Validating Children's Pain: Untapped Approach to Prevent Chronic Pain, Study Reveals - Video

Drawing from diverse research across developmental psychology, child mental health, and pain sciences, researchers say that it may be important to validate children’s pain by demonstrating that their pain-related experiences, emotions, or behaviours are acceptable, understood, and legitimate. By validating a child’s pain, the child feels heard and believed, which reinforces their trust and connection with their parent, or with a treating doctor.

“When a parent or doctor validates a child’s experiences in a way that matches their expressed vulnerability, it helps the child to feel accepted, builds connection and trust, and may help the child to develop critical skills in regulating their emotions,” UniSA researcher Dr Sarah Wallwork says.

“However, if these cues are missed, or the doctor questions the validity of their pain, this can have negative consequences for the child. Not only can it affect the clinician-patient relationship and trust but it can also impact future attendance at appointments and adherence to a pain management plan.

“By validating children’s experiences of pain, they are likely to hold fewer negatively biased memories of pain and be in better position to seek help in the future, when they need it.”

Dr Wallwork says that setting children up for success should cover all aspects of life, including pain management.

“Our research highlights an underemphasised element of child and youth pain treatment, especially for children in minoritised groups, who are systematically undertreated for pain,” Dr Wallwork says. “People with chronic pain often report that their pain-related experiences are met with disbelief or dismissal. This can have significant consequences, including poor mental health and reduced quality of life.

“Given the significant burden of chronic pain, and the clear intersection with the rising child mental health crisis, it’s important that we better manage pain earlier on, rather than waiting until it is too late.” Dr Wallwork says this review provides a building block for future empirical research.

Reference: Wallwork, Sarah B.^a,*; Shenk, Chad^b,c; McMurtry, C. Meghan^d; Hood, Anna M.^e; Pavlova, Maria^f; Olson, Anneke E.^b; Moseley, G. Lorimer^a; Noel, Melanie^g. “I hear you”. Validation in the context of children's pain as an untapped opportunity to prevent chronic pain. PAIN ():10.1097/j.pain.0000000000003350, July 30, 2024. | DOI: 10.1097/j.pain.0000000000003350