Systematic Review of Self-Report Measures of Pain Intensity in 3- and 4-Year-Old Children: Bridging a Period of Rapid Cognitive Development

Baeyer, Carl L. von; Jaaniste, Tiina; Vo, Henry L.T.; Brunsdon, Georgie; Lao, Hsuan-Chih; Champion, G. David

doi:10.1016/j.jpain.2017.03.005

Cited by 46 publications

(30 citation statements)

References 21 publications

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“…However, it is important to consider the validity of parent-reported measures for child pain. When faced with patients who have difficulty accurately self-reporting pain intensity (von Baeyer et al, 2017), a multi-informant approach to assessing young child pain is recommended (Herr, Coyne, McCaffery, Manworren, & Merkel, 2011). Nurse-reported pain (via FLACC) did not predict re-epithelialization despite doing so previously (Brown, Kimble, Gramotnev, et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Clinicians can also underestimate burn pain (Atchison, Guercio, & Monaco, 1986;van der Does, 1989;Geisser, Bingham, & Robinson, 1995;Iafrati, 1986;Perry, 1984;Perry & Heidrich, 1982). When faced with patients who have difficulty accurately self-reporting pain intensity (von Baeyer et al, 2017), a multi-informant approach to assessing young child pain is recommended (Herr, Coyne, McCaffery, Manworren, & Merkel, 2011). For burn wound care, it appears helpful for clinicians to consider parental assessment when making decisions regarding pain management.…”

Section: Discussionmentioning

confidence: 99%

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The role of parental acute psychological distress in paediatric burn re‐epithelialization

Brown

Young

Kimble

et al. 2019

British J Health Psychol

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Objectives. Following a paediatric burn, parents commonly experience high levels of acute psychological distress, which has been shown to increase child psychological distress as well as child procedural distress. The influence of psychological stress and perceived pain on wound healing has been demonstrated in several laboratory and medical populations. This paper investigates the influence of parental acute psychological distress and procedural behaviour on the child's rate of re-epithelialization, after controlling for child procedural distress. Design. A prospective observational study with longitudinal outcome.Methods. Eighty-three parents of children 1-6 years old reported acute psychological distress (post-traumatic stress symptoms [PTSS], guilt, pre-procedural fear, general anxiety/depression symptoms) in relation to their child's burn. A researcher observed parent-child behaviour at the first dressing change, and parents and nurses reported child procedural distress (pre-, peak-, and post-procedural pain and fear). These variables, along with demographic and injury information, were tested for predicting time to re-epithelialization. Date of re-epithelialization was determined by the treating consultant.Results. Days to re-epithelialization ranged from 3 to 35 days post-injury. A hierarchical multiple regression analysis found wound depth and size significantly accounted for 28% of the variance in time to re-epithelialization. In Block 2, child peak-procedural pain significantly accounted for 6% additional variance. In Block 3, parental PTSS significantly accounted for 5% additional variance.Conclusions. Parental PTSS appears to be an important but under-recognized factor that may influence their child's burn re-epithelialization. Further investigation is required to understand the mechanisms contributing to this association.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The role of parental acute psychological distress in paediatric burn re‐epithelialization

Brown

Young

Kimble

et al. 2019

British J Health Psychol

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“…Parent pain ratings served as a proxy for many children, infants, and young children, but parents may underestimate or overestimate the extent of their child' s pain. 43,44 This limitation is difficult to overcome when assessing pain in young children because of their cognitive and developmental abilities. To assess this impact, a sensitivity analysis excluded the large number of infants from the NICU.…”

Section: Discussionmentioning

confidence: 99%

Pain Experience in a US Children’s Hospital: A Point Prevalence Survey Undertaken After the Implementation of a System-Wide Protocol to Eliminate or Decrease Pain Caused by Needles

Postier

Eull

Schulz

et al. 2018

Hospital Pediatrics

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“…Just as an artist needs sharp pencils to depict the detail of their image, so too a health professional needs valid and reliable assessment tools which possess the precision to obtain meaningful information from patients about different dimensions of their pain experience. Although much research has been devoted to the development of age-appropriate tools for assessing children's self-reported pain intensity (e.g., [7,127]), more work is needed to develop age-appropriate tools to assess pain-related affective, cognitive-evaluative and social dimensions in a clinical acute pain context.…”

Section: Development Of Age-appropriate Self-report Affective and Evamentioning

confidence: 99%

“…Unidimensional assessments that are recorded fail to provide a comprehensive picture of an individual's qualitative experience. Considerable attention has been devoted to the development of age-appropriate unidimensional, sensory measures of pain [6,7]; increasingly though the clinical utility of unidimensional pain intensity measures has been called into question (e.g., [5]). It has been suggested that describing pain only in terms of intensity is like describing music only in terms of loudness [8].…”

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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Systematic Review of Self-Report Measures of Pain Intensity in 3- and 4-Year-Old Children: Bridging a Period of Rapid Cognitive Development

Cited by 46 publications

References 21 publications

The role of parental acute psychological distress in paediatric burn re‐epithelialization

The role of parental acute psychological distress in paediatric burn re‐epithelialization

Pain Experience in a US Children’s Hospital: A Point Prevalence Survey Undertaken After the Implementation of a System-Wide Protocol to Eliminate or Decrease Pain Caused by Needles

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

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