Cognitive developmental influences on the ability of preschool-aged children to self-report their pain intensity

Chan, Jenny Yun‐Chen; Baeyer, Carl L. von

doi:10.1097/j.pain.0000000000000476

Cited by 43 publications

(32 citation statements)

References 42 publications

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“…To what extent children at this age fully comprehend the meaning of these words is not clear (46). Although children as young as 2 years old can provide some verbal information about their pain (5,47) and should be believed (47), it is not until around 3 years of age that verbal and cognitive abilities are sufficiently developed to enable more consistent, early self-report (48,49).…”

Section: Expression Of Painmentioning

confidence: 99%

The measurement properties of pediatric observational pain scales: A systematic review of reviews

Andersen

Langius‐Eklöf

Nakstad

et al. 2017

International Journal of Nursing Studies

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Section: Expression Of Painmentioning

confidence: 99%

The measurement properties of pediatric observational pain scales: A systematic review of reviews

Andersen

Langius‐Eklöf

Nakstad

et al. 2017

International Journal of Nursing Studies

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“…Although considerable attention has been devoted to the developmental changes in the way children self-report pain intensity throughout childhood (e.g., [71]), much less is known about how children experience and self-report affective and evaluative pain dimensions throughout childhood. This is most notably manifested through a lack of age-appropriate tools to assess cognitive-evaluative or social aspects of the acute pain experience in young children [72].…”

Section: Concordance and Discordance Between Various Dimensions Of Thmentioning

confidence: 99%

“…Although considerable work has been carried out documenting the cognitive pre-requisites associated with the ability to self-report pain intensity [71], much less is known about the cognitive requirements associated with the ability to self-report other aspects of the pain experience. Moreover, less attention has been devoted to the development of assessment tools to assess other aspects of the pain experience, such as cognitive and evaluative dimensions, particularly in young children.…”

Section: Reasonmentioning

confidence: 99%

Why Unidimensional Pain Measurement Prevails in the Pediatric Acute Pain Context and What Multidimensional Self-Report Methods Can Offer

et al. 2019

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Although pain is widely recognized to be a multidimensional experience and defined as such, unidimensional pain measurement focusing on pain intensity prevails in the pediatric acute pain context. Unidimensional assessments fail to provide a comprehensive picture of a child’s pain experience and commonly do little to shape clinical interventions. The current review paper overviews the theoretical and empirical literature supporting the multidimensional nature of pediatric acute pain. Literature reporting concordance data for children’s self-reported sensory, affective and evaluative pain scores in the acute pain context has been reviewed and supports the distinct nature of these dimensions. Multidimensional acute pain measurement holds particular promise for identifying predictive markers of chronicity and may provide the basis for tailoring clinical management. The current paper has described key reasons contributing to the widespread use of unidimensional, rather than multidimensional, acute pediatric pain assessment protocols. Implications for clinical practice, education and future research are considered.

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“…However, the developmental changes which occur during childhood and adolescence make the measurement of paediatric pain particularly challenging [ 6 , 9 ]. The cognitive and metacognitive skills required for a child to give reliable self-reports of pain (such as the ability to rank-order objects, consider numerous options simultaneously, and retain and manipulate information) change significantly during childhood and adolescence [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Chronic Pain Assessments in Children and Adolescents: A Systematic Literature Review of the Selection, Administration, Interpretation, and Reporting of Unidimensional Pain Intensity Scales

Lee

Rashid

Ghio

et al. 2017

Pain Research and Management

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Background Advances in pain assessment approaches now indicate which measures should be used to capture chronic pain experiences in children and adolescents. However, there is little guidance on how these tools should best be administered and reported, such as which time frames to use or how pain scores are categorised as mild, moderate, or severe. Objective To synthesise current evidence on unidimensional, single-item pain intensity scale selection, administration, interpretation, and reporting. MethodsDatabases were searched (inception: 18 January 2016) for studies in which unidimensional pain intensity assessments were used with children and adolescents with chronic pain. Ten quality criteria were developed by modifying existing recommendations to evaluate the quality of administration of pain scales most commonly used with children. ResultsForty-six studies met the inclusion criteria. The highest score achieved was 7 out of a possible 10 (median: 5; IQR: 4–6). Usage of scales varied markedly in administrator/completer, highest anchors, number of successive assessments, and time referent periods used. Conclusions Findings suggest these scales are selected, administered, and interpreted inconsistently, even in studies of the same type. Furthermore, methods of administration are rarely reported or justified making it impossible to compare findings across studies. This article concludes by recommending criteria for the future reporting of paediatric chronic pain assessments in studies.

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Cognitive developmental influences on the ability of preschool-aged children to self-report their pain intensity

Cited by 43 publications

References 42 publications

The measurement properties of pediatric observational pain scales: A systematic review of reviews

The measurement properties of pediatric observational pain scales: A systematic review of reviews

Why Unidimensional Pain Measurement Prevails in the Pediatric Acute Pain Context and What Multidimensional Self-Report Methods Can Offer

Chronic Pain Assessments in Children and Adolescents: A Systematic Literature Review of the Selection, Administration, Interpretation, and Reporting of Unidimensional Pain Intensity Scales

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