Special Issue "Pain and Traumatic Stress in Infants, Children and Adolescents: Searching for a Better Comprehension of This Complex Relationship"

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Anesthesiology, Perioperative and Pain Medicine".

Deadline for manuscript submissions: 5 March 2024 | Viewed by 2828

Special Issue Editors

Department of Biomedical, Metabolic and Neural Sciences, School of Medicine, University of Modena, via Campi 287, 41125 Modena, Italy
Interests: neurodevelopmental disorders; children and adolescents with chronic pain and chronic or severe medical conditions; trauma in infants and toddlers; trauma informed care; psychosocial aspects; behavioral and cognitive outcomes; integration of digital health in surveillance and long-term follow-up of symptoms assessment and quality of life; network analysis as dynamic approach to symptom analysis; role of biomarkers in early detection and disease prevention; woman’s and child’s health
Dr. Cristina Benatti
E-Mail Website
Guest Editor
Department of Life Sciences, Università degli Studi di Modena e Reggio Emilia, Modena, Italy
Interests: preclinical study of pain during development; effects of inflammation and pain in early life on long-term health and mental wellbeing: integration of mechanisms underlying stress and pain
Department of Life Sciences, Università degli Studi di Modena e Reggio Emilia, Modena, Italy
Interests: pain and traumatic stress

Special Issue Information

Dear Colleagues,

Pediatric health care providers and educators would benefit from better comprehending and recognizing how far into the future the effects of childhood trauma, pain, and adversity may extend. A better understanding will serve as further motivation to help infants, children, and adolescents in these situations to access the required assistence as fast as possible and to safeguard them against some of the (neuro)biological changes that put them at risk (mental) health problems later in life. Similarly, experts in the field of  adult (mental) health working with individuals who suffered childhood trauma would benefit from focusing their research efforts on exploring the link between that and chronic pain and illness, so that they can better support their patients.

This special issue has the purpose to explore the relationship between pain and trauma in infants, children and adolescents from various perspectives including neurobiological processes, screening for signs of early trauma, and possible mitigating and preventive treatment modalities.  When examining the pediatric population, developmental factors must be seriously considered because the impact of early stress on the developing brain in infants, children and adolescents may be distinct from processes observed later in life. Experiencing pain can be stressful even traumatizing especially for young children and adolescents. Though often thought of as separate constructs, from empirical findings emerged a more intricate connection underlying the occurrence of both pain and trauma symptoms. Given the complex multifaceted nature of this theme, contributors are stimulated to approach pediatric pain and trauma from different perspectives.

Papers might focus on:

  • The relationship between Traumatic Stress and Pain in infants, children and adolescents
  • Co-Occurrence of Pain and Trauma
  • The relationship between ACEs, trauma symptoms and later development of chronic pain
  • Understanding the neurobiological processes underlying the connection between early pain and trauma
  • Neurobiological changes in brain connectivity, HPA axis responsiveness, or epigenetic processes during development in relation to future management of pain and trauma
  • Why addressing pain and trauma should go together
  • Development and Refinement of screening tools for traumatic stress following pediatric injury and trauma
  • Trauma informed care as an approach to guard against some of the biological changes that could make children suffer later on in life

Dr. Johanna Blom
Dr. Cristina Benatti
Dr. Veronica Rivi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pain
  • trauma
  • trauma induced stress
  • screening
  • pain and trauma informed care

Published Papers (2 papers)

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Research

Article
Care When It Counts: Establishing Trauma-Sensitive Care as a Preventative Approach for 0–3-Year-Old Children Suffering from Trauma and Chronic Stress
Children 2023, 10(6), 1035; https://doi.org/10.3390/children10061035 - 08 Jun 2023
Cited by 1 | Viewed by 1034
Abstract
Adverse childhood experiences are an important societal concern. Children aged 0–3 are particularly vulnerable to unpredictable chronic stress due to the critical period for brain development and attachment. Trauma-sensitive care is a preventative approach to reduce the burden of stressful experiences by committing [...] Read more.
Adverse childhood experiences are an important societal concern. Children aged 0–3 are particularly vulnerable to unpredictable chronic stress due to the critical period for brain development and attachment. Trauma-sensitive care is a preventative approach to reduce the burden of stressful experiences by committing to positive relationships. Professional caregivers are ideally placed to offer trauma-sensitive care; however, earlier research reveals that the tools they need to consciously apply trauma-sensitive care principles are missing. The current study organized living labs (co-creative research method) to present trauma-sensitive care as a preventative approach aimed at children aged 0–3. Two living labs were organized in Belgium and Hungary, where professional caregivers collaborated to create a protocol that offers guidelines on how to implement trauma-sensitive care. The resulting protocol included a theoretical foundation on trauma as well as a translation of these guidelines into practical recommendations. The protocol was evaluated by incorporating it into a training intervention delivered to 100 professional caregivers from childcare organizations across four European countries. The protocol received positive feedback from participants, with results indicating a self-reported increase in knowledge, attitude and practice of trauma-sensitive care principles. We conclude that this trauma-sensitive care protocol is a promising answer to the needs of professional caregivers working with children aged 0–3. Full article
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Article
The Development of a Screening Tool for Childcare Professionals to Detect and Refer Infant and Toddler Maltreatment and Trauma: A Tale of Four Countries
Children 2023, 10(5), 858; https://doi.org/10.3390/children10050858 - 11 May 2023
Cited by 1 | Viewed by 1284
Abstract
Child maltreatment is considered a pressing social question, compromising the present and future mental and physical health of one in four children in Europe. While children younger than three years of age are especially vulnerable, few screening instruments are available for the detection [...] Read more.
Child maltreatment is considered a pressing social question, compromising the present and future mental and physical health of one in four children in Europe. While children younger than three years of age are especially vulnerable, few screening instruments are available for the detection of risk in this age group. The purpose of this research was to develop a screening tool for childcare professionals working in public and private daycare settings to support them in the early identification and referral of infants and toddlers exposed to emotional and physical abuse and neglect by primary caregivers, to be used in different settings across four European countries: Belgium, Italy, Latvia, and Hungary. Method: A stratified process was used to create the screening tool: We started by using Living lab methodology to co-create the screening tool with its final users, which was followed by testing the tool with a total of 120 childcare professionals from the four participating countries. Results: During the Living Lab phase, a screening tool with three layers was developed. The initial layer includes five “red flags” that signal particular concern and require immediate action. The second layer is a quick screener with twelve items focused on four areas: neglect of basic needs, delays in development, unusual behaviors, and interaction with caregivers. The third layer is an in-depth questionnaire that aids in formalizing a thorough observation of twenty-five items within the same four areas as the quick screener. After a one-day training session, 120 childcare professionals caring for children aged 0–3 from four countries assessed the screening tool and their overall training experience. Childcare professionals reported great satisfaction with the three-layered structure, which made the tool versatile, and agreed on its content, which was considered helpful in the daycare setting for the regular evaluation of the behavior of children and their primary caregivers, thus improving the early observation of change from the normal behavior of the infant or toddler. Conclusion: The three-layered screening tool was reported as feasible, practical, and with great content validity by childcare professionals working in four European countries. Full article
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