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Academics

Chronic pain often limits a child’s ability to attend school and participate in school activities, and can negatively affect cognitive functioning.96-97 Assessment of academic functioning and coordinating school reintegration and accommodations are important components of treatment. Specifically, treatment includes assessment of academic and cognitive functioning (e.g., school absences, grades, school stressors, and neuropsychological assessment). Ongoing assessment of these factors can inform treatment, which often includes the child, caregivers, and school personnel. In coordination with teachers and school personnel, cognitive-behavioral treatment may include developing behavioral plans to encourage school attendance and school-focused coping skills training.

Collectively, children and adolescents can experience chronic pain, and ineffective treatment may increase the likelihood of pediatric chronic pain continuing into adulthood. Evidence supports the use of cognitive and behaviorally based psychological therapies in the treatment of pediatric chronic pain. Given that childhood and adolescence represent unique developmental periods, psychological chronic pain treatment should include an appreciation for developmental, family, social, and academic factors.

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