“…In addition to its association with stress, other studies have found strong associations between pain and psychological symptoms. These studies suggest that higher pain levels are correlated with considerable increases anxiety levels (Barakat et al, 2008), depression (Lewandowski, Palermo, & Peterson, 2006), internalizing symptoms (Thompson, Gil, Burbach, Keith, & Kinney, 1993) and fatigue (Gold, Mahrer, Yee, & Palermo, 2009). Data provided in the literature and in the present study reinforce the fact that pain could induce stress and discomfort in children.…”