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Cognitive-Behavioral Therapy for Chronic Pain in Children and Adolescents


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Table of Contents

Part I: Introduction to cognitive-behavioral therapy for chronic pain in children and adolescents ; 1. The problem of chronic pain in children and adolescents ; 2. A brief history: development of CBT in pediatric pain management ; 3. The evidence base for cognitive-behavioral therapy for pediatric chronic pain ; Part II: Assessment, education, and treatment planning ; 4. Assessment and evaluation ; 5. Education and treatment planning ; Part III: Interventions ; 6. Relaxation, imagery, and biofeedback training ; 7. Parental intervention strategies ; 8. Cognitive skills training ; 9. School interventions ; 10. Sleep interventions ; 11. Lifestyle and physical activity interventions ; 12. Conclusions and future directions ; Appendices ; 1. Pain diary ; 2. Educational resources for parents ; 3. Basic abdominal breathing instructions. ; 4. Progressive muscle relaxation script for younger children (under 10 years) ; 5. Progressive muscle relaxation script for older children (ages 10 and above) ; 6. Pleasant place imagery ; 7. Muscle relaxation with imagery script ; 8. Relaxation practice tips ; 9. Relaxation practice log and diary ; 10. Parent management guidelines ; 11. Point system contract and tracking calendar ; 12. Privilege system contract ; 13. Tips for parents to establish an effective reward system ; 14. Tips for establishing good communication habits ; 15. Positive coping self statements worksheet ; 16. Thought record ; 17. Thought-stopping instructions ; 18. Thought continuum exercise ; 19. School letter sample ; 20. Sleep diary ; 21. Tips for improving your sleep ; 22. Stimulus control instructions ; 23. Instructions for activity pacing ; 24. Pleasant activities chart ; References ; Index

About the Author

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.


"With that all too rare combination of extremely careful scholarship and very practical information, Dr. Palermo has provided the field with an excellent, much-needed, and comprehensive text containing state-of-the-art information about the etiology and treatment of chronic pain in children. Highly recommended!"-- Rona L. Levy, M.S.W., Ph.D., M.P.H., Professor and Director, Behavioral Medicine Research Group, University of Washington

"This is a terrific book, comprehensive, evidence-based, and well-organized, with chapters ranging from the theoretical to the practical. Palermo treats the issue of pediatric pain with the intellectual rigor of a renowned scientist and the sensitivity of an experienced clinician. This book will be useful for pediatric psychologists as well as for the many other health care professionals - nurses, social workers, physicians, occupational therapists - who are integral to the care of youth with chronic pain. It will be an essential reference for a wide range of subspecialty clinics that treat youth with chronic pain in our Children's Hospital- gastroenterology, rheumatology, neurology, and adolescent medicine, to name a few."-- Lynn Walker, Professor of Pediatrics and Director of the Division of Adolescent Medicine, Vanderbilt University School of Medicine

"At last! An evidence-based clinical handbook for pediatric pain management! Every pain clinician and trainee who works with children will want to have a copy on this book on their bookshelf." -- Christine Chambers, Ph.D., RPsych, Professor and Canada Research Chair, Dalhousie University & IWK Health Centre

"Palermo's tour-de-force provides a superb 'soup to nuts' guide to the behavioral assessment and treatment of pediatric pain including research, clinical strategies, and helpful appendices full of charts, guides, and activities. This will become the indispensable guide for all pediatric practitioners working which children who face painful procedures and chronic pain." -- Gerald P. Koocher, Ph.D., ABPP, Associate Provost and Professor of Psychology, Simmons College

"Dr. Palermo's book is a must-read for anyone working with children who have chronic pain." -- Lonnie Zeltzer, M.D., Director of Pediatric Pain Program, Mattel Children's Hospital at UCLA, and Professor of Pediatrics, Anesthesiology, Psychiatry, and Biobehavioral Sciences, David Geffen School of Medicine at UCLA

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