Trajectories of postsurgical pain in children

Rabbitts, Jennifer A.; Zhou, Chuan; Groenewald, Cornelius B.; Durkin, Lindsay; Palermo, Tonya M.

doi:10.1097/j.pain.0000000000000281

Cited by 121 publications

(156 citation statements)

References 20 publications

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“…The current paper examines a research question that is distinct from other published papers using parts of this dataset, which examined predictors of acute post-surgical pain (Rabbitts, Groenewald, Tai, & Palermo, 2015), pain trajectories over a 1-year follow-up (Rabbitts, Zhou, et al, 2015), and the role of pain catastrophizing in children’s and parents’ memories of post-surgical pain (Noel, Rabbitts, et al, 2015). …”

Section: Methodsmentioning

confidence: 99%

“…Pediatric surgery is a particularly compelling context within which to study children’s pain memory development, given that a subgroup of these youth are at risk for experiencing persistence of their postsurgical pain for months and years later (Rabbitts, Zhou, Groenewald, Durkin, & Palermo, 2015; Sieberg et al, 2013). Therefore, surgery offers a unique context within which to examine the potential role of pain memories in the transition of pain from an acute to a persistent state.…”

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confidence: 99%

“…The influence of parents’ memories of pain on children’s subsequent pain experience has also not been examined, despite being posited as important in influencing parent-child interactions about pain and pain cognitions (Noel, Chambers, Petter, et al, 2012; Noel, Palermo, Chambers, Taddio, & Hermann, 2015). Indeed, other parental cognitions about child pain (e.g., parental pain catastrophizing) have emerged as important predictors of persistent post-surgical pain in youth one year following surgery (Rabbitts, Zhou, et al, 2015). …”

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confidence: 99%

See 2 more Smart Citations

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

Noel¹,

Rabbitts²,

Fales³

et al. 2017

Health Psychology

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Objective Although children’s pain memories have been shown to be a powerful predictor of subsequent pain experiences in acute procedural and experimental pain settings, little is known about the influence of children’s and parents’ pain memories on children’s future pain experiences in other painful contexts. This study used a dyadic approach to examine the roles of children’s and parents’ memories of pain on their subsequent reporting of post-surgical pain several months after the child underwent a major surgical procedure. Methods The sample included 66 parent-child dyads (Mage youth = 14.73 years, SD = 2.01) recruited from two tertiary level pediatric hospitals. At baseline, children and parents reported on their catastrophic thinking about the child’s pain. Parent and child reports of child pain were collected at approximately 1 month and 5 months post-surgery. At 2–4 months post-surgery, children’s and parents’ memories for post-surgical pain were assessed. Results Results revealed that children’s, but not parents’, pain memories were a strong predictor of subsequent pain experienced at 5 months post-surgery. Children’s and parents’ memories for pain did not influence each others’ subsequent pain reporting. Conclusions Findings suggest that children’s pain memories influence their continued recovery from post-surgical pain and may contribute to pain persistence. Implications for intervention and prevention are discussed.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

Noel¹,

Rabbitts²,

Fales³

et al. 2017

Health Psychology

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“…For instance, chronic pain is significantly higher in survivors of childhood cancer than in their healthy siblings [74]. Chronic post-surgical pain (CPSP), potentially a transition from acute to chronic pain, has recently been described to occur in 12%–22% of children [75,76,77], and is possibly associated with parental catastrophizing [78]. …”

Section: Pain Manifestations and Locations Of A Primary Pain Disordermentioning

confidence: 99%

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

et al. 2016

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Primary pain disorders (formerly “functional pain syndromes”) are common, under-diagnosed and under-treated in children and teenagers. This manuscript reviews key aspects which support understanding the development of pediatric chronic pain, points to the current pediatric chronic pain terminology, addresses effective treatment strategies, and discusses the evidence-based use of pharmacology. Common symptoms of an underlying pain vulnerability present in the three most common chronic pain disorders in pediatrics: primary headaches, centrally mediated abdominal pain syndromes, and/or chronic/recurrent musculoskeletal and joint pain. A significant number of children with repeated acute nociceptive pain episodes develop chronic pain in addition to or as a result of their underlying medical condition “chronic-on-acute pain.” We provide description of the structure and process of our interdisciplinary, rehabilitative pain clinic in Minneapolis, Minnesota, USA with accompanying data in the treatment of chronic pain symptoms that persist beyond the expected time of healing. An interdisciplinary approach combining (1) rehabilitation; (2) integrative medicine/active mind-body techniques; (3) psychology; and (4) normalizing daily school attendance, sports, social life and sleep will be presented. As a result of restored function, pain improves and commonly resolves. Opioids are not indicated for primary pain disorders, and other medications, with few exceptions, are usually not first-line therapy.

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“…16 Recent research shows that these problems with recovery may persist long-term for a sizeable group of children, with approximately 20%experiencing persistence of pain and associated functional impairment extending over 12 months after major surgery. 13,17 Early detection of slower functional recovery during the initial days after surgery could allow implementation of closer postdischarge follow-up and targeting of therapies to improve health outcomes for these children.…”

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confidence: 99%

Validation of the Youth Acute Pain Functional Ability Questionnaire in Children and Adolescents Undergoing Inpatient Surgery

Rabbitts

Aaron

Zempsky

et al. 2017

The Journal of Pain

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Half of children admitted after surgery experience intense pain in hospital, and many experience continued pain and delayed functional recovery at home. However, there is a gap in tools available to measure acute functional ability in pediatric postsurgical settings. We aimed to validate the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ) in a large inpatient pediatric surgical population, evaluate its responsiveness to expected functional recovery, and develop a short form for broad clinical implementation. The YAPFAQ is a self-report measure assessing acute functional ability, developed in children admitted for acute sickle cell pain. We evaluated psychometric properties of the measure in 564 children ages 8 to 18 years admitted after surgery. A sample of 54 participants completed the YAPFAQ daily for 3 days after major surgery to assess responsiveness. The measure showed good reliability (Cronbach α = .96) and construct validity, with expected relationships with physical health-related quality of life (r = −.53, P < .001) and pain intensity (r = .42, P < .001). YAPFAQ scores decreased over time showing good responsiveness to expected recovery. A 3-item short form of the YAPFAQ showed promising psychometric properties. Early assessment of functioning after surgery may identify children at risk for poor functional outcomes and allow targeting of therapies to improve postsurgical recovery.

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Trajectories of postsurgical pain in children

Cited by 121 publications

References 20 publications

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

Validation of the Youth Acute Pain Functional Ability Questionnaire in Children and Adolescents Undergoing Inpatient Surgery

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