DIVISION OF PAIN MANAGEMENT

Division Highlights 

Education: The Pediatric Pain Program (PPP) extended its teaching program through the efforts of Michael Joseph, M.D., who provided lectures on pain for the pediatric housestaff as well as many community lectures. He was awarded a second year of his UCLA Psychoneuroimmunology Research Post-doctoral Fellowship to study sleep pathology in juvenile fibromyalgia. Dr. Zeltzer became mentor to Brad Zebrack, Ph.D., a sociologist from the University of Michigan, who was awarded a UCLA Jonsson Comprehensive Cancer Center Post-doctoral fellowship to study psychosocial outcomes in survivors of childhood cancer. Dorie Glover, Ph.D. continued her American Cancer Society post-doctoral research fellowship in the PPP. Ramesh Raghavan, M.D., a UCLA Psychoneuroimmunology Research Post-doctoral Fellow from 1999, continued his study of the impact of Yoga on adolescents with irritable bowel syndrome. Four medical students (2 from UCLA, 1 each from Albert Einstein and the University of Pennsylvania) completed their funded summer research fellowships. The UCLA student research program continued with 15 undergraduate and graduate students. The Pediatric Pain elective continued for UCLA pediatric residents.

Clinical Service: The PPP's Pediatric Sedation Service, which began in March, 1998, grew so exponentially that we were forced to turn over coordination to the Department of Anesthesiology because we did not have enough faculty to provide for all the sedations requested. We continue to be an active part of the service, however. The outpatient chronic pain clinic has continued to expand as well as the inpatient chronic pain rehabilitation program.

Research: We were awarded a 1.6 million dollar NIH grant to study the roles of gender and puberty in pain responsivity. Dr. Zeltzer also became co-investigator on a new ($52,000 to UCLA) NIH grant based at the University of Oregon Cancer Center to study quality of life in survivors of childhood AML. The study of the effects of acupuncture on pediatric chronic pain was completed and presented at an invited NIH symposium in Washington in June, 1999.

Faculty Profiles

BURSCH, BRENDA
Faculty Member Since: 1994
Degrees: PhD, Claremont Graduate School, Claremont, California
MA, Claremont Graduate School, Claremont, California
BA, University of the Pacific, Stockton, California
Rank: Assistant Professor, Psychiatry & Biobehavioral Sciences
Assistant Clinical Professor in Pediatrics
Research Interests: Health beliefs and behaviors of chronically ill children, Outcomes of mind/body interventions, Pediatric chronic pain and pain associated disability, Utilization of health care services, Munchausen syndrome by proxy, Hospice
Grant Support: 9/22/99-8/31/03 National Institutes of Health 1 RO1 DE12751-01A1 Puberty and gender differences in pain responsivity
6/1/97-5/31/99 UCLA Psychoneuroimmunology Program Maximizing healing: Ayurvedic meditation and yoga for adolescents and young adults with ulcerative colitis
Teaching: Pediatric pain elective, residents and medical students
Pediatric pain rotation, child psychiatry fellows and psychology interns
Pediatric pain clinical practicum, third year psychology graduate students
UCLA undergraduate student research program in pediatric pain
Inpatient Pediatrics, residents
University Service: Associate Director, UCAL Pediatric Pain Program
Co-Director, UCLA Pediatric Chronic Pain Clinical Service
Associate Director, Pediatric Psychiatry Consultation-Liaison Service
Director, Pediatric Psychiatry Consultation-Liaison Outpatient Service,
Department of Psychiatry & Biobehavioral Sciences, UCLA
Neuropsychiatric Institute, Los Angeles, California.
Psychology Training Committee
Quality Assurance Subcommittee for Psychologists
Suspected Child Abuse & Neglect Team, UCLA Mattel Children's Hospital: Consultation on the topic of Munchausen Syndrome by Proxy
Risk Management Subcommittee, Temporary member
CQI Committee on Pain
Professional Committees: Evaluation, Clinical Consultation, Psychotherapy, Education, and Expert Testimony - Munchausen Syndrome by Proxy
Member, National Task Force on Factitious Disorder by Proxy
Member, American Pain Society Special Interest Group on Pain in Infants,
Children and Adolescents
Member, American Psychological Association
Member, Munchausen Syndrome by Proxy Network
Member, UCLA Center for the Study of Organizational and Group Dynamics
Chair, Task Group on Chronic Pain (to develop chronic pain policy statement),
American Pain Society Special Interest Group on Pain in Infants, Children and Adolescents
Grant Reviewer, Maternal & Child Health Bureau - Fellowship Training in
Behavioral Pediatrics
Ad-hoc Reviewer, JAMA (1998).
Ad-hoc Reviewer, Journal of Pediatric Psychology

