Document Detail


Visceral pain in infants.
MedLine Citation:
PMID:  7983568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Visceral pain in infants represents a complexity of interacting neural, developmental, psychosocial, and environmental factors, which must be separately and conjointly evaluated. Inhibitory mechanisms are not fully developed in infants and thus nociception is not readily dampened. Heightened behavioral responses to pain (e.g., crying) are likewise not easily inhibited. Esophageal pain and behaviors perceived by the caregiver to represent pain (e.g., crying and retching) can potentially affect normal growth and development. The response of the infant to pain and other visceral sensory stimuli and the ability to cope with these sensations (painful and nonpainful) are shaped by the relationship of the infant with the primary caregiver, usually the mother. Neural mechanisms of pain transmission and inhibition are reviewed, as well as biopsychosocial and environmental characteristics that can shape or contribute to infant pain syndromes. Proposed multifaceted clinical treatment strategies are aimed at decreasing efforts to dampen excitatory neural sensory signaling and improving the mother/infant relationship and maternal behavioral response to the crying infant.
Authors:
A B Hamilton; L K Zeltzer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  125     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-01-05     Completed Date:  1995-01-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S95-102     Citation Subset:  AIM; IM    
Affiliation:
Department of Anthropology, University of California, Los Angeles.
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MeSH Terms
Descriptor/Qualifier:
Brain / physiology*
Eating Disorders / etiology*
Esophagus / physiopathology*
Humans
Infant
Infant Behavior
Infant, Newborn
Mother-Child Relations
Nociceptors / physiology*
Pain / complications,  physiopathology*
Temperament

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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