Cognitive-behavioral therapy (CBT) interventions show promise for decreasing chronic pain in youth. However, the availability of CBT is limited by many factors including distance to major treatment centers and expense. This study evaluates a more accessible approach pediatric using an Internet-delivered family intervention. Participants included 48 children, aged 11-17 years, with headache, abdominal, or musculoskeletal associated functional disability, their parents. Children were randomly...

The Functional Disability Inventory (FDI) is a well-established and commonly used measure of physical functioning disability in youth with chronic pain. Further validation the has been called for, particular, examination clinical utility factor structure measure. To address this need, we utilized large multicenter dataset pediatric patients pain who had completed FDI other measures assessing emotional functioning. Clinical reference points to allow for interpretation raw scores were...

This study aimed to (1) identify differences in sleep behaviors, quality, pre-sleep arousal and prevalence of insomnia symptoms adolescents with chronic pain compared a healthy age sex-matched cohort (2) examine intensity, pubertal development, depression, as risk factors for symptoms. Participants included 115 adolescents, 12-18 years (73.0% female), 59 youth 56 youth. During home-based assessment, completed validated measures pain, hygiene, arousal, depressive symptoms, development....

Objective. The Institute of Medicine and the draft National Pain Strategy recently called for better training health care clinicians. This was first high-level needs assessment pain psychology services resources in United States.

Abstract Strategies directed at the prevention of disabling pain have been suggested as a public health priority, making early identification youth risk for poor outcomes critical. At present, limited information is available to predict which presenting with acute are persistence. The aims this prospective longitudinal study were identify biopsychosocial factors in period that transition persistent new-onset musculoskeletal (MSK) complaints. Participants 88 children and adolescents (age...

Abstract Chronic pain and posttraumatic stress disorder (PTSD) symptoms have been found to co-occur in adults; however, research has not examined this co-occurrence adolescence, when pediatric chronic often first emerges. The aims of study were compare the frequency intensity PTSD stressful life events cohorts youth with (n = 95) without 100) their parents determine association between symptoms, health-related quality life, within sample. All participants completed questionnaire measures...

The longitudinal relations of emotion regulation profiles to temperament and adjustment in a community sample preadolescents (N = 196, 8–11 years at Time 1) were investigated using person-oriented latent profile analysis (LPA). Temperament, regulation, measured 3 different time points, with each point occurring 1 year apart. LPA identified 5 frustration 4 anxiety based on children's physiological, behavioral, self-reported reactions emotion-eliciting tasks. relation effortful control conduct...

Objective To examine associations between parental history of pain and catastrophizing their adolescent's pain, somatic symptoms, catastrophizing, disability. Methods Participants included 178 youths aged 11–14 years recruited through public schools. Adolescents completed measures assessing characteristics, catastrophizing. Parents reported on own about pain. Results About one quarter the adolescents two thirds parents having Parent was associated with adolescent a significant predictor...

This pilot randomized controlled trial aimed to determine the feasibility, acceptability, and preliminary efficacy of parental problem-solving skills training (PSST) compared with treatment as usual on improving mental health symptoms, physical well-being, parenting behaviors. Effects parent PSST child outcomes (pain, emotional, functioning) were also examined. Participants included 61 parents children aged 10 17 years chronic pain (n = 31) or 30) groups. Parents receiving participated in 4...

This pilot study was designed to assess the short-term effectiveness and side effects of methylphenidate in treating symptoms attention deficit hyperactivity disorder (ADHD) Native American children (5 12 years old) with documented fetal alcohol syndrome (FAS) or partial syndrome. Using strict criteria for diagnosis FAS ADHD, a randomized double-blind cross-over two placebos fixed dose completed 4 residential school. Each treatment condition lasted 5 days, daily observational outcome...

Objectives Obesity is associated with functional disability in adults chronic pain, but less known about obesity among youth pain. The purpose of this study was to (1) identify the prevalence overweight and children adolescents receiving treatment for (2) examine associations between Body Mass Index (BMI), pain intensity, activity limitations population. Methods Data were obtained from records 118 patients, ages 8 18, seen a multidisciplinary pediatric clinic. Information age, sex, problem,...

Parenting is related to children's adjustment, but little research has examined the role of parenting in responses disasters. This study describes specific 9/11 terrorist attacks and examines pre-9/11 parenting, child temperament, 9/11-specific as predictors posttraumatic stress (PTS) symptoms among children geographically distant from attack locations. A community sample parents (n = 137, ages 9–13 years) participating an ongoing were interviewed 1 month following 9/11. Parents reported...

BACKGROUND: The fear‐avoidance model of chronic pain posits that fear is associated with and avoidance activity, which can lead to deconditioning persistence disability. Despite being well supported in adults, little known about the role beliefs regarding physical activity children. Research has shown parental protectiveness contributes limitations children; however, no studies have examined relationships between protectiveness, avoidance. OBJECTIVES: To conduct a cross‐sectional study...

Use of experimental pain is vital for addressing research questions that would otherwise be impossible to examine in the real world. Experimental induction children highly scrutinized given potential harm and lack direct benefit a vulnerable population. However, its use has critically advanced our understanding mechanisms, assessment treatment both healthy chronically ill children. This article introduces various modalities, including cold pressor task, water load symptom provocation test,...

Objectives: This study aims to describe what adults with chronic pain experience in their role as parents, utilizing quantitative and qualitative methods. The first aim was compare parents without on perceptions of adolescent’s pain, parental response catastrophizing beliefs about pain. also examined predictors protective behaviors, whether these associations differed by group. Materials Methods: Parents (n=58) (n=72) participated, completed questionnaire measures characteristics...

Pain during adolescence is common and associated with future pain chronicity mental health in adulthood. However, understanding of the neural underpinnings chronic has largely come from studies adults, recent adolescents suggesting potentially unique features this vulnerable developmental period. In addition to alterations network, resting state functional magnetic resonance imaging adults suggest default mode network (DMN), involved internally-driven, self-referential thought, may underlie...