prev next front |1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 |12 |13 |14 |15 |16 |17 |18 |19 |20 |21 |22 |23 |24 |25 |26 |27 |28 |29 |30 |31 |32 |33 |34 |35 |36 |37 |38 |39 |40 |41 |42 |43 |44 |45 |46 |47 |48 |49 |50 |51 |52 |53 |54 |55|56 |57 |58 |59 |60 |61 |62  |63 |64 |65 |66 |67 |review
 

 

 

- Chronic peripheral nervous system pain can produce increased neural activity in higher central nervous system centers, leading to perpetuation of pain

- Psychosocial stress can affect pain intensity and quality through these mechanisms

- The child's response to pain can be influenced by stress, personality type, and the reinforcement of illness behavior within the family. The autonomic and enteric nervous systems can overlie the initiation, perception, and perpetuation of pain.