Perspectives on Cancer Pain Assessment and Management in Children

Duffy, Elizabeth A.; Dias, Nancy; Hendricks-Ferguson, Verna L.; Hellsten, Melody; Skeens-Borland, Micah; Thornton, Clifton P.; Linder, Lauri

doi:10.1016/j.soncn.2019.04.007

Cited by 24 publications

(29 citation statements)

References 111 publications

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“…The World Health Organization estimates that by 2022, approximately 15 million people worldwide will be affected by cancer, and more than 80% of them will become long-term survivors of their disease. They will experience pain and other negative experiences during their illness (Duffy et al, 2019). Advanced treatment for pediatric cancer is often associated with two to three years of frequent and prolonged hospitalization.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of unified transdiagnostic therapy on strategies cognitive emotion regulation in mothers of children with cancer

Ashena

Beshārat²,

Malihialzuckerini

et al. 2021

علوم روانشناختی

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Background: Studies have shown that Unified transdiagnostic therapy is unique in this emphasis on how to experience and respond to emotions. However, there is not any research on the effectiveness of Unified transdiagnostic therapy on the Cognitive Emotion Regulation in mothers of children with cancer so far. Aims: The purpose of this study was to determine the effectiveness of Unified transdiagnostic therapy on Cognitive Emotion Regulation in mothers of children with cancer. Methods: This research was a quasi-experimental study with pre-test and post-test with the control group. The statistical population consisted of all mothers of children with cancer who were referred to Mahak, Shohada Tajrish, Bahrami, Hazrate Ali Asghar hospitals, in 2019 in Tehran. 31 mothers were selected by available sampling method and randomly assigned to 15 cases in the experimental group and 16 cases in the control group. The present research tools are the Cognitive Emotion Regulation Questionnaire (CERQ) short form (Garnefski & Kraaij,2006) and Unified Transdiagnostic Therapy (Barlow, 2011). The experimental group received the Unified Transdiagnostic Therapy for 12 sessions, each for 90 minutes. Data analysis was performed by the univariate analysis of covariance analysis method and using SPSS23 software. Results: The results showed Unified transdiagnostic therapy in the experimental group has increased using adaptive strategies compared to the control group include acceptance, positive refocusing, refocus on planning, positive reappraisal, and putting into perspective and also, it has led to a significant reduction in using maladaptive strategies include, self-blame, rumination, catastrophizing, and other-blame (P≤ 0.001). Conclusion: Unified transdiagnostic therapy increases using adaptive strategies and decreases using maladaptive strategies in mothers of children with cancer that this process will help improve the mental health of these mothers.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of unified transdiagnostic therapy on strategies cognitive emotion regulation in mothers of children with cancer

Ashena

Beshārat²,

Malihialzuckerini

et al. 2021

علوم روانشناختی

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“…Although pain symptom is one of the most frequently reported symptoms during treatment and disease process, it also leads to many conditions, such as fatigue, weakness, insomnia, anxiety, and depression [2]. Pediatric oncology nurses play a key role in pain assessment and identifying potential strategies for managing pain and pharmacological and non-pharmacological treatments [21]. Self-report scales are the gold standard for assessing pain in adolescents, and validated pain assessment tools are available to guide clinicians in assessing pain.…”

Section: Discussionmentioning

confidence: 99%

The Predictive Power of Pain Characteristics and Sleep Quality on Fatigue in Adolescents with Cancer

Kudubeş

Bektaş

Gerçeker

2022

Preprint

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Purpose This study was conducted as descriptive, methodological, and cross-sectional research to determine the predictive power of pain characteristics and sleep quality on fatigue in adolescents with cancer. Method The study was conducted between November 2020 and April 2021 with 139 adolescents with cancer who reported pain. The study data were collected via an Adolescent Information Form, the Adolescent Pediatric Pain Tool, the Scale for the Assessment of Fatigue in Pediatric Oncology Patients Aged 13-18, and the Sleep Assessment Scale for Children with Cancer - Adolescent Form. Mean values, percentage calculations, Pearson correlation analysis, and linear regression analysis were used in the analysis of the data. Results There was a high level and negative correlation between pain characteristics (pain location, severity, and quality) of the adolescents participating in the study and their mean scores from the overall fatigue scale and its sub-dimensions and a high level and positive correlation with their mean scores from the overall sleep quality scale. Pain characteristics (pain location, severity, and quality) and sleep quality of adolescents with cancer explained 74% of fatigue. Conclusions Pain, sleep quality, and fatigue are symptoms that should be closely addressed in adolescents with cancer. Pain and sleep quality directly affect fatigue, and as sleep quality increases, fatigue decreases.

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“…It is known that suboptimal knowledge of the pharmacodynamics and pharmacokinetics of pain medications leads to under-treatment of pain intensity [105]; therefore, it is likely that deficient knowledge of management options for other dimensions of pain similarly leads to sub-optimal pain management. If the administration of multidimensional acute pain assessment tools is to translate into improved pain outcomes and patient satisfaction, continuing professional development and healthcare education curriculums should include multimodal integrative management options, such as psychoeducation, distraction and other attentional techniques, mindfulness training, cognitive-behavioral interventions, and hypnotic techniques [106,107]. This may need to be accompanied by a shift in targeting analgesic therapy at the sensory dimension of pain intensity, to the contributing and related dimensions of acute pain for each patient [108].…”

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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Perspectives on Cancer Pain Assessment and Management in Children

Cited by 24 publications

References 111 publications

The effectiveness of unified transdiagnostic therapy on strategies cognitive emotion regulation in mothers of children with cancer

The effectiveness of unified transdiagnostic therapy on strategies cognitive emotion regulation in mothers of children with cancer

The Predictive Power of Pain Characteristics and Sleep Quality on Fatigue in Adolescents with Cancer

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

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