{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T10:30:21Z","timestamp":1769855421998,"version":"3.49.0"},"reference-count":138,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T00:00:00Z","timestamp":1575244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Although pain is widely recognized to be a multidimensional experience and defined as such, unidimensional pain measurement focusing on pain intensity prevails in the pediatric acute pain context. Unidimensional assessments fail to provide a comprehensive picture of a child\u2019s pain experience and commonly do little to shape clinical interventions. The current review paper overviews the theoretical and empirical literature supporting the multidimensional nature of pediatric acute pain. Literature reporting concordance data for children\u2019s self-reported sensory, affective and evaluative pain scores in the acute pain context has been reviewed and supports the distinct nature of these dimensions. Multidimensional acute pain measurement holds particular promise for identifying predictive markers of chronicity and may provide the basis for tailoring clinical management. The current paper has described key reasons contributing to the widespread use of unidimensional, rather than multidimensional, acute pediatric pain assessment protocols. Implications for clinical practice, education and future research are considered.<\/jats:p>","DOI":"10.3390\/children6120132","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T04:58:39Z","timestamp":1575349119000},"page":"132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Why Unidimensional Pain Measurement Prevails in the Pediatric Acute Pain Context and What Multidimensional Self-Report Methods Can Offer"],"prefix":"10.3390","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1573-7844","authenticated-orcid":false,"given":"Tiina","family":"Jaaniste","sequence":"first","affiliation":[{"name":"Department of Pain and Palliative Care, Sydney Children\u2019s Hospital, Randwick, NSW 2031, Australia"},{"name":"School of Medicine, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-8055","authenticated-orcid":false,"given":"Melanie","family":"Noel","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada"},{"name":"Alberta Children\u2019s Hospital Research Institute, Calgary, AB T3B 6A8, Canada"},{"name":"Hotchkiss Brain Institute, Calgary, AB T2N 1N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee D.","family":"Yee","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Care, Sydney Children\u2019s Hospital, Randwick, NSW 2031, Australia"},{"name":"School of Medicine, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Bang","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Care, Sydney Children\u2019s Hospital, Randwick, NSW 2031, Australia"},{"name":"School of Medicine, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0354-4006","authenticated-orcid":false,"given":"Aidan Christopher","family":"Tan","sequence":"additional","affiliation":[{"name":"School of Medicine, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4557-262X","authenticated-orcid":false,"given":"G. David","family":"Champion","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Care, Sydney Children\u2019s Hospital, Randwick, NSW 2031, Australia"},{"name":"School of Medicine, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,12,2]]},"reference":[{"key":"ref_1","unstructured":"Merskey, H., and Bogduk, N. (1994). Part iii: Pain terms, a current list with definitions and notes on usage. Classification of Chronic Pain: Descriptors of Chronic Pain Syndromes and Definitions of Pain Terms, IASP Press. [2nd ed.]."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1097\/01.ajp.0000146166.15529.8b","article-title":"Procedural distress in children with cancer: Self-report, behavioral observations, and physiological parameters","volume":"21","author":"Walco","year":"2005","journal-title":"Clin. J. Pain Novemb. 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