Word: pained
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Dates: during 2000-2009
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...extra one or two ACT sessions with their parents present). During the sessions, the therapists emphasized that the kids should go out and do what they truly loved even if they were hurting that day - in other words, that they should accept rather than try to avoid their chronic pain. To shift kids away from focusing only on alleviating their symptoms, therapists discussed how their pain was not caused by a harmful disease or injury and how previous strategies (such as taking painkillers) had not worked. Kids were encouraged instead to notice and accept discomfort and to get back into...
...although those sessions were divided among physicians, physical therapists and a psychologist or psychiatrist. Each day, these kids were also given up to 100 mg of amitriptyline, a sedating drug that used to be prescribed as an antidepressant but is now used more often as a treatment for chronic pain...
...Most of the things they want to do in life are associated with having to experience pain," says Wicksell. The kids want to play soccer or basketball, they want to go to movies, they want to be able to tell friends they can spend a whole Saturday with them. But for many of these kids, just standing up from a sofa can hurt a little. "So we discuss pros and cons - the short- and long-term consequences of not doing things with friends," says Wicksell. The kids eventually learn how to take their pain along with them to social outings...
Parents also must be educated. According to Lynnda Dahlquist, a professor at the University of Maryland, Baltimore County, and co-author of the chronic-pain chapter in the Handbook of Pediatric Psychology (2003), many parents reinforce avoidance behavior in kids with chronic pain by doing something that comes naturally to parents: being kind to their kids. "Let's say Johnny's back pain flares up during math class," says Dahlquist. "He feels terrible, so he says, 'I can't do my math.' Mom comes, takes him home, puts the TV on and gives him a back rub. Well, math...
...provide that push - but one that comes from within. The new study suggests a less sentimental approach for kids with chronic pain: sympathy but never pity...