Journal of pediatric psychology
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To review the use of instruments to assess the impact of adolescent chronic pain, focussing on the development of instruments, the domains covered, psychometric properties, and published use with adolescent chronic pain patients. ⋯ There is a diversity of instrumentation with some pockets of depth of use, but some domains of chronic pain experience with no routine assessment. Further development of the knowledge base of measurement of the impact of chronic adolescent pain is necessary.
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s To review issues associated with neurocognitive outcome in survivors of pediatric cancer. Recommendations are made for future research directions. ⋯ The state of neurocognitive research for pediatric cancer survivors needs to move beyond empirical studies of neurocognitive sequelae to research that will identify individual patients at risk for neurocognitive morbidity.
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To identify methodologic problems found in follow-up studies of infants at biologic and environmental risk and provide solutions and recommendations. ⋯ Main-effect models are not useful; confounding and mediating variables must be identified. In addition, the following are needed: alternative analytic techniques, more precise subject selection and characterization of risk factors, geographically defined samples, broadened scope of outcome measures, and use of epidemiologic techniques.
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Review
Mental health aspects of emergency medical services for children: summary of a consensus conference.
To address the mental health needs of children involved in emergency medical services (EMS). ⋯ Ecological changes in emergency departments, such as linkages to mental health follow-up services, training of EMS providers and mental health professionals, and focused research that provides an empirical basis for practice, are necessary components for improving current standards of health care.