as measured by the Hogan Development Survey) and work‐related performance in a sample of 103 Australasian financial services managers. The most notable findings from the study were that: (a) schizotypal personality characteristics positively predicted performance on a creativity competency; and (b) dependent personality characteristics positively predicted performance on a customer focus competency. Findings and limitations are discussed.