Dr. Anya Griffin is a pediatric psychologist and Clinical Associate Professor in the Department of Anesthesiology, Pain, and Perioperative Medicine at the Stanford University School of Medicine. She is the Director of the Stanford Children’s Health Pediatric Rehabilitation Program (PReP), an intensive pain rehabilitation program for pediatric chronic pain with an interdisciplinary treatment team of occupational therapists, physical therapists, pain medicine providers, and pain psychologists. She has trained and worked in the field of pediatric psychology primarily with children and adolescents diagnosed with chronic pain, Sickle Cell Disease, and cancer. Dr. Griffin's research interests include pediatric chronic pain, mind-body interventions for pediatric pain management, oncology, sickle cell disease, and improving the process of transition from pediatric to adult care. She is also a board certified Dance/Movement Therapist and completed her graduate training at UCLA. She was awarded a grant in 2015 from the Stanford Medicine and Muse for her project “Capturing Pain: Photographic storytelling of youth with chronic pain.”
Clinical Associate Professor, Anesthesiology, Perioperative and Pain Medicine
Boards, Advisory Committees, Professional Organizations
Clinical Advisory Board Member, Creative Healing for Youth In Pain (CHYP) (2019 - Present)
Fellowship: Emory University Pediatric Anesthesiology (2006) GA
Internship: USC Clinical Child and Pediatric Psychology Internship (2005) CA
PhD Training: Fielding Graduate University (2005) CA
Postdoctoral Fellowship, Emory University School of Medicine - Children's Healthcare of Atlanta, Pediatric Psychology (2006)
Internship, University of Southern California - Keck School of Medicine at CHLA, Pediatric Psychology (2005)
PhD, Fielding Graduate University, Clinical Psychology - Health Psychology (2005)
MA, University of California, Los Angeles, Dance/Movement Therapy (1997)
BA, Xavier University of Louisiana (1993)
Capturing Pain: Photovoice with pediatric chronic pain, Stanford University School of Medicine
Leveraging VR/AR to combat chronic pain in youth: Position paper from the Interdisciplinary Network on Virtual and Augmented (AR/VR) Technologies for Pain (INOVATE-Pain) Management.
Journal of medical Internet research
Virtual reality (VR) and augmented reality (AR) interventions are emerging as promising tools in the treatment of pediatric chronic pain conditions, but in this young field there is little consensus to guide the process of engaging in the development and evaluation of targeted VR-based interventions.The INOVATE-Pain consortium aims to advance the field of VR for pediatric chronic pain rehabilitation by providing guidance for best practices in the design, evaluation, and dissemination of VR-based interventions targeting this population.An interdisciplinary meeting of 16 academics, clinicians, industry and philanthropy partners was held in January 2020.Reviewing the state of the field, the consortium identified important directions for research-driven innovation in VR/AR clinical care, highlighted key opportunities and challenges facing the field, and established a consensus on best methodological practices to adopt in future efforts to advance the research and practice of VR/AR in pediatric pain. The consortium also identified important next steps to undertake to continue to advance the work in this promising new area of digital health pain interventions.To realize the promise of this realm of innovation, key ingredients for the success include productive partnerships among industry, academic, and clinical stakeholders, a uniform set of outcome domains and measures for standardized evaluation, and widespread access to the latest opportunities, tools and resources. The INOVATE-Pain collaborative hopes to promote the creation, rigorous yet efficient evaluation, and dissemination of innovative VR-based interventions to reduce pain and improve quality of life for children.
View details for DOI 10.2196/25916
View details for PubMedID 33667177
Virtual Reality in Pain Rehabilitation for Youth With Chronic Pain: Pilot Feasibility Study.
JMIR rehabilitation and assistive technologies
2020; 7 (2): e22620
BACKGROUND: In the field of pain, virtual reality (VR) technology has been increasingly common in the context of procedural pain management. As an interactive technology tool, VR has the potential to be extended beyond acute pain management to chronic pain rehabilitation with a focus on increasing engagement with painful or avoided movements.OBJECTIVE: We outline the development and initial implementation of a VR program in pain rehabilitation intervention to enhance function in youth with chronic pain.METHODS: We present the development, acceptability, feasibility, and utility of an innovative VR program (Fruity Feet) for pediatric pain rehabilitation to facilitate increased upper and lower extremity engagement. The development team was an interdisciplinary group of pediatric experts, including physical therapists, occupational therapists, pain psychologists, anesthesiologists, pain researchers, and a VR software developer. We used a 4-phase iterative development process that engaged clinicians, parents, and patients via interviews and standardized questionnaires.RESULTS: This study included 17 pediatric patients (13 female, 4 male) enrolled in an intensive interdisciplinary pain treatment (IIPT) program, with mean age of 13.24 (range 7-17) years, completing a total of 63 VR sessions. Overall reports of presence were high (mean 28.98; max 40; SD 4.02), suggestive of a high level of immersion. Among those with multisession data (n=8), reports of pain (P<.001), fear (P=.003), avoidance (P=.004), and functional limitations (P=.01) significantly decreased. Qualitative analysis revealed (1) a positive experience with VR (eg, enjoyed VR, would like to utilize the VR program again, felt VR was a helpful tool); (2) feeling distracted from pain while engaged in VR; (3) greater perceived mobility; and (4) fewer clinician-observed pain behaviors during VR. Movement data support the targeted impact of the Fruity Feet compared to other available VR programs.CONCLUSIONS: The iterative development process yielded a highly engaging and feasible VR program based on qualitative feedback, questionnaires, and movement data. We discuss next steps for the refinement, implementation, and assessment of impact of VR on chronic pain rehabilitation. VR holds great promise as a tool to facilitate therapeutic gains in chronic pain rehabilitation in a manner that is highly reinforcing and fun.
