Realizar una revisión sistemática para identificar las distintas maneras de evaluar el dolor crónico/oncológico en pacientes menores de 18 años. Su evaluación es una tarea compleja precisamente por su naturaleza y por las escasas herramientas para hacer valoraciones, especialmente en población oncológica. La experiencia de dolor tiene manifestaciones físicas, cognitivas, afectivas y conductuales, sin embargo su evaluación está habitualmente orientada a aspectos como intensidad y localización, quedando fuera otros atributos igualmente relevantes. (PsycINFO Database Record (c) 2015 APA, all rights reserved) These findings suggest the need for developing strategies for strengthening patient and family commitment to a psychosocial approach to chronic pain coping and recovery. Certain demographic and individual patient characteristics and family dynamics appear to impact treatment attrition to a manualized cognitive–behavioral and family systems intervention for adolescents with chronic pain. Adolescents who dropped out of treatment reported being more sensitive or reactive to stress and were more likely to use medications to help them sleep. Parents of adolescents who dropped out of treatment were more likely to minimize the impact of symptoms on adolescent functioning and reported their teen was less likely to employ active problem-solving coping, have more comorbid medically unexplained conditions, more mood problems, and more sleep difficulties. Participants who dropped out of treatment were more likely to be male and have a history of repeating a grade in school. Preintervention demographic characteristics and ratings of pain, fatigue, functional disability, coping style, health beliefs and behaviors, sleep, and parent/teen dynamics were compared between adolescents who either completed (42 total 39 females, 3 males) or prematurely discontinued (25 total 19 females, 6 males) a 12-session manualized treatment.
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