JOSEPH, MICHAEL HENRY
Faculty Member Since: 1998
Degrees: MD, Creighton University School of Medicine
BS, University of California at Berkeley
Rank: Clinical Instructor of Pediatrics
Research Interests: Treatment and understanding of functional pain states in children and adolescents
Grant Support: 1999-2000: Norman Cousins Psychoneuroimmunology Post-Doctoral Training Grant, MH-19225
1999 _ 2003: Role of Puberty and Gender Differences in Pain Responsivity, R01 DE12754-01A1
Teaching: Pediatric pain elective, residents and medical students
Pediatric pain rotation, child psychiatry fellows and psychology interns
Pediatric pain clinical practicum, third year psychology graduate students
Pediatric pain clinic, Anesthesiology Pain fellows
UCLA undergraduate student research program in pediatric pain
University Service: Co-Director of Chronic Pain Services, UCLA Pediatric Pain Program
Professional Committees: Member, Task Group on Chronic Pain (to develop chronic pain policy statement), American Pain Society
Special Interest Group on Pain in Infants, Children and Adolescents
Member, American Pain Society Special Interest Group on Pain in Infants,Children and Adolescents
Member, American Academy of Pediatrics
Member, American Pain Society
Member, Society for Developmental and Behavioral Pediatrics
Reviewer: Journal of Pediatrics, Journal of Behavioral and Developmental Pediatrics, Journal of Pediatric Psychology

ZELTZER, LONNIE K.
Faculty Member Since: 1988
Degrees: MD, University of Cincinnati School of Medicine
BA, Douglass College, Rutgers University
Rank: Professor of Pediatrics and Anesthesiology
Research Interests: Developmental psychobiology of pain, Chronic pain syndromes in children and adolescents
Grant Support: 9/22/99-8/31/03 National Institutes of Health 1 RO1 DE12751-01A1 Puberty and gender differences in pain responsivity
7/1/98-6/30/02 National Institutes of Health 1RO1 CA78960-01 Quality of life following successful therapy of acute myelogenous leukemia
6/1/93-5/31/00 National Institutes of Health 1 UO1 CA55727 Childhood Cancer Survivor Study
6/1/99-5/31/04 National Institutes of Health 1 UO1 CA55727 Childhood Cancer Survivor Study (competing renewal);
11/1/95-10/31/00 National Institutes of Health 1 UO1 CA55727-03S1 University of Minnesota Subcontract (Supplement); Culture and cancer: perceptions of health and risk-taking in Latino adolescents who are survivors of childhood cancer
7/30/97-8/1/00 American Cancer Society, Post-Doctoral Fellowship PF4480 Posttraumatic stress among mothers of children who survive pediatric cancer
6/1/97-5/31/99UCLA Psychoneuroimmunology Program Maximizing healing: Ayurvedic meditation and yoga for adolescents and young adults with ulcerative colitis
Teaching: Pediatric pain elective, residents and medical students
Pediatric pain rotation, child psychiatry fellows and psychology interns
Pediatric pain clinical practicum, third year psychology graduate students
UCLA undergraduate student research program in pediatric pain
UCLA psychology doctoral candidates: dissertation committees
University Service: Associate Director, Patients and Survivors Division, Cancer Prevention and Control Research Branch, JCCC
Member, Developmental Therapeutic Committee, UCLA Jonsson Comprehensive Cancer Center (JCCC)
Member, Dry Lab Space Task Force, UCLA JCCC
Member, Allied Professional Privileges Committee, UCLA CHS
Member, UCLA Psychoneuroimmunology Task Force
Member, Health Committee, UCLA Medical Staff
Member, Academic Promotions Committee, Department of Pediatrics
Professional Committees: Guest Editor, Journal of Developmental and Behavioral Pediatrics, special issue on pediatric pain
Editorial board, Topics in Pain Management
Editorial board, Journal of Pediatric Psychology
Editorial board, Journal of Developmental and Behavioral Pediatrics
Editorial board, The Hospice Journal
Psychosocial Research Committee, California Division, American Cancer Society
2000 Annual Meeting Scientific Program Committee, American Pain Society
Research Committee, Society for Developmental and Behavioral Pediatrics
Council on Research, International Association for the Study of Pain
Member, American Pediatric Society
Member, American Society of Clinical Oncology
Member, Society for Pediatric Research
Member, Working Group to Develop Policy Statement on Pediatric Chronic Pain, American Pain Society Special Interest Group on Pain in Infants, Children and Adolescents