View details for DOI 10.2196/22620
View details for PubMedID 33226346
- Team Approach: Complex Regional Pain Syndrome in Children and Adolescents. JBJS reviews 2020; 8 (4): e0174
Enhancing Pain Assessment in Pediatric Sickle Cell Disease by Applying Quality Improvement Science.
Clinical practice in pediatric psychology
2019; 7 (4): 335–46
Standardized pain assessment and interventions are recommended for youth hospitalized for pain. This quality improvement (QI) project integrated into a pediatric psychology service aimed to increase the standardized assessment of pain-related functional ability for youth with sickle cell disease (SCD) hospitalized for pain.Children and adolescents (n=102) with SCD referred for psychology consultation for poor coping in response to pain during hospitalization completed a validated self-report of functional ability in addition to pain intensity during inpatient psychology visits. At the time of the quality initiative, routine and standardized assessment of pain-related functional ability was not integrated into standard clinical care. Plan, Do, Study, Act (PDSA) cycles determined the feasibility and addressed common barriers of routine assessment and documentation of pain-related functional ability among youth with SCD during inpatient psychology visits with the primary goal to increase assessment of functional ability to at least 85% among patients with SCD referred for pediatric psychology consultation to address pain management within 1 year.Through iterative PDSA cycles, routine assessment of pain-related functional ability during psychology visits increased to an average of 93% over the course of 12 months. Routine, standardized assessment of functional ability was considered feasible within a pediatric psychology service.This project supported the feasibility of integrating standardized assessment of functional ability to enhance pain assessment for youth hospitalized for SCD pain as part of routine clinical care in a multidisciplinary setting regardless of psychology referral.
View details for DOI 10.1037/cpp0000277
View details for PubMedID 31938673
View details for PubMedCentralID PMC6959975
Risk and Resilience in Pediatric Pain: The Roles of Parent and Adolescent Catastrophizing and Acceptance.
The Clinical journal of pain
OBJECTIVES: Both pediatric and parent pain catastrophizing and pain acceptance are key factors associated with pediatric pain outcomes; however, the interactive effects of these factors within the parent-child dyad have yet to be tested. The aims of this study were to examine: (1) the mediating role of child catastrophizing between parent catastrophizing and child outcomes (pain interference and mobility), (2) the mediating role of child acceptance between parent acceptance and child outcomes, and (3) whether child acceptance buffers the relation between parent catastrophizing and child catastrophizing, which in turn impacts child outcomes.METHODS: Cross-sectional data from 324 youth with chronic pain ages 10 to 17 years (M age=14.72, (SD=2.12); 73.1% female; 59% Caucasian) and their parents were collected. Participants completed measures assessing pediatric PROMIS domains (mobility and pain interference), pain catastrophizing, pain acceptance, and child pain intensity. Mediation was conducted via 1000-draw bootstrap-adjusted analyses in Mplus.RESULTS: Parent pain catastrophizing was indirectly associated with child pain interference via child catastrophizing but was not associated with mobility difficulties in the mediation model. Parent pain acceptance was indirectly associated with both child pain interference and mobility via child acceptance. We did not find evidence of child acceptance buffering parent and child pain catastrophizing.DISCUSSION: The findings of this study highlight the need for caregiver involvement in multidisciplinary treatments to mitigate risk and enhance resilience in youth with chronic pain.
View details for PubMedID 30028367
Stigma and Pain in Adolescents Hospitalized for Sickle Cell Vasoocclusive Pain Episodes
CLINICAL JOURNAL OF PAIN
2018; 34 (5): 438–44
Sickle cell disease (SCD) pain and hospitalizations increase during adolescence and adolescents with SCD may be at-risk for experiencing health-related stigma, which may result in poor health outcomes. This study examined relations among health-related stigma, pain interference, social support, quality of life (QOL), and hospital outcomes (ie, loneliness, pain reduction, and length of stay [LOS]) in adolescents hospitalized with SCD pain.Twelve- to 18-year-old adolescents (N=92) hospitalized with SCD pain completed measures of stigma, pain interference, social support, QOL, and state loneliness. Reduction of pain intensity during hospitalization and LOS were collected from medical chart review.Higher stigma was associated with higher pain interference, lower QOL, more loneliness, and less pain reduction in the hospital. Pain interference was positively associated with LOS.These preliminary findings highlight the importance of assessing and addressing SCD-related stigma and pain interference in adolescents hospitalized for SCD pain as these factors may influence treatment outcomes.
