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Updated: May 22, 2026

A Preterm Rat Model for Pain Studies
Published on: February 9, 2024
The influence of children's pain memories on subsequent pain experience
Melanie Noel1, Christine T Chambers, Patrick J McGrath
1Department of Psychology, Dalhousie University, Halifax, NS, Canada Department of Pediatrics, Dalhousie University, Halifax, NS, Canada Department of Psychiatry, Dalhousie University, Halifax, NS, Canada IWK Health Centre, Halifax, NS, Canada Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada.
Insights
Children's memories of pain intensity significantly predict future pain experiences. Negative pain memories lead to higher expectations and increased pain ratings over time, impacting children's overall pain perception.
Area of Science:
- Pediatric Psychology
- Pain Research
- Child Development
Background:
- Children frequently experience painful medical procedures, yet the role of memory in their pain responses is under-researched.
- Understanding how memory influences children's pain perception is crucial for developing effective pain management strategies.
Purpose of the Study:
- To investigate the impact of children's memories of a pain stimulus on their subsequent pain experiences.
- To examine the relationship between pain memory, pain expectations, and future pain reporting in children.
Main Methods:
- 110 healthy children (8-12 years) underwent a laboratory pain task and provided initial pain ratings.
- Two weeks later, children reported on pain memories and future pain expectations.
- One month post-initial visit, children repeated the pain task and provided updated pain ratings.
Main Results:
- Children's memory of pain intensity was a stronger predictor of subsequent pain reporting than initial pain intensity.
- Pain memory mediated the link between initial and later pain experiences.
- Negative pain memory estimations correlated with heightened future pain expectations and increased pain ratings over time.
Conclusions:
- Pain memory significantly influences children's expectations of future pain and their subsequent pain experiences.
- These findings refine predictive models of pain reporting in pediatric populations.
- Memory-based interventions could potentially mitigate children's future pain responses.
Abstract:
Healthy children are often required to repeatedly undergo painful medical procedures (eg, immunizations). Although memory is often implicated in children's reactions to future pain, there is a dearth of research directly examining the relationship between the 2. The current study investigated the influence of children's memories for a novel pain stimulus on their subsequent pain experience. One hundred ten healthy children (60 boys) between the ages of 8 and 12 years completed a laboratory pain task and provided pain ratings. Two weeks later, children provided pain ratings based on their memories as well as their expectancies about future pain. One month following the initial laboratory visit, children again completed the pain task and provided pain ratings. Results showed that children's memory of pain intensity was a better predictor of subsequent pain reporting than their actual initial reporting of pain intensity, and mediated the relationship between initial and subsequent pain reporting. Children who had negatively estimated pain memories developed expectations of greater pain prior to a subsequent pain experience and showed greater increases in pain ratings over time than children who had accurate or positively estimated pain memories. These findings highlight the influence of pain memories on healthy children's expectations of future pain and subsequent pain experiences and extend predictive models of subsequent pain reporting.
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