title: Cognitive and school functioning in children and adolescents with chronic pain: a critical review.
abstract: Cognitive function is a critical factor related to a child's overall developmental trajectory. There is increasing evidence that chronic pain disrupts cognitive function in adults. Little is known about the nature or impact of cognitive disruption in children and adolescents with chronic pain. The present review examines the current literature related to cognitive function in children and adolescents with chronic pain, implications of these findings and future research directions. Nine studies on this topic were&nbsp;found, with a relatively recent increase in publications related to school attendance and subjective studies of school performance. The studies that were found on this topic suggested that chronic pain affects cognitive function in children but the scope of these effects on children's function and developmental trajectories is not yet clear. While methodological issues surely make it difficult to study cognitive function in children with chronic pain, the potential gains from such research warrant a pursuit of such work. Much remains to be studied on this important topic.
authors.affiliation: Departments of Anesthesiology and Pain Medicine & Psychiatry, University of Alberta, and Stollery Children's Hospital, Edmonton, Alberta, Canada. bruce.dick@ualberta.ca
authors.forename: Bruce D
authors.initials: BD
authors.lastname: Dick
authors.forename: Rebecca
authors.initials: R
authors.lastname: Pillai Riddell
mesh_terms: D000124:Achievement; D000293:Adolescent; D001288:Attention / Q000502:physiology; D002648:Child; D002657:Child Development; D002908:Chronic Disease; D003072:Cognition Disorders / Q000209:etiology*; D016206:Databases, Bibliographic / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D011939:Mental Recall / Q000502:physiology; D010146:Pain / Q000150:complications* / Q000523:psychology*; D012574:Schools
references.citation: Neurology. 2004 Sep 14;63(5):848-52
references.pmid: 15365135
references.citation: Arthritis Rheum. 2001 Sep;44(9):2125-33
references.pmid: 11592377
references.citation: Int J Psychiatry Med. 1988;18(2):183-91
references.pmid: 3170081
references.citation: J Pain. 2008 May;9(5):407-16
references.pmid: 18255341
references.citation: J Dev Behav Pediatr. 2000 Feb;21(1):58-69
references.pmid: 10706352
references.citation: J Neurosci. 2004 Nov 17;24(46):10410-5
references.pmid: 15548656
references.citation: Pain. 2008 Oct 31;139(3):610-616
references.pmid: 18691816
references.citation: Behav Res Ther. 1995 May;33(4):391-405
references.pmid: 7538753
references.citation: J Pediatr Psychol. 2006 Aug;31(7):684-97
references.pmid: 16150880
references.citation: J Child Health Care. 2007 Dec;11(4):269-86
references.pmid: 18039730
references.citation: J Rheumatol. 2006 Jan;33(1):127-32
references.pmid: 16395760
references.citation: Headache. 2002 Sep;42(8):776-9
references.pmid: 12390640
references.citation: Pain. 1999 Jun;81(3):237-244
references.pmid: 10431711
references.citation: Headache. 1993 Jan;33(1):29-35
references.pmid: 8436495
references.citation: Paediatr Child Health. 2007 Feb;12(2):117-20
references.pmid: 19030350
references.citation: Eur J Pain. 2008 Nov;12(8):1090-101
references.pmid: 18375159
references.citation: Pain. 2000 Jul;87(1):51-58
references.pmid: 10863045
references.citation: Pain. 1995 Apr;61(1):139-144
references.pmid: 7644237
references.citation: Best Pract Res Clin Gastroenterol. 2003 Apr;17(2):141-52
references.pmid: 12676111
references.citation: J Dev Behav Pediatr. 1997 Dec;18(6):413-22
references.pmid: 9431505
references.citation: Neuropsychol Rev. 2000 Sep;10(3):131-49
references.pmid: 10983898
references.citation: Pain. 2006 Nov;125(1-2):89-97
references.pmid: 16750298
references.citation: Cephalalgia. 2004 Jul;24(7):554-63
references.pmid: 15196298
references.citation: J Pediatr Psychol. 2009 Apr;34(3):311-6
references.pmid: 18653661
references.citation: Pediatrics. 1991 Dec;88(6):1093-9
references.pmid: 1956724
references.citation: Headache. 2005 Sep;45(8):992-8
references.pmid: 16109112
references.citation: J Pediatr Psychol. 2006 Mar;31(2):209-20
references.pmid: 15843503
references.citation: Anesth Analg. 2007 May;104(5):1223-9, tables of contents
references.pmid: 17456678
references.citation: Clin Infect Dis. 1994 Jan;18 Suppl 1:S21-3
references.pmid: 8148447