Psychological barriers to optimal pain management in infants and children
Abstract
OBJECTIVE: To discuss the numerous psychological barriers to optimum pain relief in infants, children, and adolescents. DATA SOURCES: The professional and scientific literature on pediatric pain was accessed by means of Psychlit and Medline searches. Our clinical experience with patients was also used. DATA SYNTHESES: The potential barriers to optimum management were discussed in terms of cognitive and emotional developmental barriers, perceived lack of control, children's knowledge and attitudes, and characteristics of children. CONCLUSIONS: The psychological barriers to optimum pain relief are significant and attention to these barriers could lead to better pain management.
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Chronic pain is often associated with comorbid psychiatric concerns including depression, anxiety disorders, and PTSD.
“Additionally, chronic pain is often associated with comorbid psychiatric concerns including depression, anxiety disorders, and post-traumatic stress disorder (PTSD) [112]”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [112]
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Geagea, D., Griffin, B. R., Kimble, R. M., Polito, V., Terhune, D. B., & Tyack, Z. F. (2022) · Figshare · doi:10.6084/m9.figshare.19336049
Geagea, D., Griffin, B. R., Kimble, R. M., Polito, V., Terhune, D. B., & Tyack, Z. F. (2022) · Figshare · doi:10.6084/m9.figshare.19336058
Geagea, D., Griffin, B. R., Kimble, R. M., Polito, V., Terhune, D. B., & Tyack, Z. F. (2022) · Figshare · doi:10.6084/m9.figshare.19336052
Geagea, D., Griffin, B. R., Kimble, R. M., Polito, V., Terhune, D. B., & Tyack, Z. F. (2022) · Figshare · doi:10.6084/m9.figshare.19336055
- Authors
- McGrath, P. J., & Frager, G.
- Affiliations
- Dalhousie University (CA)
- Corresponding author
- McGrath, Patrick J.
- ORCID
- McGrath, Patrick J.
- Venue
- The Clinical Journal of Pain
- Published
- 1996-06
- Volume
- 12
- Issue
- 2
- Pages
- 135-141
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2025460432
- Cited by
- 82
- References
- 30
- Citations by year
- 2025: 4 · 2023: 4 · 2022: 8 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 3
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
- Keywords
- pediatric pain, pain management, psychological barriers, infants, children, adolescents, cognitive development, emotional development, perceived lack of control, analgesia
- MeSH terms
- Adolescent, Child, Child Development, Child, Preschool, Cognition, Humans, Infant, Pain, Pain Management
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