The Varni/Thompson Pediatrie Pain Questionnaire. I. Chronic musculoskeletal pain in juvenile rheumatoid arthritis
Abstract
The Varni/Thompson pediatric pain questionnaire (PPQ) represents an attempt to empirically assess the complexities of pediatric chronic, recurrent pain. This initial investigation targeted chronic musculoskeletal pain in children with juvenile rheumatoid arthritis. The PPQ provides a developmental step toward the comprehensive assessment of the pain experience in children with chronic pain. Further reliability and validity studies are needed to determine the generalizability of the PPQ with larger numbers of children with a variety of acute and chronic pain experiences across a diversity of settings.
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Pain intensity was assessed with a 0-10 visual analog scale that is a reliable and valid assessment.
“Adolescents were asked to rate the typical pain they experienced over the last week on a 0-10 visual analog scale, a reliable and valid assessment of pain intensity (Varni, Thompson, & Hanson, 1987).”
From Acceptance and values-based treatment of adolescents with chronic pain: Outcomes and their relationship to acceptance (2013) · cites this paper as Varni, Thompson, & Hanson, 1987
Cites
The McGill Pain Questionnaire: Major properties and scoring methods
Melzack, R. (1975) · Pain · doi:10.1016/0304-3959(75)90044-5 · Cited by 6,873 · see citing works
Recurrent abdominal pain, headache and limb pains in children and adolescents
Øster, J. (1972) · PEDIATRICS · doi:10.1542/peds.50.3.429 · Cited by 332 · see citing works
LeBaron, S., & Zelter, L. K. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.52.5.729 · Cited by 258 · see citing works
LeBaron, S., & Zeltzer, L. K. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.5.729 · Cited by 228 · see citing works
Childhood pain: the school-aged childʼs viewpoint
Ross, D. M., & Ross, S. A. (1984) · Pain · doi:10.1016/0304-3959(84)90099-x · Cited by 176 · see citing works
Assessing childrenʼs responses to pain
Abu-Saad, H. H. (1984) · Pain · doi:10.1016/0304-3959(84)90836-4 · Cited by 175 · see citing works
Measurement of pain in juvenile chronic polyarthritis.
Scott, P., Ansell, B. M., & HUSKISSON, E. C. (1977) · Annals of the Rheumatic Diseases · doi:10.1136/ard.36.2.186 · Cited by 167 · see citing works
Minimizing Pain Associated with Prekindergarten Intramuscular Injections
Eland, J. M. (1981) · Issues in Comprehensive Pediatric Nursing · doi:10.3109/01460868109106351 · Cited by 137 · see citing works
A comparison of the McGill Pain Questionnaire in chronic and acute pain
Reading, A. E. (1982) · Pain · doi:10.1016/0304-3959(82)90028-8 · Cited by 116 · see citing works
How do children describe pain? A tentative assessment
SAVEDRA, M. C., Gibbons, P., Tesler, M. D., Ward, J. D., & Wegner, C. (1982) · Pain · doi:10.1016/0304-3959(82)90091-4 · Cited by 116 · see citing works
The use of the McGill Pain Questionnaire in assessing arthritis pain
Burckhardt, C. S. (1984) · Pain · doi:10.1016/0304-3959(84)90007-1 · Cited by 111 · see citing works
The language of low back pain: Factor structure of the McGill pain questionnaire
Prieto, E. J., Hopson, L., Bradley, L. A., Byrne, M., Geisinger, K. F., Midax, D., & Marchisello, P. J. (1980) · Pain · doi:10.1016/0304-3959(80)90086-x · Cited by 105 · see citing works
Pain: A Source Book for Nurses and Other Health Professionals
Mannheimer, J. S. (1978) · Physical Therapy · doi:10.1093/ptj/58.9.1145a · Cited by 102 · see citing works
A developmental cognitive-biobehavioral approach to pediatric pain assessment
Thompson, K. L., & Varni, J. W. (1986) · Pain · doi:10.1016/0304-3959(86)90233-2 · Cited by 101 · see citing works
Self-citationThe child's perception of the disease and the experience of pain in juvenile chronic arthritis.
