I am a pediatric pain psychologist and researcher with over 20 years’ experience in the field. I study psychological factors in pediatric chronic pain and the impact of pain on the lives of children and their families. I also seek to develop evidence-based, nonpharmacologic treatments for chronic pain in children.
As a clinical psychologist with an interest in behavioral medicine, I have always been interested in how psychological factors play such an important role in disease management. During my residency and postdoctoral training years, I became interested in cognitive-behavioral therapy for chronic pain. That training, along with my love of working with children in the clinical setting, led to my interest in developing specialized treatments for youth with chronic pain.
I came to Cincinnati Children’s in 1999. Our interdisciplinary team of pain researchers includes psychologists, rheumatologists, pain medicine physicians, sports medicine and physical therapy experts, biomechanists and statisticians. Our research focuses on the following areas:
During my career at Cincinnati Children’s, I have led the development of several cognitive-behavioral therapy (CBT) protocols for children with chronic pain. My colleagues and I are currently testing a novel integration of CBT with specialized neuromuscular exercise training for teens with juvenile fibromyalgia in a large multisite clinical trial, called the FIT Teens (Fibromyalgia Integrative Training for Teens) Trial.
I have published over 100 papers in scientific journals and received continuous National Institutes of Health (NIH) funding for my research for nearly 20 years. I also have served on the Advisory Council for the NIH's National Center for Complementary and Integrative Health as well as on numerous NIH study sections. I am an associate editor for PAIN, the flagship journal of the International Association for the Study of Pain.
PhD: University of Wisconsin, Milwaukee, WI, 1995.
Internship: Subspecialty in Medical/Health Psychology, University of Florida, Gainesville, FL.
Fellowship: Duke University Medical Center, Durham, NC.
Certification: Licensed Clinical Psychologist.
Pediatric pain management; cognitive behavioral therapy for treatment of chronic pain in children; parent training; biofeedback.
Behavioral Medicine
Psychological factors in pediatric chronic pain; evidence-based interventions for the treatment of pediatric chronic pain; cognitive-behavior therapy for juvenile fibromyalgia; combined behavioral and exercise-based interventions; long term outcomes of adolescents with fibromyalgia; transition to early adulthood
Clinical Psychology
Pilot Randomized Trial of Integrated Cognitive-Behavioral Therapy and Neuromuscular Training for Juvenile Fibromyalgia: The FIT Teens Program. Journal of Pain. 2018; 19:1049-1062.
Weak Relationships Between Psychological Factors and Experimental Pain Outcomes in Pain-Free Individuals: An Aggregate Analysis of 8 Studies. Journal of Pain. 2024; 25:104444.
The need for a true biofeedback-based virtual reality system for achievement of target heart rate variability for children undergoing surgery. Pediatric Anesthesia. 2024; 34:577-579.
Updated recommendations on measures for clinical trials in pediatric chronic pain: a multiphase approach from the Core Outcomes in Pediatric Persistent Pain (Core-OPPP) Workgroup. PAIN. 2024; 165:1086-1100.
Radiation of pain: Psychophysical evidence for a population coding mechanism. 2024.
Radiation Of Pain in Humans: Evidence for A Psychophysical Manifestation of a Neural Population Coding Mechanism?. Pain Forum. 2024; 25:20.
Study protocol for a pilot clinical trial to understand neural mechanisms of response to a psychological treatment for pain and anxiety in pediatric functional abdominal pain disorders (FAPD). PloS one. 2024; 19:e0299170.
Associations between patient-reported functional disability and measures of physical ability in juvenile fibromyalgia. PAIN. 2024; 165:589-595.
Reduced Cortico-Cortical Resting-State Connectivity in Sensory Systems Related to Bodily Pain in Juvenile Fibromyalgia. Arthritis and Rheumatology. 2024; 76:293-303.
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