Evidence Based Treatment of Pediatric Chronic Pain

Wednesday, February 6, 2019, 12:00 AM - Thursday, February 6, 2020, 12:00 AM

Pediatric Grand Rounds

1. Identify recommended members of multidisciplinary care teams for treatment of pediatric pain;
2. Discuss potential medication treatment options for a common pediatric chronic pain presentation; and
3. Discuss the role of psychological interventions in treatment of pediatric chronic pain.

Accreditation Statement

In support of improving patient care, Indiana University School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Indiana University School of Medicine designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

References for this presentation: 

Campbell C, Edwards R. Mind-body interactions in pain: the neurophysiology of anxious and catastrophic pain-related thoughts. Translational Research: The Journal Of Laboratory And Clinical Medicine [serial online]. March 2009;153(3):97-101. Available from: MEDLINE, Ipswich, MA. Accessed January 24, 2016.

Coakley R, Schechter N. Chronic pain is like… The clinical use of analogy and metaphor in the treatment of chronic pain in children. Pediatric Pain Letter 2013;15(1):1-8. www.childpain.org/ppl 

Compas, B., Jaser, S., Dunn, M., Rodriguez, E. (2012). Coping with Chronic Illness in Childhood and Adolescence. Annual Review Clinical Psychology April 27; 8:455-480

Fields HL, Basbaum AI, Heinricher MM: Central nervous system mechanisms of pain modulation, in McMahon SB, Koltzenburg M (eds): Textbook of Pain. Philadelphia, PA, Elsevier/Churchill Livingstone, 2006, pp 125-142

Hermann, C., Hohmeister, J., Demirakça, S., Zohsel, K., & Flor, H. (2006). Long-term alteration of pain sensitivity in school-aged children with early pain experiences. Pain, 125(3), 278-285.

Lang, P.J., Bradley, M.M., & Cuthbert, B. (2005). The International Affective Picture System (IAPS):  Affective ratings of pictures and instruction manual.  Technical Report A-6.

Levy, RL. (2011). Exploring the intergenerational Transmission of Illness Behavior: From observations to experimental intervention.  Annals of Behavioral Medicine 41: 174-182

Mallorquí-Bagué N, Bulbena A, Pailhez G, Garfinkel SN, & Critchley HD. Mind-Body Interactions in Anxiety and Somatic Symptoms. Harv Rev Psychiatry. 2016, 24(1):53-60. doi:    10.1097/HRP.0000000000000085.

Manimala, M., Blount, R. L., & Cohen, L. L. (2000). The effects of parental reassurance versus distraction on child distress and coping during immunizations. Children's Health Care, 29(3), 161-177

Palermo, T. M. (2012). Cognitive-behavioral therapy for chronic pain in children and adolescents. Oxford: Oxford University Press.

Park E, Oh H, Kim T. (2013). The effects of relaxation breathing on procedural pain and anxiety during burn care. Burns 39: 1101-1106.

Schurman, J., Friesen, C., Dai, H., Danda, C., Hyman, P., & Cocjin, J. (2012). Sleep problems and functional disability in children with functional gastrointestinal disorders: an examination of the potential mediating effects of physical and emotional symptoms. BMC Gastroenterology, 12142. doi:10.1186/1471-230X-12-142

Seminowicz, D. A., Shpaner, M., Keaser, M. L., Krauthamer, G. M., Mantegna, J., Dumas, J. A., & ... Naylor, M. R. (2013). Cognitive-behavioral therapy increases prefrontal cortex gray matter in patients with chronic pain. The Journal Of Pain, 14(12), 1573-1584.

Snell,C and DeMaso, D. (2010). Adaptation and Coping in Chronic Childhood Physical Illness. In J.Shaw and D. DeMaso’s (Eds.), Pediatric Psychosomatic Medicine (pp. 21- 31). Arlington,VA: American Psychiatric Publishing, Inc.

Turk, D. C., & Gatchel, R. J. (2002). Psychological approaches to pain management: A practitioner's handbook (2nd ed.). New York, NY, US: Guilford Press.

Vervoort, T. T., Huguet, A. A., Verhoeven, K. K., & Goubert, L. L. (2011). Mothers’ and fathers’ responses to their child’s pain moderate the relationship between the child’s pain catastrophizing and disability. Pain, 152(4), 786-793.

Walker, LS, Williams, SE, Smith, CA, Garber, J, Van Slyke, DA. (2006). Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain. Pain, 122(1-2), 43-52.

Walker, S.M., Franck, L.S., Fitzgerald, M., Myles, J., Stocks, J., & Marlow, N. (2009). Long-term impact of neonatal intensive care and surgery on somatosensory perception in children born extremely preterm. Pain, 141(1–2), 79-87.

Wallander, J., et al. (2003). Psychosocial Adjustment of Children with Chronic Physical Conditions. In Roberts, M. (Ed.), Handbook of Pediatric Psychology 3^rd Ed (pp 144-158).

Williams, A.E., Heitkemper, M., Self, M.M., Czyzewski, D.I, & Shulman, R.  (2013). Endogenous Inhibition of Somatic Pain is Impaired in Girls with Irritable Bowel Syndrome Compared with Healthy Girls.  Journal of Pain. 14(9):921-930.

Williams, A.E., & Rhudy, J.L. (2009).  Supraspinal modulation of trigeminal nociception and pain.  Headache, 49(5), 704-720.

Wollgarten-Hadamek, I., Hohmeister, J., Demirakça, S., Zohsel, K., Flor ,H., & Hermann, C. (2009). Do burn injuries during infancy affect pain and sensory sensitivity in later childhood?. Pain, 141(1-2):165-172.

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AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Attendance (1.00 hours)

In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support, educational programs sponsored by the Indiana University School of Medicine (IUSM) must demonstrate balance, independence, objectivity, and scientific rigor. All faculty, authors, editors, and planning committee members participating in an IUSM-sponsored activity are required to disclose any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services that are discussed in an educational activity.