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Chronic Pain in Adolescents: Physiological and Psychological Bases for Pain

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Handbook of Adolescent Health Psychology

Abstract

Chronic pain is a prevalent problem in adolescents, resulting in considerable disability across multiple domains. Several pain conditions—back, abdominal, and musculoskeletal pain—are seen frequently in clinical settings and are reviewed in detail in this chapter. The biopsychosocial model is widely used to conceptualize the pain experience and explains the genetic, biological, emotional, and environmental contributions to chronic pain. Emerging biological research provides insight into the heritability of pain conditions and the influence of stress on pain perception. Adolescent coping style and mood problems are one of many psychological factors that can impact adolescents with chronic pain. The social environment provides a context for better understanding pain-related impairment, with attention to the parental factors affecting adolescent adaptive or maladaptive adjustment to pain. A rehabilitative approach to pain management is recommended, and multidisciplinary treatment typically includes medication management, physical therapy, and cognitive behavioral therapy.

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Correspondence to Anne M. Lynch-Jordan Ph.D. .

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Lynch-Jordan, A.M., Kashikar-Zuck, S. (2013). Chronic Pain in Adolescents: Physiological and Psychological Bases for Pain. In: O'Donohue, W., Benuto, L., Woodward Tolle, L. (eds) Handbook of Adolescent Health Psychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6633-8_44

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