Tonya Palermo - Academia.edu (original) (raw)

Papers by Tonya Palermo

Research paper thumbnail of Pilot Randomized Controlled Trial of Internet-Delivered Cognitive-Behavioral Treatment for Pediatric Headache

Headache, Jan 28, 2015

To evaluate the feasibility and preliminary effectiveness of an Internet-delivered cognitive-beha... more To evaluate the feasibility and preliminary effectiveness of an Internet-delivered cognitive-behavioral therapy (CBT) intervention for adolescents with chronic headache. Headache is among the most common pain complaints of childhood. Cognitive-behavioral interventions are efficacious for improving pain among youth with headache. However, many youth do not receive psychological treatment for headache due to poor access, which has led to consideration of alternative delivery modalities such as the Internet. We used a parallel arm randomized controlled trial design to evaluate the feasibility and preliminary effectiveness of an Internet-delivered family-based CBT intervention, Web-based management of adolescent pain. Adolescents were eligible for the trial if they were a new patient being evaluated in a specialized headache clinic, between 11 and 17 years of age, and had recurrent headache for 3 months or more as diagnosed by a pediatric neurologist. Eighty-three youths were enrolled i...

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Research paper thumbnail of Pain and Health-Related Quality of Life after Pediatric Inpatient Surgery

The Journal of Pain, 2015

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Research paper thumbnail of Internet-delivered Cognitive-behavioral Treatment for Adolescents with Chronic Pain and their Parents: A Randomized Controlled Multicenter Trial

Pain, Jan 2, 2015

Internet-delivered interventions are emerging as a strategy to address barriers to care for indiv... more Internet-delivered interventions are emerging as a strategy to address barriers to care for individuals with chronic pain. This is the first large multicenter randomized controlled trial of Internet-delivered cognitive-behavioral therapy (CBT) for pediatric chronic pain. Participants included 273 adolescents (205 females, 68 males), ages 11 to 17 years with mixed chronic pain conditions and their parents, randomly assigned in a parallel-group design to Internet-delivered CBT (n=138) or Internet-delivered Education (n=135). Assessments were completed at pre-treatment, immediate post-treatment and at 6-month follow up. All data collection and procedures took place online. The primary analysis used linear growth models. Results demonstrated significantly greater reduction on the primary outcome of activity limitations from baseline to six-month follow-up for Internet CBT compared to Internet Education (b = -1.13, p = 0.03). On secondary outcomes, significant beneficial effects of Inter...

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Research paper thumbnail of epilepsy and behavior 2003

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Research paper thumbnail of (217) Daily peer victimization experiences of adolescents with and without chronic pain: preliminary results of a prospective diary study

Journal of Pain

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Research paper thumbnail of THE DEVELOPMENT AND VALIDATION OF THE CHILDREN'S ACUTE PAIN-FUNCTIONAL ABILITY QUESTIONNAIRE

American Journal of Hematology

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Research paper thumbnail of The price of pain: the economics of chronic adolescent pain

Pain management, 2015

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Research paper thumbnail of Development and validation of the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ)

The journal of pain : official journal of the American Pain Society, 2014

Physical function and functional recovery are important aspects of the acute pain experience in c... more Physical function and functional recovery are important aspects of the acute pain experience in children and adolescents in hospitalized settings. Measures of function related to pediatric acute pain do not exist currently, limiting understanding of recovery in youth undergoing acute and procedural pain. To address this gap, we developed and assessed the clinical utility and preliminary validity of the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ). We evaluated psychometric properties of this measure in 159 patients with sickle cell disease, ages 7 to 21 years, who were hospitalized for vaso-occlusive episodes at 4 urban children's hospitals. The YAPFAQ demonstrated strong internal reliability and test-retest reliability. An exploratory factor analysis was conducted to examine the preliminary factor structure and to help reduce the number of items for the final scale. Evidence for moderate construct validity was demonstrated among validated measures of pain burden, ...

