An investigation of cold pressor pain in children (Part I). 1989

Samuel LeBaron, and Lonnie Zeltzer, and Debra Fanurik
University of Calgary Faculty of Medicine, Calgary, AlbertaCanada Division of Hematology / Oncology, Children's Hospital of Los Angeles, Division of Child Development and Biobehavioral Pediatrics U.C.L.A. School of Medicine, Los Angeles, CAU.S.A. University of Alabama, Tuscaloosa, ALU.S.A.

Although the cold pressor model of pain has been used widely in laboratory studies with adults, it has been rarely used to study pain in children, likely because of obvious ethical concerns about the well-being of child participants. The goals of the present investigation were to determine (1) whether a laboratory study of this type could be conducted in a way that children would find interesting and non-threatening, and (2) whether potentially useful data could be gathered systematically within the framework of such a study. Results of a pilot study in children 6-12 years, with water temperature at 15 degrees C (n = 37) and 12 degrees C (n = 29), indicated that useful data could be obtained from this paradigm. Children's pain ratings increased with duration of arm immersion in the water and with decreasing water temperature. Most importantly, children and their parents perceived the format to be interesting and non-stressful. Continued caution and improved techniques for monitoring the well-being of child participants need to be a part of any future investigations of this type.

UI MeSH Term Description Entries
D007258 Informed Consent Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment. Consent, Informed
D010147 Pain Measurement Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies. Analgesia Tests,Analogue Pain Scale,Formalin Test,McGill Pain Questionnaire,Nociception Tests,Pain Assessment,Pain Intensity,Pain Severity,Tourniquet Pain Test,Visual Analogue Pain Scale,Analog Pain Scale,Assessment, Pain,McGill Pain Scale,Visual Analog Pain Scale,Analgesia Test,Analog Pain Scales,Analogue Pain Scales,Formalin Tests,Intensity, Pain,Measurement, Pain,Nociception Test,Pain Assessments,Pain Intensities,Pain Measurements,Pain Questionnaire, McGill,Pain Scale, Analog,Pain Scale, Analogue,Pain Scale, McGill,Pain Severities,Pain Test, Tourniquet,Questionnaire, McGill Pain,Scale, Analog Pain,Scale, Analogue Pain,Scale, McGill Pain,Severity, Pain,Test, Analgesia,Test, Formalin,Test, Nociception,Test, Tourniquet Pain,Tests, Nociception,Tourniquet Pain Tests
D010865 Pilot Projects Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work. Pilot Studies,Pilot Study,Pilot Project,Project, Pilot,Projects, Pilot,Studies, Pilot,Study, Pilot
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003080 Cold Temperature An absence of warmth or heat or a temperature notably below an accustomed norm. Cold,Cold Temperatures,Temperature, Cold,Temperatures, Cold
D004992 Ethics, Medical The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families. Medical Ethics
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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