Procedural Distress in Children With Cancer

Walco, Gary A.; Conte, Paola M.; Labay, Larissa; Engel, Romy; Zeltzer, Lonnie K.

doi:10.1097/01.ajp.0000146166.15529.8b

Cited by 65 publications

(13 citation statements)

References 38 publications

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“…Acute pain has been found to elicit HPA arousal (e.g., Dixon et al 2004). However, children can show cortisol elevations to invasive procedures even in the absence of observable or reported discomfort (Walco et al 2005), and increased cortisol levels after venipuncture have been found to be more attributable to emotional than physical factors (Hubert et al 1989). Furthermore, it is likely that the topical analgesia administered to boys in this study minimized the extent to which actual pain was experienced or contributed to stress responses.…”

Section: Discussionmentioning

confidence: 83%

Adrenocortical Functioning in Boys with Attention-Deficit/Hyperactivity Disorder: Examining Subtypes of ADHD and Associated Comorbid Conditions

Hastings

Fortier

Utendale

et al. 2009

J Abnorm Child Psychol

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Disruptions to hypothalamic-pituitary-adrenal (HPA) axis function have been associated with varying forms of psychopathology in children. Studies suggesting children with ADHD have blunted HPA function have been complicated by the prevalence of comorbid diagnoses and heterogeneity of ADHD. The goals of this research were to assess the relations between waking and stress-response salivary cortisol levels and comorbid disruptive behavior (DBD) and anxiety (AnxD) disorders and problems in boys with ADHD, and to examine whether cortisol levels varied across ADHD subtypes. One hundred seventy elementary school-age boys with ADHD provided salivary cortisol at waking and in reaction to venipuncture. Parent reports were used to assess boys' psychiatric diagnoses and severity of behavioral problems. Boys' comorbid AnxD and anxiety problems were associated with greater cortisol reactivity, whereas boys' comorbid DBD and oppositional problems predicted diminished adrenocortical activity. Reactive cortisol increases were greatest in boys with ADHD and comorbid AnxD, but without DBD. ADHD subtypes were not differentially associated with waking, pre-stress baseline, or reactive cortisol levels. However, comorbid DBD predicted decreased cortisol reactivity in boys with inattentive and hyperactive subtypes of ADHD, but not in boys with combined subtype of ADHD. The results clarify previous patterns of distinct and divergent dysregulations of HPA function associated with boys' varying kinds of psychopathology.

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Section: Discussionmentioning

confidence: 83%

Adrenocortical Functioning in Boys with Attention-Deficit/Hyperactivity Disorder: Examining Subtypes of ADHD and Associated Comorbid Conditions

Hastings

Fortier

Utendale

et al. 2009

J Abnorm Child Psychol

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“…Children's Pain assessment can be conducted by three means: selfevaluating, selfless-evaluating by behaviour observation and recording, Physiological measurements [1]. However, according to some scientists; the ideal evaluation is the combined evaluation which includes self-evaluating for pain associated with one of the methods stated above [2], but this approach can be considered unpractical, inapplicable and useless for children in the phase before talking or whom are unable to talk, or those have perceptual problems, so some of scientists said that it is better to evaluate pain by selfless methods that depends on watching Child's reaction against pain alarm and registering it.…”

Section: Literature Reviewmentioning

confidence: 99%

The Validity and Reliability of the Arabic Version of FLACC Scale: A Clinical Trial

Albab¹,

Shakhashero²

2016

J Anesth Clin Res

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“…Acute pain may be taken to include all painful experiences lasting for less than 3 months duration [1]. A thorough acute pain assessment should be conducted within a broader social and developmental perspective, considering information from various sources, which may include self-reported information, behavioral observations, physiological measures, parent-or clinician-reported information, and the patient's medical history [2], complemented by an understanding of pain mechanisms and pathophysiology [3]. Each of these assessment modalities may provide valuable information about the pain experience.…”

Section: Introductionmentioning

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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Procedural Distress in Children With Cancer

Cited by 65 publications

References 38 publications

Adrenocortical Functioning in Boys with Attention-Deficit/Hyperactivity Disorder: Examining Subtypes of ADHD and Associated Comorbid Conditions

Adrenocortical Functioning in Boys with Attention-Deficit/Hyperactivity Disorder: Examining Subtypes of ADHD and Associated Comorbid Conditions

The Validity and Reliability of the Arabic Version of FLACC Scale: A Clinical Trial

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

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