2-199 - Cross-sectional and Longitudinal Factors Linked to Pain Experiences Across Child Development

Session Type: Paper Symposium

Integrative Statement

Pediatric pain is a major public health concern; however, it is not as commonly recognized, diagnosed, and treated as adult pain. Recurrent pain estimates among children have ranged from 4-83% depending on location (e.g. headache, musculoskeletal), time period (e.g., monthly, weekly), and age, suggesting pain is a common occurrence for many youth (King et al., 2011). Greater pain among children has been associated with increased depressive symptoms, school absences, and poorer quality of life (Holm et al., 2012; Palermo 2000). As a new topic for SRCD, this symposium covers parental responses, psychosocial and other health conditions, and cognitive skills as risk and resilience factors of pediatric pain, and addresses effective intervention. Through use of advanced methodologies and inclusion of diverse samples of children, the presentations and discussion aim to explicate key risk and resilience factors associated with pain experiences among children from three different developmental stages (i.e., infancy, middle childhood, adolescence). The presentations will examine 1) parental influences, specifically insensitive parent behaviors, on pain-related distress among infants; 2) the association between sleep and pain among twins in middle childhood and how internalizing symptoms and socioeconomic status moderate this relation; and 3) the effectiveness of a brief cognitive-behavioral intervention to increase effective pain management among adolescents and their parents. Together these presentations suggest potential targets of intervention, including reducing insensitive parent behaviors, increasing sleep efficiency, and incorporating cognitive and behavioral skills to improve pain outcomes among infants, children, and adolescents and highlight future paths of exploration in pediatric pain research.

Sub Unit

• Health, Growth, Injury

Chair

• Samantha A Miadich, Arizona State University

Discussant

• Mary C. Davis, Arizona State University

Individual Presentations

• Assessing Insensitive Parent Behaviors in a Pain-Related Distress Context Among Infants – The OUCH-IE - Presenting Author: Rebecca Pillai Riddell, York University; Non-Presenting Author: Hannah Gennis, York University; Non-Presenting Author: Paula Tablon, York University; Non-Presenting Author: Saul Greenberg, University of Toronto; Non-Presenting Author: Hartley Garfield, University of Toronto

• Longitudinal Associations Between Sleep and Pain Experiences Among Twins in Middle Childhood - Presenting Author: Samantha A Miadich, Arizona State University; Non-Presenting Author: Reagan Styles Breitenstein, Arizona State University; Non-Presenting Author: Mary C. Davis, Arizona State University; Non-Presenting Author: Leah D. Doane, Arizona State University; Non-Presenting Author: Kathryn Lemery-Chalfant, Arizona State University

• Effectiveness of a Cognitive-Behavioral Intervention to Improve Pain Outcomes Among Adolescents and Their Parents - Presenting Author: Rachael Coakley, Harvard Medical School and Boston Children’s Hospital