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July 6, 2020

The Golden Half Hour in Chronic Pediatric Pain—Feedback as the First Intervention

Author Affiliations
  • 1Harvard Medical School, Pain Treatment Service, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts
  • 2Harvard Medical School, Clinical Innovation and Outreach in Pain Medicine, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts
  • 3Harvard Medical School, Center for Motility and Functional Gastrointestinal Disorders, Division of Gastroenterology and Nutrition, Boston Children’s Hospital, Boston, Massachusetts
JAMA Pediatr. Published online July 6, 2020. doi:10.1001/jamapediatrics.2020.1798

It is now widely accepted that chronic pain is the result of a dynamic interplay of biopsychosocial factors that generate and maintain it. Thus, the psychological vs organic framework is outdated and inaccurate. Additionally, we know that regardless of where a child experiences chronic pain, most will respond to a rehabilitative model of care that incorporates cognitive-behavioral and physical therapy. Thus, it is essential for clinicians to know how to help a family engage with an evidence-based treatment plan that addresses the biological, psychological, and social factors associated with pain.1

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