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Research paper thumbnail of Examination of the Factor Structure of the Adolescent Sleep-Wake Scale (ASWS)

Behavioral sleep medicine, Jan 17, 2014

This study examined the factor structure of the Adolescent Sleep-Wake Scale (ASWS) among 491 adol... more This study examined the factor structure of the Adolescent Sleep-Wake Scale (ASWS) among 491 adolescents (12-18 years) with and without pediatric health conditions. Exploratory factor analyses were conducted using iterated principal axis factoring with varimax rotation. Highly cross-loading items were systematically removed and analyses were rerun until a clean solution was attained. The final solution explained 57.1% of the total model variance, including 10 items and three factors: Falling Asleep and Reinitiating Sleep-Revised, returning to Wakefulness-Revised, and Going to Bed-Revised. Internal consistency reliability scores were acceptable to good, with the exception of the Going to Bed-Revised subscale for the healthy sample. Adolescents with chronic pain reported significantly poorer overall sleep quality and more problems in falling asleep, reinitiating sleep, and returning to wakefulness as compared to healthy adolescents, providing preliminary evidence for construct validit...

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Research paper thumbnail of Fear-avoidance beliefs and parental responses to pain in adolescents with chronic pain

Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur

The fear-avoidance model of chronic pain posits that fear of pain is associated with fear and avo... more The fear-avoidance model of chronic pain posits that fear of pain is associated with fear and avoidance of activity, which can lead to deconditioning and persistence of pain and disability. Despite being well supported in adults, little is known about the role of fear-avoidance beliefs regarding physical activity in children. Research has shown that parental protectiveness contributes to activity limitations in children; however, no studies have examined relationships between protectiveness, and fear and avoidance. To conduct a cross-sectional study to provide additional information regarding the reliability and validity of the Fear-Avoidance Beliefs Questionnaire physical activity subscale among adolescents with chronic pain; examine fear-avoidance beliefs and depressive symptoms as concurrent predictors of physical activity limitations; and test competing models using fear-avoidance beliefs as mediators and moderators of the association between parental protectiveness and activity...

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Research paper thumbnail of Juvenile idiopathic arthritis: parent-child discrepancy on reports of pain and disability

The Journal of rheumatology, 2004

To examine the incidence and nature of disagreements about pain and functional disability between... more To examine the incidence and nature of disagreements about pain and functional disability between parents and their children with juvenile idiopathic arthritis (JIA) and to identify demographic and psychosocial predictors of parent-child disagreement about pain and functional disability. Participants comprised 63 children 8-16 years of age (mean 12.36 +/- 2.61) and their parents, followed as part of a longitudinal study of pain in children. During routine rheumatology clinic visits, children and their parents completed validated measures of pain, depressive symptoms, and functional disability. Parents and children often disagreed as to the frequency and intensity of pain and to the degree of disability caused by arthritis. Child depressive symptoms (p < 0.01) and parental perceptions of child limitations (p < 0.02) predicted parent-child disagreement about the frequency of the child's pain. Parental perceptions of child limitations also predicted parent-child disagreement ...

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Research paper thumbnail of To remember is not to forget

PAIN, 2015

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Research paper thumbnail of Remembering the pain of childhood

PAIN, 2015

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Research paper thumbnail of Subjective and Objective Assessment of Sleep in Adolescents with Mild Traumatic Brain Injury

