State of the art in biobehavioral approaches to the management of chronic pain in childhood.

Pain Manag

Department of Anesthesiology, Division of Pain Medicine, Perioperative & Pain Medicine, Boston Children's Hospital,  Boston, MA, USA.

Published: October 2016

Chronic pain in childhood is prevalent, persistent and significantly impactful on most domains of life. The chronic pain experience occurs within a complex biopsychosocial framework, with particular emphasis on the social context. Currently, psychological treatments involve a cognitive-behavioral therapy treatment plan, providing some combination of psychoeducation, self-regulation training, maladaptive cognition identification, behavioral exposure and parent involvement. New treatment areas are emerging, such as group- and internet-based cognitive-behavioral therapy, motivational interviewing, comorbid obesity intervention and intensive multidisciplinary rehabilitation. Preliminary studies of emerging treatments demonstrate encouraging results; however, treatment effectiveness hinges on accurate matching of patient to treatment modality. Overall, the current direction of the field promises many innovative breakthroughs to ameliorate suffering in youth with chronic pain.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976863PMC
http://dx.doi.org/10.2217/pmt.15.59DOI Listing

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