View details for DOI 10.1097/AJP.0000000000000553
View details for Web of Science ID 000430140700007
View details for PubMedID 28877143
- Yoga intervention for an adolescent with juvenile idiopathic arthritis: a case study. Adv Mind Body Med 2018; 32 (1): 13-20
A Pilot Study of Mindfulness Meditation for Pediatric Chronic Pain.
Children (Basel, Switzerland)
2017; 4 (5)
Despite advances in psychological interventions for pediatric chronic pain, there has been little research examining mindfulness meditation for these conditions. This study presents data from a pilot clinical trial of a six-week manualized mindfulness meditation intervention offered to 20 adolescents aged 13-17 years. Measures of pain intensity, functional disability, depression and parent worry about their child's pain were obtained at baseline and post-treatment. Results indicated no significant changes in pain or depression, however functional disability and frequency of pain functioning complaints improved with small effect sizes. Parents' worry about child's pain significantly decreased with a large effect size. Participants rated intervention components positively and most teens suggested that the number of sessions be increased. Three case examples illustrate mindfulness meditation effects and precautions. Mindfulness meditation shows promise as a feasible and acceptable intervention for youth with chronic pain. Future research should optimize intervention components and determine treatment efficacy.
View details for DOI 10.3390/children4050032
View details for PubMedID 28445406
Assessment of family psychosocial functioning in survivors of pediatric cancer using the PAT2.0
2013; 22 (9): 2133-2139
This study aimed to examine clinical validity and utility of a screening measure for familial psychosocial risk, the Psychosocial Assessment Tool 2.0 (PAT2.0), among pediatric cancer survivors participating in long-term survivorship care.Caregivers (N=79) completed the PAT2.0 during their child's survivorship appointment. Caregivers also reported on family engagement in outpatient mental health treatment. Medical records were reviewed for treatment history and oncology provider initiated psychology consults.The internal consistency of the PAT2.0 total score in this survivorship sample was strong. Psychology was consulted by the oncology provider to see 53% of participant families, and families seen by psychology had significantly higher PAT2.0 total scores than families without psychology consults. PAT2.0 total scores and corresponding subscales were higher for patients, parents, and siblings enrolled in outpatient mental health services since treatment completion. Results were consistent with psychosocial risk categories presented within the Pediatric Psychosocial Preventative Health Model. Fifty-one percent of families presenting for survivorship care scored in the "universal" category, 34% scored in the "targeted" category, and 15% scored in the "clinical" category.Data indicate that the overall proportions of families experiencing "universal", "targeted", and "clinical" levels of familial distress may be constant from the time of diagnosis into survivorship care. Overall, the PAT2.0 demonstrated strong psychometric properties among survivors of pediatric cancer and shows promise as a psychosocial screening measure to facilitate more effective family support in survivorship care.
View details for DOI 10.1002/pon.3265
View details for Web of Science ID 000323451500028
View details for PubMedID 23529924
Applying a Developmental-Ecological Framework to Sickle Cell Disease Transition.
Clinical Practice in Pediatric Psychology
2013; 1 (3): 250-263
View details for DOI 10.1037/cpp0000027
- Pediatric Chronic Pain and Health-Related Quality of Life: Interrelationships between coping, fatigue, and health- related quality of life Journal of Pediatric Nursing 2009; 24 (2): 141-150
Gender differences in the relation between functioning and values-based living in youth with sickle cell disease
Clinical Practice in Pediatric Psychology
2016; 4 (1): 11-22
View details for DOI 10.1037/cpp0000127
Identification of Pica Behaviors in Youth with Sickle Cell Disease: A Quality Improvement (QI) Project
Clinical Practice in Pediatric Psychology
2015; 3 (3): 167-174
View details for DOI 10.1037/cpp0000097
Pediatric psychology at Georgia State University: Evaluation of Training with the Society of Pediatric Psychology Competencies
Clinical Practice in Pediatric Psychology
View details for DOI 10.1037/cpp0000101
THE RELATIONSHIP BETWEEN PSYCHOSOCIAL FUNCTIONING DURING AND AFTER CANCER TREATMENT AND TREATMENT SEVERITY IN CHILDHOOD CANCER SURVIVORS
WILEY-BLACKWELL. 2010: 969–69
View details for Web of Science ID 000282910200690