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Journal of Pediatric Psychology Advance Access originally published online on September 8, 2005
Journal of Pediatric Psychology 2006 31(7):684-697; doi:10.1093/jpepsy/jsj061
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

The Impact of Chronic Pain on Adolescents: A Review of Previously Used Measures

Christopher Eccleston, PhD1, Abbie L. Jordan, MSc1 and Geert Crombez, PhD2

1 University of Bath and 2 Ghent University

All correspondence concerning this article should be addressed to Prof. Christopher Eccleston, Pain and Managment Unit, The University of Bath, UK, BA2 7AY. E-mail: c.Eccleston{at}bath.ac.uk.

Received February 13, 2004; revisions received July 6, 2004 and August 31, 2004; accepted September 3, 2004

Objective To review the use of instruments to assess the impact of adolescent chronic pain, focussing on the development of instruments, the domains covered, psychometric properties, and published use with adolescent chronic pain patients. Methods Systematic literature searching recovered 706 articles, yielding 116 relevant articles, employing a total of 43 separate measurement instruments, which were subjected to content analysis. Results Most instruments were in the psychological domain (n = 22), with a self-report format (n = 36). Thirty instruments were specifically developed for adolescent populations; only 12 instruments had psychometric evaluation with adolescent chronic pain patients. The median use of any one instrument in published studies was two. Clinically relevant psychometric data were missing for many instruments. Conclusions There is a diversity of instrumentation with some pockets of depth of use, but some domains of chronic pain experience with no routine assessment. Further development of the knowledge base of measurement of the impact of chronic adolescent pain is necessary.

Key words: adolescents; assessment; chronic pain; measurement.


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