Jg, B., Jh, K., & Holt, P. (1983) · PubMed · Cited by 92 · see citing works
Behavioral Pediatrics: Research and Practice
Russo, D. C., & Varni, J. W. (2013) · Medical Entomology and Zoology · Cited by 88 · see citing works
Self-citationKremer, E. F., Atkinson, H. J., & Ignelzi, R. J. (1982) · Pain · doi:10.1016/0304-3959(82)90191-9 · Cited by 81 · see citing works
Childrenʼs drawings of their pain
Unruh, A. M., McGrath, P. J., Cunningham, J. S., et al. (1983) · Pain · doi:10.1016/0304-3959(83)90170-7 · Cited by 79 · see citing works
“It Hurts Red:” A Preliminary Study of Children's Perception of Pain
Scott, R. (1978) · Perceptual and Motor Skills · doi:10.2466/pms.1978.47.3.787 · Cited by 72 · see citing works
Pain management: a handbook of psychological treatment approaches
Melzack, R. (1987) · Pain · doi:10.1016/0304-3959(87)91068-2 · Cited by 70 · see citing works
A Comparative Study of Joint Pain in Adult and Juvenile Rheumatoid Arthritis
Laaksonen, A.-L., & Laine, V. (1961) · Annals of the Rheumatic Diseases · doi:10.1136/ard.20.4.386 · Cited by 66 · see citing works
Varni, J. W., Gilbert, A., & Dietrich, S. L. (1981) · Pain · doi:10.1016/0304-3959(81)90145-7 · Cited by 63 · see citing works
Self-citationClinical Behavioral Pediatrics: An Interdisciplinary Biobehavioral Approach
Varni, J. W. (1983) · Medical Entomology and Zoology · Cited by 62 · see citing works
Self-citationBiobehavioral factors in juvenile rheumatoid arthritis: Implications for research and practice
Varni, J. W., & Jay, S. M. (1984) · Clinical Psychology Review · doi:10.1016/0272-7358(84)90043-6 · Cited by 37 · see citing works
Self-citationPasso, M. H. (1982) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(16)34118-9 · Cited by 26 · see citing works
Physical Disabilities and Health Impairments: An Introduction
Umbreit, J. (1983) · Medical Entomology and Zoology · Cited by 14 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Varni, J. W., Seid, M., & Kurtin, P. S. (2001) · Medical Care · doi:10.1097/00005650-200108000-00006 · Cited by 5,131 · see citing works
Self-citationVarni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-5-1 · Cited by 1,075 · see citing works
Self-citationThe child version of the pain catastrophizing scale (PCS-C): a preliminary validation
Crombez, G., Bijttebier, P., Eccleston, C., Mascagni, T., Mertens, G., Goubert, L., & Verstraeten, K. (2003) · Pain · doi:10.1016/s0304-3959(03)00121-0 · Cited by 652 · see citing works
Varni, J. W., Seid, M., Smith Knight, T., Burwinkle, T., Brown, J., & Szer, I. S. (2002) · Arthritis & Rheumatism · doi:10.1002/art.10095 · Cited by 535 · see citing works
Self-citationValidation of a Facial Image Scale to assess child dental anxiety
Buchanan, H., & Niven, N. (2002) · International Journal of Paediatric Dentistry · doi:10.1046/j.0960-7439.2001.00322.x · Cited by 447 · see citing works
Eccleston, C., Crombez, G., Scotford, A., Clinch, J., & Connell, H. (2004) · Pain · doi:10.1016/j.pain.2003.11.008 · Cited by 418 · see citing works
Goubert, L., Eccleston, C., Vervoort, T., Jordan, A., & Crombez, G. (2006) · Pain · doi:10.1016/j.pain.2006.02.035 · Cited by 340 · see citing works
The fear avoidance model of chronic pain: Examination for pediatric application
Simons, L. E., & Kaczynski, K. J. (2012) · The Journal of Pain · doi:10.1016/j.jpain.2012.05.002 · Cited by 250 · see citing works
Simons, L. E., Sieberg, C. B., Carpino, E., Logan, D., & Berde, C. (2011) · The Journal of Pain · doi:10.1016/j.jpain.2010.12.008 · Cited by 235 · see citing works
Eccleston, C., Jordan, A., McCracken, L. M., Sleed, M., Connell, H., & Clinch, J. (2005) · Pain · doi:10.1016/j.pain.2005.08.025 · Cited by 172 · see citing works
Juvenile rheumatoid arthritis: Benefits from massage theraphy
Field, T., Hernandez-Reif, M., Seligmen, S., Krasnegor, J., Sunshine, W., Rivas-Chacon, R., Schanberg, S., & Kuhn, C. (1997) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/22.5.607 · Cited by 162 · see citing works
Chronic musculoskeletal pain in children: Assessment and management
Clinch, J., & Eccleston, C. (2008) · Rheumatology · doi:10.1093/rheumatology/kep001 · Cited by 147 · see citing works
