Chronic pain concepts of pediatricians : a qualitative survey

Locher, Cosima; Wörner, Andreas; Carlander, Maria; Kossowsky, Joe; Dratva, Julia; Koechlin, Helen

doi:10.1097/PR9.0000000000001060

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26898

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Chronic pain concepts of pediatricians : a qualitative survey
Authors:	Locher, Cosima Wörner, Andreas Carlander, Maria Kossowsky, Joe Dratva, Julia Koechlin, Helen
et. al:	No
DOI:	10.1097/PR9.0000000000001060 10.21256/zhaw-26898
Published in:	Pain Reports
Volume(Issue):	8
Issue:	1
Page(s):	e1060
Issue Date:	Jan-2023
Publisher / Ed. Institution:	Wolters Kluwer
ISSN:	2471-2531
Language:	English
Subjects:	Biopsychosocial framework; Children and adolescents; Chronic pain; Pain concept; Pediatrician; Qualitative analysis
Subject (DDC):	618.92: Pediatrics
Abstract:	Introduction: Chronic pain is a prevalent, yet underrecognized, condition in children and adolescents. A biopsychosocial framework has been widely adopted over the past decades and resulted in a new pain classification in the International Classification of Diseases, 11th revision (ICD-11). Nevertheless, little is known about pediatricians' pain concepts. Objectives: We explored pain concepts of Swiss pediatricians by means of a qualitative analysis. Method: A cross-sectional online survey was sent to clinically active Swiss pediatricians registered with the Swiss Society for Pediatrics. A case vignette of a girl with chronic musculoskeletal pain was presented and pediatricians were asked (1) what they think caused the pain, and (2) how they would explain the pain to the patient and their family. Structuring content analysis was applied to describe major themes within the answers. Results: The following main categories emerged: psychological factors, biological factors, unclear etiology, social context, disorder specific, and multifactorial. Most pediatricians reported the belief that psychological factors explained the pain. However, when explaining the pain to the patient, biological factors were reported most often. Conclusion: There is a discrepancy between pediatricians' conviction that chronic pain is mostly explained by psychological factors and their exploratory model towards patients that focuses on biological factors. Promoting the biopsychosocial framework of chronic pain is key to ensure timely and effective treatment. The new pain classification in the ICD-11 has the potential to increase the use of the biopsychosocial model.
Further description:	PMC9845015
URI:	https://digitalcollection.zhaw.ch/handle/11475/26898
Fulltext version:	Published version
License (according to publishing contract):	CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement:	School of Health Sciences School of Management and Law
Organisational Unit:	Institute of Public Health (IPH) Winterthur Institute of Health Economics (WIG)
Appears in collections:	Publikationen Gesundheit

Files in This Item:

File	Description	Size	Format
2023_Locher-etal_Chronic-pain-concepts-of-pediatricians.pdf		376.34 kB	Adobe PDF	View/Open

Show full item record

Locher, C., Wörner, A., Carlander, M., Kossowsky, J., Dratva, J., & Koechlin, H. (2023). Chronic pain concepts of pediatricians : a qualitative survey. Pain Reports, 8(1), e1060. https://doi.org/10.1097/PR9.0000000000001060

Locher, C. et al. (2023) ‘Chronic pain concepts of pediatricians : a qualitative survey’, Pain Reports, 8(1), p. e1060. Available at: https://doi.org/10.1097/PR9.0000000000001060.

C. Locher, A. Wörner, M. Carlander, J. Kossowsky, J. Dratva, and H. Koechlin, “Chronic pain concepts of pediatricians : a qualitative survey,” Pain Reports, vol. 8, no. 1, p. e1060, Jan. 2023, doi: 10.1097/PR9.0000000000001060.

LOCHER, Cosima, Andreas WÖRNER, Maria CARLANDER, Joe KOSSOWSKY, Julia DRATVA und Helen KOECHLIN, 2023. Chronic pain concepts of pediatricians : a qualitative survey. Pain Reports. Januar 2023. Bd. 8, Nr. 1, S. e1060. DOI 10.1097/PR9.0000000000001060

Locher, Cosima, Andreas Wörner, Maria Carlander, Joe Kossowsky, Julia Dratva, and Helen Koechlin. 2023. “Chronic Pain Concepts of Pediatricians : A Qualitative Survey.” Pain Reports 8 (1): e1060. https://doi.org/10.1097/PR9.0000000000001060.

Locher, Cosima, et al. “Chronic Pain Concepts of Pediatricians : A Qualitative Survey.” Pain Reports, vol. 8, no. 1, Jan. 2023, p. e1060, https://doi.org/10.1097/PR9.0000000000001060.