• Naz Y Alpdogan, Megan M Miller, Larbi Benallal, Marie-Pier Royer, and Junie S Carrière.
• École de Réadaptation, Faculté de Médecine et des Sciences de la Santé, Centre de Recherche Charles-Le Moyne, Centre d'Action en Prévention et en Réadaptation de l'Incapacité au Travail, Université de Sherbrooke, Quebec J4K 0A8, Canada.
• Pain Med. 2024 Oct 1; 25 (10): 637646637-646.

ObjectiveResearch indicates that perceived injustice significantly influences pain-related outcomes and is associated with delayed recovery in adults. This systematic review examines the relationship between perceived injustice and pain-related outcomes in children with pain conditions.MethodsA search of published studies in English in PubMed, PsychInfo, and Cochrane Database of Systematic Reviews from database inception through December 2022 were performed. The search criteria focused on studies that measured perceived injustice and pain-related outcomes in children with pain conditions. Out of 56 articles screened, 8 met the inclusion criteria, providing data on 1240 children with pain conditions.ResultsThe average age of participants across all studies was 14.12 years (SD = 2.25), with 68.2% being female. There was strong evidence that higher perceived injustice is associated with worse pain intensity, functional disability, mental health outcomes, and emotional, social, and school functioning.ConclusionThe results of this study underscore how perceptions of injustice are associated various pain-related outcomes across different domains of children's lives. The findings highlight the need for screening and treatments targeting injustice appraisals in pediatric populations with pain conditions. The discussion addresses possible determinants and mechanisms of perceived injustice, along with implications for research and clinical practice.© The Author(s) 2024. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.

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