Journal of Neurotrauma, 2015

There is increased recognition that sleep problems may develop in children and adolescents after ... more There is increased recognition that sleep problems may develop in children and adolescents after mild traumatic brain injury (mTBI). However, few studies have utilized both subjective and objective measures to comprehensively assess sleep problems in the pediatric population following the acute post-TBI period. The aims of this study were to compare sleep in adolescents with mTBI to healthy adolescents using subjective and objective measures, and to identify the clinical correlates associated with sleep problems. One hundred adolescents (50 adolescents with mTBI recruited from 3 to 12 months post-injury) and 50 healthy adolescents completed questionnaires assessing sleep quality, depression, and pain symptoms, and underwent 10-day actigraphic assessment of sleep patterns. Adolescents with mTBI reported poorer sleep quality, and demonstrated significantly shorter actigraphic-measured sleep duration, poorer sleep efficiency, and more wake time during the night compared to healthy adolescents (p&amp;amp;#39;s &amp;amp;lt; 0.05). For both groups of adolescents, poorer self-reported sleep quality was predicted by greater depressive symptoms. Poorer actigraphic sleep efficiency was predicted by membership in the mTBI group after controlling for age, sex, depressive symptoms and presence of pain. Our findings suggest that adolescents may experience subjective and objective sleep disturbances up to one year following mTBI. These findings require further replication in larger samples. Additionally, research is needed to identify possible mechanisms for poor sleep in youth with mTBI.

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Research paper thumbnail of Response to Cohen, and Steele, Borner, and Roberts

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Research paper thumbnail of Adaptation of problem-solving skills training (PSST) for parent caregivers of youth with chronic pain

Clinical Practice in Pediatric Psychology, 2014

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Research paper thumbnail of Sleep Problems in Children and Adolescents with Common Medical Conditions

Pediatric Clinics of North America, 2011

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Research paper thumbnail of The Importance of the Family Environment in Pediatric Chronic Pain

JAMA Pediatrics, 2013

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Research paper thumbnail of Healthcare expenditures associated with pediatric pain-related conditions in the United States

PAIN, 2015

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Research paper thumbnail of Rational pharmacotherapy for childhood sleep disturbances: Characteristics of an ideal hypnotic

Current Therapeutic Research-clinical and Experimental, 2002

No widely accepted, optimal intervention is currently available for sleep disturbances in pediatr... more No widely accepted, optimal intervention is currently available for sleep disturbances in pediatric patients. This paper reviews data establishing the need for an effective, tolerated treatment and sets forth characteristics and applications of the ideal therapeutic approach. These points are considered with the aim of stimulating thought and furthering research to improve therapy for childhood sleep disturbances. The ideal pediatric

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Research paper thumbnail of Pilot Randomized Controlled Trial of Internet-Delivered Cognitive-Behavioral Treatment for Pediatric Headache

Headache, Jan 28, 2015

To evaluate the feasibility and preliminary effectiveness of an Internet-delivered cognitive-beha... more To evaluate the feasibility and preliminary effectiveness of an Internet-delivered cognitive-behavioral therapy (CBT) intervention for adolescents with chronic headache. Headache is among the most common pain complaints of childhood. Cognitive-behavioral interventions are efficacious for improving pain among youth with headache. However, many youth do not receive psychological treatment for headache due to poor access, which has led to consideration of alternative delivery modalities such as the Internet. We used a parallel arm randomized controlled trial design to evaluate the feasibility and preliminary effectiveness of an Internet-delivered family-based CBT intervention, Web-based management of adolescent pain. Adolescents were eligible for the trial if they were a new patient being evaluated in a specialized headache clinic, between 11 and 17 years of age, and had recurrent headache for 3 months or more as diagnosed by a pediatric neurologist. Eighty-three youths were enrolled i...

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Research paper thumbnail of Pain and Health-Related Quality of Life after Pediatric Inpatient Surgery

The Journal of Pain, 2015

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Internet-delivered Cognitive-behavioral Treatment for Adolescents with Chronic Pain and their Parents: A Randomized Controlled Multicenter Trial

Pain, Jan 2, 2015

Internet-delivered interventions are emerging as a strategy to address barriers to care for indiv... more Internet-delivered interventions are emerging as a strategy to address barriers to care for individuals with chronic pain. This is the first large multicenter randomized controlled trial of Internet-delivered cognitive-behavioral therapy (CBT) for pediatric chronic pain. Participants included 273 adolescents (205 females, 68 males), ages 11 to 17 years with mixed chronic pain conditions and their parents, randomly assigned in a parallel-group design to Internet-delivered CBT (n=138) or Internet-delivered Education (n=135). Assessments were completed at pre-treatment, immediate post-treatment and at 6-month follow up. All data collection and procedures took place online. The primary analysis used linear growth models. Results demonstrated significantly greater reduction on the primary outcome of activity limitations from baseline to six-month follow-up for Internet CBT compared to Internet Education (b = -1.13, p = 0.03). On secondary outcomes, significant beneficial effects of Inter...

