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Deciphering emotional aches and physical pains in children

Jonathan A Slater1

  • 1Pediatric Psychiatry Consultation-Liaison Service, Children's Hospital of New-York Presbyterian, Columbia University College of Physicians and Surgeons, New York, New York, USA.

Pediatric Annals
|July 9, 2003
PubMed

Insights

Pediatric pain syndromes often link to stress, impacting biology and behavior. Healthcare providers should validate children's pain and consider non-drug treatments first.

Area of Science:

  • Pediatric medicine
  • Child psychology
  • Pain management

Background:

  • Childhood pain syndromes are prevalent.
  • Stress is a common factor, with biological and psychiatric links.
  • Associated stigma with mood and behavior treatments exists.

Purpose of the Study:

  • To outline a comprehensive approach to pediatric pain management.
  • To emphasize the importance of a holistic evaluation and intervention plan.
  • To guide pediatricians on integrating behavioral and physical health care.

Main Methods:

  • Comprehensive clinical evaluation of pediatric patients presenting with pain.
  • Development of individualized intervention strategies.
  • Consideration of nonpharmacologic interventions prior to psychopharmacologic options.

Main Results:

  • A structured approach to pain management is crucial.
  • Nonpharmacologic interventions are recommended as a first-line approach.
  • Psychiatric consultation aids in managing chronic physical complaints.

Conclusions:

  • Pediatricians must validate children's pain experiences.
  • Addressing the psychological aspects of pain is essential.
  • Integrated care involving child psychiatrists improves outcomes for chronic pain.

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