Chronic pain in children |
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| Authors: | C H Elliott S M Jay |
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| Institution: | 2. University of Bath, Bath, UK;1. Department of Psychology, Utrecht University, Heidelberglaan 1, 3584 CS Utrecht, The Netherlands;2. Department of Psychiatry and Mental Health, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, South Africa;3. Radboud University Medical Centre, Donders Institute for Brain, Cognition, and Behaviour, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;4. Radboud University Medical Centre, Department for Cognitive Neuroscience, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;5. Department of Neuroscience, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 2, 9713 AW, The Netherlands;6. The Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts and Sciences, Meibergdreef 47, 1105 BA Amsterdam, The Netherlands;7. Institute of Infectious Diseases and Molecular Medicine, Groote Schuur Hospital, Observatory, Cape Town, South Africa |
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| Abstract: | Chronic pain in children was reviewed in two major categories: disease-related pain and recurrent pain syndromes. Problems with the traditional dichotomy of organic versus psychogenic origins of such pain were noted. Additionally, disturbing trends in the pharmacological management of children's chronic pain were discussed. Furthermore, applications of psychological interventions to both pain categories were outlined and have shown exciting potential for the amelioration of a number of children's chronic pain problems. However, research in this area is only beginning to demonstrate efficacy and controlled outcome studies are few in number. Finally, a brief review of strategies for the assessment of children's chronic pain was presented and revealed an area also in its infancy. |
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