The dearth of theoretically driven research on the predictors of pedia
tric chronic pain may unwittingly contribute to needless suffering in
children and adolescents by underinvestigating a potentially treatable
condition. The objective of the present study was to investigate the
hypothesized predictive effects of perceived stress on pediatric chron
ic pain intensify in 148 children and adolescents. Consistent with the
a priori Biobehavioral Model of Pediatric Pain, higher perceived stre
ss was predictive of greater pediatric pain intensity. The results are
discussed with regard to the implications for cognitive-behavioral pe
diatric pain treatment.