Ecological System Influences in the Treatment of Pediatric Chronic Pain
Family, school and the peer network each shape the chronic pain experience of the individual child, and each of these contexts also represents a domain of functioning often impaired by chronic pain. The goal of the present article is to summarize what is known about these bidirectional influences be...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2012/289504 |
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| _version_ | 1832563677726769152 |
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| author | Deirdre E Logan Lisa Engle Amanda B Feinstein Christine B Sieberg Penny Sparling Lindsey L Cohen Caitlin Conroy Dana Driesman Akihiko Masuda |
| author_facet | Deirdre E Logan Lisa Engle Amanda B Feinstein Christine B Sieberg Penny Sparling Lindsey L Cohen Caitlin Conroy Dana Driesman Akihiko Masuda |
| author_sort | Deirdre E Logan |
| collection | DOAJ |
| description | Family, school and the peer network each shape the chronic pain experience of the individual child, and each of these contexts also represents a domain of functioning often impaired by chronic pain. The goal of the present article is to summarize what is known about these bidirectional influences between children with pain and the social systems that surround them. Case reports that illustrate these complex, transactional forces and their ultimate impact on the child’s pain-related functioning are included. A case involving siblings participating in an intensive interdisciplinary program for functional restoration and pain rehabilitation highlights how parents change through this treatment approach and how this change is vital to the child’s outcomes. Another case involving a child undergoing intensive interdisciplinary treatment illustrates how school avoidance can be treated in the context of pain rehabilitation, resulting in successful return to the regular school environment. Finally, an acceptance and commitment therapy-focused group intervention for children with sickle cell disease and their parents demonstrates the benefits of peer contact as an element of the therapeutic intervention. |
| format | Article |
| id | doaj-art-ff0b7aaccde24f939fe6e6ba3ffaf3cd |
| institution | Kabale University |
| issn | 1203-6765 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-ff0b7aaccde24f939fe6e6ba3ffaf3cd2025-02-03T01:13:01ZengWileyPain Research and Management1203-67652012-01-0117640741110.1155/2012/289504Ecological System Influences in the Treatment of Pediatric Chronic PainDeirdre E Logan0Lisa Engle1Amanda B Feinstein2Christine B Sieberg3Penny Sparling4Lindsey L Cohen5Caitlin Conroy6Dana Driesman7Akihiko Masuda8Department of Psychiatry, Harvard Medical School and the Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital, Boston, Massachusetts, USAHolland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, CanadaDepartment of Psychology, Georgia State University, Atlanta, Georgia, USADepartment of Psychiatry, Harvard Medical School and the Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital, Boston, Massachusetts, USAHolland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, CanadaDepartment of Psychology, Georgia State University, Atlanta, Georgia, USADepartment of Psychiatry, Harvard Medical School and the Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital, Boston, Massachusetts, USAHolland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, CanadaDepartment of Psychology, Georgia State University, Atlanta, Georgia, USAFamily, school and the peer network each shape the chronic pain experience of the individual child, and each of these contexts also represents a domain of functioning often impaired by chronic pain. The goal of the present article is to summarize what is known about these bidirectional influences between children with pain and the social systems that surround them. Case reports that illustrate these complex, transactional forces and their ultimate impact on the child’s pain-related functioning are included. A case involving siblings participating in an intensive interdisciplinary program for functional restoration and pain rehabilitation highlights how parents change through this treatment approach and how this change is vital to the child’s outcomes. Another case involving a child undergoing intensive interdisciplinary treatment illustrates how school avoidance can be treated in the context of pain rehabilitation, resulting in successful return to the regular school environment. Finally, an acceptance and commitment therapy-focused group intervention for children with sickle cell disease and their parents demonstrates the benefits of peer contact as an element of the therapeutic intervention.http://dx.doi.org/10.1155/2012/289504 |
| spellingShingle | Deirdre E Logan Lisa Engle Amanda B Feinstein Christine B Sieberg Penny Sparling Lindsey L Cohen Caitlin Conroy Dana Driesman Akihiko Masuda Ecological System Influences in the Treatment of Pediatric Chronic Pain Pain Research and Management |
| title | Ecological System Influences in the Treatment of Pediatric Chronic Pain |
| title_full | Ecological System Influences in the Treatment of Pediatric Chronic Pain |
| title_fullStr | Ecological System Influences in the Treatment of Pediatric Chronic Pain |
| title_full_unstemmed | Ecological System Influences in the Treatment of Pediatric Chronic Pain |
| title_short | Ecological System Influences in the Treatment of Pediatric Chronic Pain |
| title_sort | ecological system influences in the treatment of pediatric chronic pain |
| url | http://dx.doi.org/10.1155/2012/289504 |
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