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Journal of Pediatric Psychology 14(1) pp. 43-61, 1989
© 1989 Society of Pediatric Psychology


research-article

The Role of Social Modeling in Unexplained Pediatric Pain1

Robin Bennett Osborne2,4, Joseph W. Hatcher and Anthony J. Richtsmeier3

University of Health Sciences/Chicago Medical School, Department of Pediatrics, Cook County Hospital Chicago

4All correspondence should be sent to Robin Bennett Osborne, P.O. Box 298, Hanover, New Hampshire 03755.

Interviewed 20 children with recurrent unexplained pain (UP) and 20 children with recurrent explained pain (EP) secondary to sickle cell anemia and their parents to determine the presence of models of pain or illness behavior in the child's environment. The location, intensity, frequency, and environmental consequences of the children's and the models pain were also assessed. The hypothesis that UP Ss would identify more models was supported. In addition, UP Ss identified more positive consequences of the child's pain behavior while EP Ss identified more negative consequences. Children perceived the frequency and intensity of their pain to be similar to their models, while parents did not report such a relationship. Body location data suggest that children may model either general illness behavior or exact symptoms. Implications for future research are discussed.

Key words: recurrent pain; social modeling; pediatric pain.


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