Division Publications

  1. Bursch B, Collier J, Joseph M, Kuttner L, McGrath PJ, Sethna N, Walco G and Zeltzer L. Policy Statement on Pediatric Chronic Pain. In Press
  2. Bursch B and Vitti L. Medically ill children and adolescents. In Galatzer-Levy, R. (Ed.) The empirical basis for custody evaluation. John Wiley & Sons, Inc. 1999.
  3. Bursch B. Pain-associated disability syndrome and the biopsychosocial model. In Hyman, P (Ed.) Pediatric functional bowel disorders. Academy of Professional Information Services, Inc. 1999.
  4. Bursch B and Zeltzer L. Pain: A story. In Kahn, S. & Fromm, E. (Eds.) Changes in the therapist: A casebook. Erlbaum Publishing, In press.
  5. Bursch B, Schwankovsky L, Gilbert J and Zeiger R. Construction and validation of four childhood asthma self-management scales: Parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy. Journal of Asthma, 36 (1), 115-129. 1999.
  6. Chen E, Craske M, Katz E, Schwartz E, and Zeltzer LK: Pain-sensitive temperament: does it predict procedural distress and response to psychological treatment among children with cancer? Journal of Pediatric Psychology, in press
  7. Chen E, Zeltzer LK, Craske MG, Katz ER: Alteration of memory in the reduction of children's distress during repeated aversive medical procedures. Journal of Clinical and Consulting Psychology, in press
  8. Chen E, Joseph M, and Zeltzer LK. Behavioral and Cognitive Interventions in the Treatment of Pain. Pediatric Clinics of North America. In Press.
  9. Chen E, Joseph MH and Zeltzer LK. Behavioral and cognitive interventions in the treatment of pain. Pediatric Clinics of North America, in press
  10. Joseph M, Brill J, Zeltzer LK: Pediatric pain relief in trauma. Pediatrics in Review, 2(3): 75-84, 1999.
  11. Joseph M, Brill J, Zeltzer, LK. Pediatric Pain Management in Trauma. Pediatrics in Review, March 1999 20(3) 75-84.
  12. Ow F, Tsai P, Raghavan R, Joseph M, Spence S, Zeltzer L. Bio-Behavioral Treatment of Children with Chronic Headache: A Decision Analytic Model. American Pain Society

  13. Raghavan R, Joseph M, Zeltzer LK. The Development of Visceral Pain. In: Hyman PE (Ed.) Pediatric Functional Bowel Disorders. Academy Professional Information Services: New York, 1999.

  14. Raghavan R, Joseph M and Zeltzer LK: The development of visceral pain. In: Hyman PE (Ed.) Pediatric Functional Bowel Disorders. Academy Professional Information Services: New York, 6.1-6.17, 1999.
  15. Schechter NL and Zeltzer LK: Pediatric pain: new directions from a developmental perspective, Part I.(Guest Editors: Schechter NL and Zeltzer LK ); Journal of Developmental and Behavioral Pediatrics, 209-210, 1999.
  16. Stuber ML, and Bursch B. Psychiatric care of the terminally ill child. In Chochinov, H., M. & Breitbart, W. (Eds.) Psychiatric dimensions of palliative medicine. Oxford University Press, 1999.
  17. Tao M, Zeltzer PM, Zeltzer LK: The primary care clinician's role with the child cancer patient. In M Green, RJ Haggerty, Weitzman,M (Eds), Ambulatory Pediatrics, Edition V, Philadelphia: W.B. Saunders Co. 288-295, 1999.
  18. Zeltzer LK and Feldman S: Soothing and chronic pain, In Lewis M and Ramsey D (Eds.), Stress and Soothing, Lawrence Erlbaum Associates, Inc., Mahwah, N.J., 195-227, 1999.
  19. Zeltzer LK: Commentary: Psychological treatment of physical symptoms: Who should get what? Journal of Pediatric Psychology, 24 (4), 333-334, 1999.
  20. Zeltzer LK: Pediatric pain: new directions from a developmental perspective, Part II.(Guest Editors: Schechter NL and Zeltzer LK ); Journal of Developmental and Behavioral Pediatrics, 314, 1999.