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Research paper thumbnail of epilepsy and behavior 2003

Bookmarks Related papers MentionsView impact

Research paper thumbnail of (217) Daily peer victimization experiences of adolescents with and without chronic pain: preliminary results of a prospective diary study

Journal of Pain

Bookmarks Related papers MentionsView impact

Research paper thumbnail of THE DEVELOPMENT AND VALIDATION OF THE CHILDREN'S ACUTE PAIN-FUNCTIONAL ABILITY QUESTIONNAIRE

American Journal of Hematology

Bookmarks Related papers MentionsView impact

Research paper thumbnail of The price of pain: the economics of chronic adolescent pain

Pain management, 2015

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Development and validation of the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ)

The journal of pain : official journal of the American Pain Society, 2014

Physical function and functional recovery are important aspects of the acute pain experience in c... more Physical function and functional recovery are important aspects of the acute pain experience in children and adolescents in hospitalized settings. Measures of function related to pediatric acute pain do not exist currently, limiting understanding of recovery in youth undergoing acute and procedural pain. To address this gap, we developed and assessed the clinical utility and preliminary validity of the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ). We evaluated psychometric properties of this measure in 159 patients with sickle cell disease, ages 7 to 21 years, who were hospitalized for vaso-occlusive episodes at 4 urban children's hospitals. The YAPFAQ demonstrated strong internal reliability and test-retest reliability. An exploratory factor analysis was conducted to examine the preliminary factor structure and to help reduce the number of items for the final scale. Evidence for moderate construct validity was demonstrated among validated measures of pain burden, ...

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Research paper thumbnail of Examination of the Factor Structure of the Adolescent Sleep-Wake Scale (ASWS)

Behavioral sleep medicine, Jan 17, 2014

This study examined the factor structure of the Adolescent Sleep-Wake Scale (ASWS) among 491 adol... more This study examined the factor structure of the Adolescent Sleep-Wake Scale (ASWS) among 491 adolescents (12-18 years) with and without pediatric health conditions. Exploratory factor analyses were conducted using iterated principal axis factoring with varimax rotation. Highly cross-loading items were systematically removed and analyses were rerun until a clean solution was attained. The final solution explained 57.1% of the total model variance, including 10 items and three factors: Falling Asleep and Reinitiating Sleep-Revised, returning to Wakefulness-Revised, and Going to Bed-Revised. Internal consistency reliability scores were acceptable to good, with the exception of the Going to Bed-Revised subscale for the healthy sample. Adolescents with chronic pain reported significantly poorer overall sleep quality and more problems in falling asleep, reinitiating sleep, and returning to wakefulness as compared to healthy adolescents, providing preliminary evidence for construct validit...

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Research paper thumbnail of Fear-avoidance beliefs and parental responses to pain in adolescents with chronic pain

Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur

The fear-avoidance model of chronic pain posits that fear of pain is associated with fear and avo... more The fear-avoidance model of chronic pain posits that fear of pain is associated with fear and avoidance of activity, which can lead to deconditioning and persistence of pain and disability. Despite being well supported in adults, little is known about the role of fear-avoidance beliefs regarding physical activity in children. Research has shown that parental protectiveness contributes to activity limitations in children; however, no studies have examined relationships between protectiveness, and fear and avoidance. To conduct a cross-sectional study to provide additional information regarding the reliability and validity of the Fear-Avoidance Beliefs Questionnaire physical activity subscale among adolescents with chronic pain; examine fear-avoidance beliefs and depressive symptoms as concurrent predictors of physical activity limitations; and test competing models using fear-avoidance beliefs as mediators and moderators of the association between parental protectiveness and activity...

