Despite its importance in clinical practice, little research has exami
ned memory for pain in children. This prospective study tried to justi
fy the use of children's pain recall in clinical practice. The purpose
of this study was to (a) investigate the accuracy of children's recal
l of their worst and average pain intensity when controlling for the e
ffects of repeated pain measurement and (b) examine the influence of c
hildren's anxiety, age, general memory ability and pain coping strateg
ies on this accuracy. The accuracy of children's recalled pain intensi
ties was studied in 55 inpatients aged 5-16 years by comparing the lev
el of recorded pain intensity with the level of recalled pain intensit
y 1 day and 1 week after recording using Bieri's Faces Pain Scale. The
accuracy of children's recalled pain intensities was high and showed
little decrement over 1 week. Older children had more accurate recall
of their worst pain intensity. Anxiety, general memory ability and pai
n coping strategies were not related to accuracy of recalled pain inte
nsities. (C) 1997 international Association for the Study of Pain. Pub
lished by Elsevier Science B.V.