The candidate is a postdoctoral fellow in pediatric psychology who is advancing to a junior faculty position. This award is expected to help transition the focus of the candidate's research and to provide additional training in chronic and recurrent pain in children, in particular, the associated functional morbidity. The candidate's career goals are to develop an independent research career related to identification and prevention of pain-related functional consequences and children. Specific objectives are to: 1) broaden understanding of the functional impact of chronic and recurrent pain in children through consideration of multiple child and family specific domains, and 2) to use psychosocial family assessment data to develop interventions to prevent or limit functional consequences of pain in children. The candidate proposes a five-year training program with faculty mentors from a strong pediatric research department. her sponsor is a very experienced pediatric psychology researcher whose work has focused on identifying factors that enhanced or disrupt the psychosocial adaptation of children with chronic illness. Co-sponsors and mentors represent subspecialty divisions that are directly relevant to the research and career development plan. The career development plan describes activities focused on enhanced knowledge of research-related approaches to the management of chronic and recurrent pain and pain-related disability in children through coursework, independent study, and clinic observations. Other activities in the plan include research training in statistical methods supervised experienced in preparation of grant proposals for individual research support, and training in the responsible conduct of research. The candidate's proposed research involves three projects. Study 1 is a baseline assessment of pain- related functional consequences and potential family moderators of impairment in children with sickle cell disease, juvenile chronic arthritis, and migraine headaches. Study 2 is a follow-up of this sample at 12 months to provide as yet unavailable information on the functional impact of chronic and recurrent pain over time. Study 3 is a pilot study to develop and evaluate family-centered interventions to reduce functional consequences of recurrent and chronic pain in children.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Mentored Patient-Oriented Research Career Development Award (K23)
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Special Emphasis Panel (ZRG1-RPHB-3 (01))
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Muehrer, Peter R
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Case Western Reserve University
Schools of Medicine
United States
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VĂ©lez, Clorinda E; Wolchik, Sharlene A; Tein, Jenn-Yun et al. (2011) Protecting children from the consequences of divorce: a longitudinal study of the effects of parenting on children's coping processes. Child Dev 82:244-57
Lewandowski, Amy S; Palermo, Tonya M; Kirchner, H Lester et al. (2009) Comparing diary and retrospective reports of pain and activity restriction in children and adolescents with chronic pain conditions. Clin J Pain 25:299-306
Long, Anna C; Palermo, Tonya M; Manees, Anne M (2008) Brief report: using actigraphy to compare physical activity levels in adolescents with chronic pain and healthy adolescents. J Pediatr Psychol 33:660-5
Long, Anna C; Krishnamurthy, Vidhya; Palermo, Tonya M (2008) Sleep disturbances in school-age children with chronic pain. J Pediatr Psychol 33:258-68
Palermo, Tonya M; Riley, Craig A; Mitchell, Brian A (2008) Daily functioning and quality of life in children with sickle cell disease pain: relationship with family and neighborhood socioeconomic distress. J Pain 9:833-40
Palermo, Tonya M; Toliver-Sokol, Marisol; Fonareva, Irina et al. (2007) Objective and subjective assessment of sleep in adolescents with chronic pain compared to healthy adolescents. Clin J Pain 23:812-20
Hoff, Ahna L; Palermo, Tonya M; Schluchter, Mark et al. (2006) Longitudinal relationships of depressive symptoms to pain intensity and functional disability among children with disease-related pain. J Pediatr Psychol 31:1046-56
Palermo, Tonya M; Harrison, Dale; Koh, Jeffrey L (2006) Effect of disease-related pain on the health-related quality of life of children and adolescents with cystic fibrosis. Clin J Pain 22:532-7
Palermo, Tonya M; Kiska, Raechel (2005) Subjective sleep disturbances in adolescents with chronic pain: relationship to daily functioning and quality of life. J Pain 6:201-7
Palermo, Tonya M; Platt-Houston, Candis; Kiska, Raechel E et al. (2005) Headache symptoms in pediatric sickle cell patients. J Pediatr Hematol Oncol 27:420-4

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