Division Presentations

  1. Bursch B. Munchausen syndrome by proxy. Invited address at the Kaiser Permanente Harbor City Medical Center delivered to Staff Physicians, Harbor City, California. 1999.
  2. Bursch B. Somatoform and factitious disorders. Invited lecture delivered at the Annual American Academy of Child & Adolescent Psychiatry Board Review Course, Marina del Rey, California. 1999.
  3. Bursch B. Visceral pain associated disability syndrome and the multidisciplinary treatment team. Invited special guest lecture for Pediatric Motility and Functional Gastrointestinal Disorders Symposia: New Developments in Lake Tahoe, California. 1999
  4. Bursch B and Ayoub A. Individual psychotherapy with child victims. In Herbert Schreier (Chair), Munchausen by proxy: Psychiatric Presentations; Treatment Findings; What to Do When a New Child is Born. Symposium at the American Academy of Child & Adolescent Psychiatry, Chicago. 10/99
  5. Bursch B and Zeltzer L. Complex chronic pain and pain associated disability syndrome. Workshop at the annual meeting of The Society of Adolescent Medicine, Los Angeles. 3/99
  6. Bursch B. Munchausen syndrome by proxy. Invited address at fourth annual Review of Psychiatry, UCLA Neuropsychiatric Institute & Hospital, delivered to nurses, social workers, psychologists, psychiatrists and other mental health professionals, Los Angeles, California. 1999
  7. Joseph M. American Dance Therapy Association "Movement Therapy and Massage Therapy in a Multidisciplinary Pediatric Pain Clinic: A Biopsychosocial approach" 1999
  8. Joseph M. Millers Children's Hospital, "Functional Pain in Children", Long Beach, CA. Pediatric Grand Rounds 1999

  9. Joseph M. Pediatric and Functional Gastrointestinal Disorders, "New Medications for Functional Abdominal Pain" 1999

  10. Joseph M. University of California, Irvine Medical Center Pediatric & Medicine Grand Rounds "Pediatric Pain Management" 1999
  11. Joseph M. University of California, Los Angles Medical Center Pediatric Hematology Rounds "Pain Management in the Pediatric Oncology Patient" 1999
  12. Joseph M. University of California, Los Angles Medical Center Pediatric Resident Noon Conference "Pain and Symptom Management at the End of Life" 1999
  13. Joseph M. Utah Primary Children's Hospital, Salt Lake City, Two day seminar on creation of a pediatric chronic pain program for the PMNR department and general hospital education. 1999
  14. Joseph M and Bursch B. Pediatric chronic pain and pain-associated disability syndrome. Invited lecture for Pediatric Grand Rounds, Primary Children's Medical Center, Salt Lake City, Utah. 1999
  15. Zeltzer L. Workshop: Complex chronic pain and pain associated disability syndrome. The Society for Adolescent Medicine, Los Angeles. 1999
  16. Zeltzer L. " Visceral Pain in Children", Biological Basis of Functional Gastrointestinal Disorders, NIH-funded, Key Biscayne, Florida. 1999
  17. Zeltzer L. "The Challenge of Pain Management in Children" Parmelee Lectureship, Los Angeles Society for Pediatrics, LA, CA. 1999
  18. Zeltzer L. "Complementary and Alternative Therapies for Pain in Children," NIH and Mind-Body Medicine Center Conference on Complementary and Alternative Therapies in Cancer, Washington, DC. 1999
  19. Zeltzer L. Chronic pain in children: pain-associated disability syndrome. Pediatric Grand Rounds, University of Vermont, Burlington, Vermont. 1999
  20. Zeltzer L. Society for Behavioral and Developmental Pediatrics, "Hypnotherapy in children," Three-day workshop, Seattle, Wash. 1999
  21. Zeltzer L and Bursch B. Chronic pain in children: pain-associated disability syndrome. Pediatric Grand Rounds, University of Vermont, Burlington, Vermont. 1999
  22. Zeltzer L and Bursch B. Collaborative Discussion on Pediatric Pain Associated Disability Syndrome. Invited lecture for Psychiatry Grand Rounds. University of Vermont, Burlington, Vermont. 1999

 

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