Pain coping strategies in children with cerebral palsy

Chaléat-Valayer, Emmanuelle; Roumenoff, F.; Bard-Pondarré, R.; Lucet, None; Bernard, J.-C.

doi:10.1016/j.rehab.2018.05.735

Cited by 5 publications

(16 citation statements)

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“…cognitive behavioural therapy) is considered vital to mitigating maladaptive chronic pain responses and for promoting effective self-management [35]. The importance of addressing such needs, was highlighted by a recent French study that reported children with CP to demonstrate less effective pain coping strategies compared to typically developing populations [41]. Findings of this study, highlight a need to actively assess and treat psychological/emotional function of children with CP and dyskinesia with chronic pain to ensure pain is effectively treated within bio-psychosocial models.…”

Section: Discussionmentioning

confidence: 99%

The lived experience of chronic pain and dyskinesia in children and adolescents with cerebral palsy

et al. 2020

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Background: To explore the lived experience of chronic pain and dyskinesia in children and adolescents with cerebral palsy. Methods: A convergent parallel mixed methods design was undertaken. First, a quantitative cross-sectional study of participants able to self-report their quality of life was undertaken. This study characterised pain chronicity, intensity, body locations, and quality of life. Second, semi-structured interviews were undertaken with a subset of children and adolescents experiencing chronic pain. Results: Twenty-five children and adolescents took part in the cross-sectional study, 23 of whom experienced chronic pain and 13 of moderate intensity. Pain was often located in multiple bodily regions (6/21), with no trends in quality of life outcomes detected. Eight participated in semi-structured interviews, which identified three key themes including 'lives embedded with dyskinesia', 'real world challenges of chronic pain', and 'still learning strategies to manage their pain and dyskinesia'. Conclusions: A high proportion of children and adolescents with cerebral palsy and dyskinesia who were able to self-report experienced chronic pain. The physical and emotional impacts of living with chronic pain and dyskinesia existed along a spectrum, from those with lesser to greater extent of their impacts. Children and adolescents may benefit from targeted chronic pain education and management within bio-psychosocial models.

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Section: Discussionmentioning

confidence: 99%

The lived experience of chronic pain and dyskinesia in children and adolescents with cerebral palsy

et al. 2020

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“…pain avoidance) and cognitive‐affective mechanisms (e.g. pain catastrophizing) 18 . This reinforces the need for future research exploring psychological interventions for children with CP and chronic pain.…”

Section: Discussionmentioning

confidence: 79%

“…Chaleat‐Valayer et al 18 . demonstrated that children with CP and pain are less likely to use active coping strategies than typically developing children.…”

Section: Discussionmentioning

confidence: 99%

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Lived experiences of pain in children and young people with cerebral palsy

Ostojic

Sharp

Paget

et al. 2021

Develop Med Child Neuro

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Aim To explore the lived experiences of pain in children and young people with cerebral palsy (CP). Method Participants were recruited from the Sydney Children’s Hospitals Network and the New South Wales/Australian Capital Territory CP Registers. Inclusion criteria were as follows: CP; aged 9 to 17 years; current/past experience of pain; fluent in English; no greater than mild intellectual disability. Purposive sampling ensured representation across age, motor subtypes, and Gross Motor Function Classification System (GMFCS) levels. Semi‐structured face‐to‐face interviews were conducted. Data were analysed following an interpretative phenomenological approach. Results Ten participants (three male) were included (mean age 14y 5mo, SD 2y), GMFCS levels I (n=4), II (n=3), III (n=2), and IV (n=1). Analysis led to three superordinate themes: (1) Everybody’s experience of pain is different; (2) When the pain is winning; (3) ‘I know how to deal with it’. Pain contributors and locations varied between children. Pain intruded on school, physical activity, and psychosocial functioning. Children described personalized strategies used to deal with pain. Interpretation In this study, children self‐reported highly individualized pain experiences which interfered with their daily life and psychosocial well‐being. There is a need for improvement in pain assessment and a personalized approach to pain management.

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“…5,7 Delivering appropriate psychological treatment suitable for children with CP and chronic pain may be complicated by the frequent co-occurrence of intellectual disability and non-verbal communication. 5 Chaleat-Valayer et al 9 reported that children with CP engage in fewer cognitive and behavioral strategies to manage their pain experience (ie, pain coping strategies) compared to typically developing children.…”

Section: Introductionmentioning

confidence: 99%

BrightHearts: A pilot study of biofeedback assisted relaxation training for the management of chronic pain in children with cerebral palsy

Ostojic

Sharp

Paget

et al. 2021

Paediatric and Neonatal Pain

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Background: Chronic pain is estimated to impact one-in-three children with cerebral palsy (CP). Psychological interventions including behavioral and cognitive strategies play a key role in chronic pain management, but there is a paucity of research exploring their use in children with CP.Aim: To investigate the acceptability and feasibility of biofeedback assisted relaxation training (BART) for chronic pain management in children with CP using a mixedmethods study design.Methods: Biofeedback assisted relaxation training was delivered via BrightHearts, an iOS application. Inclusion criteria were as follows: CP; self-reported chronic pain; age 9-18 years; and fluent English speaker. Children used BrightHearts for ten minutes daily, over four weeks. Qualitative post-intervention interviews were undertaken (child, parent) and quantitative pre-post measures (child) were gathered including pain intensity (numerical rating scale), and anxiety intensity (numerical rating scale).Content analysis was conducted for qualitative data. Descriptive statistics and exploratory analyses were performed for quantitative data.Results: Ten children participated (n = 3 male, mean age = 13.1 years SD = 2.5 years, GMFCS level I = 4, II = 2, III = 3, IV = 1). Predominant movement disorder was spasticity (n = 7) and dyskinesia, mainly dystonia (n = 3). Content analysis suggested an overarching theme "BrightHearts is a good thing to put in my toolbox" providing an overall representation of participants' experiences. For many, BrightHearts was a valuable supplement to children's pain management strategies: "The source of the pain is still there, but the actual effect of the pain isn't so relevant." Four sub-themes were identified: "Managing my pain;" "Managing my anxiety and stress," "Helping me do what I need to do;" and "Fitting it into my life." Some participants reported improvements in their anxiety management, and others described benefits in sleep and school following improved pain/anxiety management. A range of practical and personal factors within this heterogeneous group presented barriers to using BrightHearts including limited time, attention, and boredom. Seven-out-of-eight children would recommendThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Pain coping strategies in children with cerebral palsy

Cited by 5 publications

References 0 publications

The lived experience of chronic pain and dyskinesia in children and adolescents with cerebral palsy

The lived experience of chronic pain and dyskinesia in children and adolescents with cerebral palsy

Lived experiences of pain in children and young people with cerebral palsy

BrightHearts: A pilot study of biofeedback assisted relaxation training for the management of chronic pain in children with cerebral palsy

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