Chronic pain syndromes in childhood, 2021, Schechter (Oxford Textbook of Pediatric Pain)

[Dolphin]

Chronic pain syndromes in childhood, 2021, Schechter (Oxford Textbook of Pediatric Pain)


Written from a biopsychosocial perspective and looks annoying.

I seem to be able to see all or nearly all of it here:
https://books.google.ie/books?hl=en&lr=lang_en&id=x0wwEAAAQBAJ&oi=fnd&pg=PA239&dq="chronic+fatigue+syndrome"&ots=v2Kt0oW8Dx&sig=_8qY2Ey_JUC4Z4rhlqRj7sZTeF8&redir_esc=y#v=onepage&q="chronic fatigue syndrome"&f=false

(CFS is mentioned)

 

[Hutan]

From the chapter:

"The fact of their frequent co-occurrence [multiple types of pain] has significant research implications as it requires an explanatory model that is broader than focus on a specific end organ (stomach, back, head etc). It is not only the frequency of overlap of these entities that is noteworthy, however, but also the co-occurrence of many other associated features. These include the female predominance, association with psychological disorders, school and sleep disruption, frequent fatigue, and loss of mental clarity.

Additionally, many of the same centrally acting nonspecific treatments (exercise, stress reduction, acupuncture, and neuromodulating drugs such as antidepressants and anticonvulsants) are effective for all of these syndromes.

These shared characteristics provide further support for the linkage of these entities and add to the critical importance of a multidisciplinary approach which allows the insights of researchers who had been narrowly exploring one type of pain to influence the thinking of those exploring other pain problems."​

Argh. Let's not let reality get in the way of a story that happens to nicely tie in with the writer's prejudices then. It's frightening that this is a textbook published in 2021.

 

[Hutan]

there is an association with early life trauma

they frequently occur in individuals with specific personality types and mental health disorders

there is strong evidence that chronic pain problems tend to run in families. This is most likely due to a number of factors... parental modelling of pain behaviour

Yep, they wheel out all of the unevidenced stereotypes. The reference to 'specific personality types' was particularly masterful, as it can mean whatever personality type they need it to mean. If it becomes clear that the research suggesting there's no link between a specific pain condition and a specific personality characteristic, it's always possible to claim that it is some other personality characteristic that matters.

I can't read more. Everyone involved in the production of this prejudiced nonsense is culpable for the poor treatment of children with chronic pain and their families.

 

[Hoopoe]

It's so painful to see society wanting children's illness to be psychosocial because of its own inability to bear the thought of children actually having a chronic illness.

 

[Mithriel]

Could someone with a BPS background please give me a scientific explanation of the biological pathways by which being female causes pain.