Cited by 426Pediatric Pain Management TechniquesFamily Support in IllnessChild and Adolescent Psychosocial and Emotional Development

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Family and parent influences on pediatric chronic pain: a developmental perspective

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Palermo, Tonya M., Valrie, Cecelia R., Karlson, Cynthia W.·2014·American Psychologist

DOI 10.1037/a0035216PMC PMC4056332

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Abstract

Pain that recurs or persists is unfortunately a common experience for children. One of the unique considerations in pediatric chronic pain management is the bidirectional influences of children's pain experiences and parental and family factors. In this review we present a developmental perspective on understanding pediatric chronic pain and disability, highlighting factors relevant from infancy to adolescence, and family and parent influences. Preliminary evidence indicates that developmental processes are influenced and may also shape the pediatric pain experience. Parent emotions, behaviors, and health also play a role in children's pain experiences, where overly protective parent behaviors, increased distress, and history of chronic pain are important parent-level influences. Research on family-level influences has revealed that families of children with chronic pain have poorer family functioning (e.g., more conflict, less cohesion) than families of healthy children. Several important gaps exist in this research, such as in understanding basic developmental processes in children with chronic pain and how they influence children's perception of and responses to pain. Also, there is a lack of longitudinal data on family relationships and individual adjustment to allow for understanding of whether changes occur in parenting over the course of the child's chronic pain experience. Although parent interventions have been successfully incorporated into many cognitive-behavioral treatments for children with chronic pain conditions, little guidance exists for adapting intervention strategies to be developmentally appropriate. Additional research is needed to examine whether parent interventions are effective at different developmental stages and the best way to incorporate developmental goals into treatment.

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Authors: Palermo, T. M., Valrie, C. R., & Karlson, C. W.
Affiliations: University of Washington (US)
East Carolina University (US)
University of Mississippi Medical Center (US)
ORCID: Palermo, Tonya M.
Valrie, Cecelia R.
Karlson, Cynthia W.
Venue: American Psychologist
Publisher: American Psychological Association (APA)
Published: 2014
Volume: 69
Issue: 2
Pages: 142-152
ISSN: 0003-066X (ISSN-L)
1935-990X
DOI: 10.1037/a0035216
PMC: PMC4056332
OpenAlex: W2335484472
Cited by: 426
References: 59
Citations by year: 2026: 19 · 2025: 34 · 2024: 22 · 2023: 31 · 2022: 40 · 2021: 47 · 2020: 68 · 2019: 48 · 2018: 32 · 2017: 38 · 2016: 28 · 2015: 11 · 2014: 4
FWCI: 25.41
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Psychologist (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Heart, Lung, and Blood Institute (K01HL103155)
National Institute of Child Health and Human Development (K24HD060068)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: pediatric chronic pain, family influence, parental influence, developmental perspective, parental distress, family functioning, family conflict, family cohesion, cognitive-behavioral intervention, developmental appropriateness, children with disabilities
MeSH terms: Adaptation, Psychological, Adolescent, Child, Child Development, Child, Preschool, Family, Humans, Infant, Parent-Child Relations, Parents, Stress, Psychological, Adolescent Development, Chronic Pain

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Family and parent influences on pediatric chronic pain: a developmental perspective

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