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Children's self-report of pain intensity: what we know, where we are headed

Carl L von Baeyer1

  • 1Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan. carl.vonbaeyer@usask.ca

Pain Research & Management
|March 6, 2009
PubMed

Insights

This paper introduces children

Area of Science:

  • Pediatric Pain Management
  • Psychometrics
  • Child Psychology

Background:

  • Children's self-report of pain intensity is crucial for effective treatment.
  • Previous reviews detailed specific pain scales, but broader measurement issues require current discussion.

Purpose of the Study:

  • To provide a practical introduction to children's self-report pain measures.
  • To overview key principles, issues, and advancements in pediatric pain intensity measurement.

Main Methods:

  • Literature review focusing on broader measurement principles and issues since 1996.
  • Discussion of progress and gaps in pediatric pain self-report research.

Main Results:

  • Identified key measurement issues: interpretation, age-specific considerations (under six), social functions of pain reports, cognitive factors, screening/training, measurement levels, and clinically significant change.
  • Highlighted areas of progress and stagnation in pediatric pain self-report since 1996.

Conclusions:

  • Further research is needed in children's self-report of pain.
  • Recommendations are provided for clinicians utilizing pediatric pain self-report measures.

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