A5001379461- Pediatric Pain Management Techniques
- Musculoskeletal pain and rehabilitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Infant Development and Preterm Care
- Cerebral Palsy and Movement Disorders
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Placebo Effect
- Resilience and Mental Health
- Pain Mechanisms and Treatments
- Sports injuries and prevention
- Migraine and Headache Studies
- Cardiovascular Syncope and Autonomic Disorders
- Children's Physical and Motor Development
- School Health and Nursing Education
- Child and Adolescent Psychosocial and Emotional Development
- Shoulder Injury and Treatment
- Child Abuse and Trauma
- Systemic Lupus Erythematosus Research
- Occupational Health and Performance
- Heart Rate Variability and Autonomic Control
- Autoimmune and Inflammatory Disorders Research
- Family and Disability Support Research
- Psychosomatic Disorders and Their Treatments
- Hip disorders and treatments
- Mindfulness and Compassion Interventions
Cincinnati Children's Hospital Medical Center
2016-2025
University of Cincinnati Medical Center
2016-2025
University of Cincinnati
2014-2023
Pain and Rehabilitation Medicine
2023
Citigroup
2021-2022
Children's Mercy Hospital
2022
Children's Hospital & Medical Center
2001-2022
Universitat de Barcelona
2022
Yale University
2016
Pediatrics and Genetics
2015
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...
Early, safe, effective, and durable evidence-based interventions for children adolescents with chronic migraine do not exist.
The primary aim of this study was to describe pain characteristics, coping strategies, depression, and functional disability in children adolescents with chronic examine potential factors that are associated a pediatric population. secondary compare two conditions: localized musculoskeletal daily headaches.The participants were 73 patients variety conditions. Subjects the second part subset (N = 44) from clinic sample 38) headache center same hospital who had headaches.Patients completed...
This study tested the separate and combined effects of spouse-assisted pain coping skills training (SA-CST) exercise (ET) in a sample patients having persistent osteoarthritic knee pain. Seventy-two married osteoarthritis (OA) with their spouses were randomly assigned to: SA-CST alone, plus ET, ET or standard care (SC). Patients together spouses, attended 12 weekly, 2-h group sessions for couples skills. + received 12-weeks supervised ET. alone condition just an program. Data analyses...
The effects of disease (form arthritis) and gender on pain, mood, pain coping strategies were examined in a prospective 30-day diary study 71 patients with osteoarthritis (OA) 76 rheumatoid arthritis (RA). Diary instruments included joint ratings, POMS-B checklists for positive negative the Daily Coping Inventory. Women's average daily was 72% greater than men's RA patients' 42% OA pain. Hierarchical Linear Models estimated (a) within-person associations between next-day mood; pain; (b)...
Abstract Objective Juvenile fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain disorder in children and adolescents for which there are no evidence‐based treatments. The objective of this multisite, single‐blind, randomized clinical trial was to test whether cognitive–behavioral therapy (CBT) superior (FM) education reducing functional disability, pain, symptoms depression juvenile FMS. Methods Participants were 114 (ages 11–18 years) with After receiving stable medications 8...
Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as shared style. The purpose of this study was to: (1) examine effects adolescent parent pain functioning (2) explore concordance in dyads, with equal interest outcomes dyads discordant styles.Pain intensity, catastrophizing, depressive symptoms, quality life, behaviors were assessed adolescents (ages 11 17) presenting pediatric chronic clinic...
This prospective longitudinal study examined the long-term physical and psychosocial outcomes of adolescents with juvenile-onset fibromyalgia (JFM), compared healthy control subjects, into early adulthood.Adolescent patients JFM initially seen at a pediatric rheumatology clinic (n = 94) age- gender-matched subjects 33) completed online measures demographic characteristics, pain, functioning, mood symptoms, health care utilization ∼6 years' follow-up (mean age: 21 years). A standard in-person...
In Brief The Patient-Reported Outcomes Measurement Information System (PROMIS) initiative is a comprehensive strategy by the National Institutes of Health to support development and validation precise instruments assess self-reported health domains across healthy disease-specific populations. Much progress has been made in instrument development, but there remains gap PROMIS measures for pediatric chronic pain. purpose this study was investigate construct validity responsiveness change 7...
Abstract Background Chronic postsurgical pain ( CPSP ) affects half a million children annually in the United States, with dire socioeconomic consequences, including long‐term disability into adulthood. The few studies of are limited by sample size, follow‐up duration, non‐homogeneity surgical procedure and factors evaluated. Methods In prospective study 144 adolescents undergoing single major surgery (spine fusion), we evaluated demographic, perioperative, psychosocial as predictors...
Children with chronic pain completing cognitive behavioral therapy show significant reductions in functional disability and faster rates of change compared to intensity. Patients presenting for treatment often believe that reduction must be achieved before returning normal functioning. However, programs typically take a rehabilitative approach, emphasizing decreasing pain-related first the expectation will follow. This information is routinely provided patients, yet no studies have...
Appropriate outcome measures and high-quality intervention trials are critical to advancing care for children with chronic pain. Our aim was update a core set pediatric pain interventions. The first phase involved collecting providers', patients', parents' perspectives about treatment of understand clinically meaningful outcomes be routinely measured. second reach consensus mandatory optional domains following the OMERACT framework. A modified Delphi study 2 rounds conducted including 3...
Abstract Objective Family factors and emotional functioning can play an important role in the ability of adolescents with juvenile primary fibromyalgia syndrome (JPFS) to cope their condition function everyday lives. The objectives this study were determine 1) whether JPFS caregivers differed from healthy age‐matched comparison peers terms distress functional impairment; 2) there any differences family environment compared peers; 3) which individual‐, caregiver‐, family‐level variables...
Abstract Objective To assess peer relationships of adolescents with juvenile primary fibromyalgia syndrome (JPFS) compared matched classroom comparison peers (MCCPs) without a chronic illness. JPFS is characterized by musculoskeletal pain, sleep disturbance, fatigue, and difficulty daily functioning. Adolescents often report problems school participating in activities, placing them at risk for social isolation from their psychosocial adjustment problems. Methods Participants were 55 (ages...
Mood and anxiety disorders are common psychiatric conditions among adult patients with fibromyalgia syndrome, but little is known about whether prevalent pediatric fibromyalgia.The primary objective of this study was to assess the prevalence mood, anxiety, behavioral in a clinical sample children adolescents juvenile syndrome (JPFS) relationship between JPFS symptom severity.Standardized interviews were conducted their parents/primary caregivers, measures severity including pain intensity...
Objective To describe school absences in adolescents with Juvenile Primary Fibromyalgia Syndrome (JPFS) and examine the relationship between absenteeism, pain, psychiatric symptoms, maternal pain history. Methods Adolescents JPFS (N = 102; mean age 14.96 years) completed measures of depressive a interview. Parents provided information about adolescents' absences, type schooling, parental School attendance reports were obtained directly from schools. Results Over 12% homeschooled. Those...