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The pain puzzle: a visual and conceptual metaphor for understanding and treating pain in pediatric rheumatic disease

M A Rapoff1, C B Lindsley

  • 1Department of Pediatrics, University of Kansas Medical Center, Kansas City 66103, USA.

The Journal of Rheumatology. Supplement
|April 27, 2000
PubMed

Insights

Chronic pain in pediatric rheumatic diseases can lead to lifelong disability. The "pain puzzle" metaphor helps understand and treat this pain by integrating nociception, emotions, cognitions, and behavior.

Area of Science:

  • Pediatric Rheumatology
  • Pain Medicine
  • Biobehavioral Health

Background:

  • Chronic pain is a significant issue in pediatric rheumatic diseases, often persisting into adulthood and causing disability.
  • Understanding the multifaceted nature of pain is crucial for effective treatment in this population.

Purpose of the Study:

  • To introduce and explain the "pain puzzle" metaphor for understanding pediatric rheumatic disease-related pain.
  • To review the implications of this biobehavioral model for clinical treatment strategies.

Main Methods:

  • Conceptual review and description of the "pain puzzle" metaphor.
  • Integration of a biobehavioral model of pain, emphasizing nociceptive, emotional, cognitive, and behavioral components.

Main Results:

  • The "pain puzzle" metaphor provides a framework for conceptualizing pediatric rheumatic disease pain.
  • This framework highlights the interplay between biological, emotional, cognitive, and behavioral factors in pain experience.

Conclusions:

  • The "pain puzzle" metaphor offers a novel approach to understanding and managing chronic pain in pediatric rheumatic diseases.
  • Applying this biobehavioral perspective can lead to more comprehensive and effective treatment interventions.

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