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Research paper thumbnail of Juvenile idiopathic arthritis: parent-child discrepancy on reports of pain and disability

The Journal of rheumatology, 2004

To examine the incidence and nature of disagreements about pain and functional disability between... more To examine the incidence and nature of disagreements about pain and functional disability between parents and their children with juvenile idiopathic arthritis (JIA) and to identify demographic and psychosocial predictors of parent-child disagreement about pain and functional disability. Participants comprised 63 children 8-16 years of age (mean 12.36 +/- 2.61) and their parents, followed as part of a longitudinal study of pain in children. During routine rheumatology clinic visits, children and their parents completed validated measures of pain, depressive symptoms, and functional disability. Parents and children often disagreed as to the frequency and intensity of pain and to the degree of disability caused by arthritis. Child depressive symptoms (p < 0.01) and parental perceptions of child limitations (p < 0.02) predicted parent-child disagreement about the frequency of the child's pain. Parental perceptions of child limitations also predicted parent-child disagreement ...

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Research paper thumbnail of To remember is not to forget

PAIN, 2015

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Research paper thumbnail of Remembering the pain of childhood

PAIN, 2015

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Subjective and Objective Assessment of Sleep in Adolescents with Mild Traumatic Brain Injury

Journal of Neurotrauma, 2015

There is increased recognition that sleep problems may develop in children and adolescents after ... more There is increased recognition that sleep problems may develop in children and adolescents after mild traumatic brain injury (mTBI). However, few studies have utilized both subjective and objective measures to comprehensively assess sleep problems in the pediatric population following the acute post-TBI period. The aims of this study were to compare sleep in adolescents with mTBI to healthy adolescents using subjective and objective measures, and to identify the clinical correlates associated with sleep problems. One hundred adolescents (50 adolescents with mTBI recruited from 3 to 12 months post-injury) and 50 healthy adolescents completed questionnaires assessing sleep quality, depression, and pain symptoms, and underwent 10-day actigraphic assessment of sleep patterns. Adolescents with mTBI reported poorer sleep quality, and demonstrated significantly shorter actigraphic-measured sleep duration, poorer sleep efficiency, and more wake time during the night compared to healthy adolescents (p&amp;amp;#39;s &amp;amp;lt; 0.05). For both groups of adolescents, poorer self-reported sleep quality was predicted by greater depressive symptoms. Poorer actigraphic sleep efficiency was predicted by membership in the mTBI group after controlling for age, sex, depressive symptoms and presence of pain. Our findings suggest that adolescents may experience subjective and objective sleep disturbances up to one year following mTBI. These findings require further replication in larger samples. Additionally, research is needed to identify possible mechanisms for poor sleep in youth with mTBI.

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Research paper thumbnail of Response to Cohen, and Steele, Borner, and Roberts

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Adaptation of problem-solving skills training (PSST) for parent caregivers of youth with chronic pain

Clinical Practice in Pediatric Psychology, 2014

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Sleep Problems in Children and Adolescents with Common Medical Conditions

Pediatric Clinics of North America, 2011

Bookmarks Related papers MentionsView impact

Research paper thumbnail of The Importance of the Family Environment in Pediatric Chronic Pain

JAMA Pediatrics, 2013

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Healthcare expenditures associated with pediatric pain-related conditions in the United States

PAIN, 2015

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Rational pharmacotherapy for childhood sleep disturbances: Characteristics of an ideal hypnotic

Current Therapeutic Research-clinical and Experimental, 2002

No widely accepted, optimal intervention is currently available for sleep disturbances in pediatr... more No widely accepted, optimal intervention is currently available for sleep disturbances in pediatric patients. This paper reviews data establishing the need for an effective, tolerated treatment and sets forth characteristics and applications of the ideal therapeutic approach. These points are considered with the aim of stimulating thought and furthering research to improve therapy for childhood sleep disturbances. The ideal pediatric

Bookmarks Related papers MentionsView impact