Cognitive-Behavioral Therapy for Chronic Pain in Children and Adolescents

by Palermo, Tonya M.

• ISBN13: 9780199763979
• ISBN10: 0199763976
• eBook ISBN(s): 9780199938445
• Edition: 1st
• Format: Paperback
• Copyright: 2012-05-04
• Publisher: Oxford University Press
• More Book Details

Summary

Chronic pain is a significant health problem for many children and adolescents and is often challenging for healthcare professionals to treat. Estimated to affect approximately 15% to 30% of children, chronic and recurrent pain occurs most commonly in the pediatric population without clearly identifiable underlying physical etiology, such as pain associated with irritable bowel syndrome, headaches, musculoskeletal pain, or complex regional pain syndrome. Chronic or recurrent pain may also be associated with ongoing underlying medical conditions, such as arthritis, cancer, Crohn's disease, or sickle cell disease. Cognitive-Behavioral Therapy for Chronic Pain in Children and Adolescentsprovides a practical guide for implementing cognitive-behavioral therapy (CBT) for children and their families coping with the consequences of persisting pain. The book is divided into three sections. The first section presents a brief history, theoretical foundations, and background concerning the development of CBT interventions for children with chronic pain conditions and summarizes research results on the efficacy of CBT. Chapters in the second section cover assessment and evaluation approaches, patient education, and how to structure and sequence CBT interventions with children and families. The last section of the book describes in detail each cognitive-behavioral intervention, including relaxation and cognitive skills and interventions directed at parents, sleep problems, physical activity, and school functioning. Extensive suggested dialogue and detailed instructions and handouts are included in the text and accompanying appendices to provide user-friendly therapist training materials for successful application of clinical techniques to children and families.Cognitive-Behavioral Therapyfor Chronic Pain in Children and Adolescentsis an essential, evidence-based resource for pediatric and child clinical psychologists and other mental health professionals (social workers, child psychiatrists) who work with children in pain.

Author Biography

Tonya M. Palermo, Ph.D., is Professor of Anesthesiology and Pain Medicine and Adjunct Professor of Pediatrics and Psychiatry at the University of Washington. She is the 2012 President of the Society of Pediatric Psychology.

Table of Contents

Foreword	p. vii
Preface	p. xi
Acknowledgments	p. xiii
Introduction to Cognitive-Behavioral Therapy for Chronic Pain in Children and Adolescents
The Problem of Chronic Pain in Children and Adolescents	p. 5
A Brief History: Development of Cognitive-Behavioral Therapy in Pediatric Pain Management	p. 17
The Evidence Base for Cognitive-Behavioral Therapy for Pediatric Chronic Pain	p. 25
Assessment, Education, and Treatment Planning
Assessment and Evaluation	p. 41
Education and Treatment Planning	p. 60
Interventions
Relaxation, Imagery, and Biofeedback Training	p. 75
Parental Intervention Strategies	p. 92
Cognitive Skills Training	p. 106
School Interventions	p. 116
Sleep Interventions	p. 128
Lifestyle and Physical Activity Interventions	p. 141
Conclusions and Future Directions	p. 152
Appendices
Pain Diary	p. 163
Educational Resources for Parents	p. 164
Basic Abdominal Breathing Instructions	p. 166
Progressive Muscle Relaxation Script for Younger Children (under 10 years)	p. 167
Progressive Muscle Relaxation Script for Older Children (ages 10 and above)	p. 169
Favorite Pleasant Place	p. 172
Muscle Relaxation with Imagery Script	p. 173
Relaxation Practice Tips	p. 175
Relaxation Practice Log and Diary	p. 176
Parent Management Guidelines	p. 187
Point System	p. 179
Privilege System	p. 181
Tips for Parents to Establish an Effective Reward System	p. 182
Tips for Establishing Good Communication Habits	p. 183
Positive Coping Self Statements Worksheet	p. 184
Thought Record	p. 185
Thought Continuum Exercise	p. 186
Thought-Stopping Instructions	p. 188
Sample School Letter	p. 189
Sleep Diary	p. 191
Tips for Improving Your Sleep	p. 192
Difficulty Falling Asleep-Stimulus Control Instructions	p. 194
Instructions for Activity Pacing	p. 195
Pleasant Activities Chart	p. 196
References	p. 197
Index	p. 215
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