Gauntlett-Gilbert, J., Connell, H., Clinch, J., & McCracken, L. M. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jss098 · Cited by 131 · see citing works
Sex and age differences in coping styles among children with chronic pain
Lynch, A. M., Kashikar-Zuck, S., Goldschneider, K. R., & Jones, B. A. (2007) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2006.07.014 · Cited by 121 · see citing works
The Child–Adult Medical Procedure Interaction Scale-Short Form (CAMPIS-SF)
Blount, R. L., Bunke, V., Cohen, L. L., & Forbes, C. J. (2001) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(01)00303-7 · Cited by 111 · see citing works
Donnelly, T. J., Palermo, T. M., & Newton-John, T. R. O. (2020) · Pain · doi:10.1097/j.pain.0000000000001833 · Cited by 90 · see citing works
Sandstrom, M. J. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsh004 · Cited by 72 · see citing works
The relation of social functioning to school impairment among adolescents with chronic pain
Simons, L. E., Logan, D. E., Chastain, L., & Stein, M. (2010) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181b511c2 · Cited by 70 · see citing works
Feinstein, A. B., Forman, E. M., Masuda, A., Cohen, L. L., Herbert, J. D., Nandini Moorthy, L., & Goldsmith, D. P. (2011) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-011-9243-6 · Cited by 57 · see citing works
Protective and exacerbating factors in children and adolescents with fibromyalgia
Libby, C. J., & Glenwick, D. S. (2010) · Rehabilitation Psychology · doi:10.1037/a0019518 · Cited by 53 · see citing works
A case study: acceptance and commitment therapy for pediatric sickle cell disease.
Masuda, A., Cohen, L. L., Wicksell, R. K., Kemani, M. K., & Johnson, A. (2011) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsq118 · Cited by 44 · see citing works
Simons, L. E., Sieberg, C. B., & Kaczynski, K. J. (2011) · Pain · doi:10.1016/j.pain.2011.06.018 · Cited by 42 · see citing works
“Pain During the pain evaluation, children were asked to provide their average pain rating on a standard 11-point numeric rating scale [37] from 0 (no pain) to 10 (most pain possible).”
MethodGuite, J. W., Kim, S., Chen, C.-P., Sherker, J. L., Sherry, D. D., Rose, J. B., & Hwang, W.-T. (2014) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31828518e9 · Cited by 41 · see citing works
Joint hypermobility syndrome subclassification in paediatrics: a factor analytic approach
Pacey, V., Adams, R. D., Tofts, L., Munns, C. F., & Nicholson, L. L. (2015) · Archives of Disease in Childhood · doi:10.1136/archdischild-2013-305304 · Cited by 40 · see citing works
Hechler, T., Dobe, M., Damschen, U., Blankenburg, M., Schroeder, S., Kosfelder, J., & Zernikow, B. (2010) · Pain Medicine · doi:10.1111/j.1526-4637.2010.00839.x · Cited by 34 · see citing works
Waldron, S. M., Gauntlett-Gilbert, J., Marks, E., Loades, M. E., & Jacobs, K. (2018) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsy036 · Cited by 18 · see citing works
Parent and child perceptions of chronic pain treatments
Claar, R. L., & Scharff, L. (2007) · Children's Health Care · doi:10.1080/02739610701377962 · Cited by 15 · see citing works
- Authors
- Varni, J. W., Thompson, K. L., & Hanson, V.
- Affiliations
- University of Southern California (US)
- Corresponding author
- Varni, James W.
- Thompson, Karen L.
- Hanson, Virgil
- ORCID
- Varni, James W.
- Venue
- Pain
- Published
- 1987-01
- Volume
- 28
- Issue
- 1
- Pages
- 27-38
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2061315714
- Cited by
- 502
- References
- 26
- Citations by year
- 2026: 9 · 2025: 4 · 2024: 17 · 2023: 10 · 2022: 14 · 2021: 10 · 2020: 11 · 2019: 12 · 2018: 15 · 2017: 14 · 2016: 15 · 2015: 15 · 2014: 13 · 2013: 18 · 2012: 23
- FWCI
- 12.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pediatric pain assessment, chronic musculoskeletal pain, juvenile idiopathic arthritis, pediatric chronic pain, questionnaire development, reliability and validity
- MeSH terms
- Adolescent, Arthritis, Juvenile, Child, Child, Preschool, Chronic Disease, Emotions, Female, Humans, Male, Musculoskeletal System, Pain, Pain Measurement, Surveys and Questionnaires, Recurrence
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