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Review
. 2015 Oct;40(9):840-5.
doi: 10.1093/jpepsy/jsv037. Epub 2015 May 15.

Topical Review: Resilience Resources and Mechanisms in Pediatric Chronic Pain

Laura A Cousins  1 , Sreeja Kalapurakkel  2 , Lindsey L Cohen  3 , Laura E Simons  4
Affiliations
Review

Topical Review: Resilience Resources and Mechanisms in Pediatric Chronic Pain

Laura A Cousins et al. J Pediatr Psychol. 2015 Oct.

Abstract

Objective: To apply resilience theory and the extant literature to propose a resilience-risk model for pediatric chronic pain and provide an agenda for research and clinical practice in pediatric chronic pain resilience.

Method: Literature review to develop a resilience-risk model for pediatric chronic pain.

Results: The chronic pain literature has identified unique individual and social/environmental resilience resources and pain-related resilience mechanisms that promote pain adaptation. These data support our ecological resilience-risk model for pediatric chronic pain, and the model highlights novel directions for clinical and research efforts for youth with chronic pain.

Conclusions: The examination of pediatric chronic pain from a strengths-based approach might lead to novel clinical avenues to empower youth to positively adapt and live beyond their pain.

Keywords: chronic and recurrent pain; coping skills and adjustment; psychosocial functioning; resilience.

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Figures

Figure 1.
Figure 1.
Ecological resilience-risk model in pediatric chronic pain. Note. Within this model, resilience resources promote adaptive outcomes by enhancing resilience mechanisms and minimizing risk factors and mechanisms. Conversely, risk factors interfere with resilience and contribute to poor pain adaptation by enhancing risk mechanisms and minimizing resilience factors and mechanisms. These risk and resilience pathways occur within the context of the individual, the family/social environment, culture, and time, which mutually interact with one another.
See this image and copyright information in PMC

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