The experiences of acute non-surgical pain of children who present to a healthcare facility for treatment: a systematic review protocol

Pope, Nicole; Tallon, Mary; McConigley, Ruth; Wilson, Sally

doi:10.11124/jbisrir-2015-2466

Cited by 18 publications

(25 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…fear and pain memory bias indices were positively but not significantly correlated) but also differentially associated with child and parental variables (see also Noel, Rabbits, et al, 2015). Comprehensive and further multidimensional memory assessment is particularly important since the affective components of pain (such as fear, unpleasantness, acceptability) are sometimes considered more troubling by children than the sensory aspects of pain (Pope, Tallon, McConigley, & Wilson, 2015). Of further interest, participants in our study showed initial fixation and maintained attention biases to pain.…”

Section: Discussionmentioning

confidence: 66%

Parental (non‐)pain attending verbalizations moderate the relationship between child attention and memory bias for pain

Wauters

Noel

Ryckeghem

et al. 2020

European Journal of Pain

View full text Add to dashboard Cite

Background Children's negatively biased pain‐related memories (i.e. recalling pain as being more intense or fearful than initially reported) have been recognized as a key factor in explaining child pain development. While mechanisms underlying children's pain memory development remain poorly understood, attention biases and parent language have been implicated in conceptual models. This study examined the association between child pain‐related attention and memory biases and the moderating role of parental pain and non‐pain attending verbalizations. Methods Participants were 51 school children and one of their parents. Probability of initial fixation and gaze duration to pain were assessed using eye tracking methodology. Children performed a cold pressor task (CPT) and reported on experienced pain intensity and pain‐related fear. A 3‐minute parent–child interaction upon CPT completion allowed measurement of parental pain and non‐pain attending verbalizations. Children's pain‐related memories were elicited 2 weeks later. Results Findings indicated that the relationship between maintained attention to pain and fear memory bias was moderated by parental non‐pain attending verbalizations such that higher gaze duration bias was positively associated with fear memory bias but only among children whose parents demonstrated low levels of non‐pain attending verbalizations. The opposite pattern was observed for children whose parents showed high levels of non‐pain attending verbalizations. No such effects were observed for child initial attention bias to pain, memory bias for pain and parental pain attending verbalizations. Conclusions Findings highlight the importance of parental and child pain‐related variables as well as their interaction in understanding negatively biased pain‐related memories. Significance This study on child pain memories is the first to highlight that characteristics of the social context, such as parental (non‐)pain‐related verbalizations, as well as factors related to the intra‐individual experience of pain, such as child attention bias to pain, should be studied jointly, as they interact with each other in their effect on the emergence of negatively biased memories of painful events.

show abstract

Section: Discussionmentioning

confidence: 66%

Parental (non‐)pain attending verbalizations moderate the relationship between child attention and memory bias for pain

Wauters

Noel

Ryckeghem

et al. 2020

European Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Pain is common in children and is frequently underrecognized and undertreated. 39 , 40 Despite the significant challenges related to the opioid epidemic, it nonetheless remains the case that in the acute phase, pain is often not well addressed in the emergency setting. Patients with severe acute pain present a challenge to emergency clinicians who must balance the benefits and risks of using opioids to manage pediatric pain.…”

Section: Recommendations For Clinical Practice In the Edmentioning

confidence: 99%

Emergency department strategies to combat the opioid crisis in children and adolescents

et al. 2021

View full text Add to dashboard Cite

The opioid crisis has greatly affected not only adults but also children as well. As clinicians develop effective approaches to minimize pain and distress in children, the risks and benefits of opioids must be carefully considered. Children of parents with opioid use disorder are also at risk of living in unstable environments, performing poorly academically, engaging in future drug use, and having increased stress, which affects their development before entering adulthood. This statement focuses on the effects of the opioid crisis on children and adolescents and is intended to inform institutional policies, improve education, advocate for evidence‐informed guidelines, and improve the care of children affected by the opioid epidemic who are seen in the emergency department.

show abstract

“…This may, in part, be related to different scales measuring different features of the complex pain response, or it may be related to contextual differences. In some situations, children may find the affective aspects of pain to be more troubling than sensory aspects [49]. One pediatric study that was carried out in the context of routine needle insertion into a subcutaneously implanted intravenous port, found that when topical anesthesia was used, needle-related fear was significantly higher than needle-related pain intensity [50].…”

Section: Concordance and Discordance Between Various Dimensions Of Thmentioning

confidence: 99%

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

et al. 2019

View full text Add to dashboard Cite

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.

show abstract

The experiences of acute non-surgical pain of children who present to a healthcare facility for treatment: a systematic review protocol

Cited by 18 publications

References 27 publications

Parental (non‐)pain attending verbalizations moderate the relationship between child attention and memory bias for pain

Parental (non‐)pain attending verbalizations moderate the relationship between child attention and memory bias for pain

Emergency department strategies to combat the opioid crisis in children and adolescents

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

Contact Info

Product

Resources

About