This application requests continuation of the program project entitled """"""""Management of Chronic Pain In Rehabilitation."""""""" The overall goal is to conduct multidisciplinary research aimed at understanding the nature, development, course, and appropriate care of chronic pain as a secondary condition in persons with disabilities. The project will continue to focus on using survey research to understand the frequency and severity of pain in persons with disabilities, and to continue testing the efficacy of treatments designed to decrease pain and its impact. Project by Jensen will survey 3,730 adults and children with disabilities to: (1) further our understanding of pain as a secondary condition in persons with disabilities, (2) perform a prospective, longitudinal study to clarify the natural course of pain in adults and children with disabilities, and (3) further develop a biopsychosocial model of chronic pain as it applies to persons with disabilities. Project by Ehde will evaluate the efficacy of cognitive restructuring, relative to an education/attention control condition, in the management of chronic pain in persons with disabilities, and determine the causal impact of pain cognitions (specifically, catastrophizing cognitions) on functioning in persons with disability-related chronic pain. Project by Engel includes a randomized clinical trial and a series of single-subject studies designed to test the efficacy of relaxation training for reducing pain in youth with disability-related pain, and to test three hypothesized mechanisms for the efficacy of relaxation training for reducing pain in youth. A Scientific Core will provide scientific direction, project coordination, data collection and management, statistical support, and shared scientific expertise.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Program Projects (P01)
Project #
Application #
Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Quatrano, Louis A
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University of Washington
Physical Medicine & Rehab
Schools of Medicine
United States
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Miró, Jordi; de la Vega, Rocío; Gertz, Kevin J et al. (2017) The role of perceived family social support and parental solicitous responses in adjustment to bothersome pain in young people with physical disabilities. Disabil Rehabil :1-8
Jensen, Mark P; Tomé-Pires, Catarina; de la Vega, Rocío et al. (2017) What Determines Whether a Pain is Rated as Mild, Moderate, or Severe? The Importance of Pain Beliefs and Pain Interference. Clin J Pain 33:414-421
Miró, Jordi; de la Vega, Rocío; Solé, Ester et al. (2017) Defining mild, moderate, and severe pain in young people with physical disabilities. Disabil Rehabil 39:1131-1135
Miró, Jordi; Solé, Ester; Gertz, Kevin et al. (2017) Pain Beliefs and Quality of Life in Young People With Disabilities and Bothersome Pain. Clin J Pain 33:998-1005
Miró, J; Castarlenas, E; de la Vega, R et al. (2016) Validity of three rating scales for measuring pain intensity in youths with physical disabilities. Eur J Pain 20:130-7
de la Vega, Rocío; Racine, Mélanie; Sánchez-Rodríguez, Elisabet et al. (2016) Psychometric properties of the short form of the Children's Depression Inventory (CDI-S) in young people with physical disabilities. J Psychosom Res 90:57-61
Kratz, Anna L; Ehde, Dawn M; Hanley, Marisol A et al. (2016) Cross-Sectional Examination of the Associations Between Symptoms, Community Integration, and Mental Health in Multiple Sclerosis. Arch Phys Med Rehabil 97:386-94
Raichle, Katherine A; Osborne, Travis L; Jensen, Mark P et al. (2015) Preoperative state anxiety, acute postoperative pain, and analgesic use in persons undergoing lower limb amputation. Clin J Pain 31:699-706
Ehde, Dawn M; Alschuler, Kevin N; Osborne, Travis L et al. (2015) Utilization and patients' perceptions of the effectiveness of pain treatments in multiple sclerosis: A cross-sectional survey. Disabil Health J 8:452-6
Miró, Jordi; Gertz, Kevin J; Carter, Gregory T et al. (2014) Pain location and intensity impacts function in persons with myotonic dystrophy type 1 and facioscapulohumeral dystrophy with chronic pain. Muscle Nerve 49:900-5

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