Profile

Tonya M. Palermo, PhD

Tonya M. Palermo, PhD

Anesthesia, Pain Medicine

On staff since September 2010

Academic Title: Professor

Research Center: Center for Child Health, Behavior and Development

Making A Difference

  • Significant Recruits of 2010

    2010 was a banner year for recruiting at Seattle Children’s Research Institute as several nationally recognized researchers chose to continue their life’s work in Seattle. ... cont.

  • Web Tool Helps with Chronic Pain

    A Web tool developed by Dr. Tonya Palermo improves outcomes for kids with chronic pain by teaching cognitive behavior and pain management skills. ... cont.

Overview

Medical/Professional School

Case Western Reserve University , Cleveland, Clinical Psychology

Fellowship

Clinical Psychology, Rainbow Babies and Children's Hospital, Cleveland

Clinical Interests

Pediatric chronic and recurrent pain, sleep disorders in children Psychological treatment of pediatric chronic pain, use of innovative technology to deliver treatment, sleep-wake disturbances

Research Description

Children can develop chronic pain from an injury or as a consequence of a disease process. Pain can also be the problem itself without any specific identifiable injury or disease and is an important public health problem, with estimates of chronic pain in almost a quarter of youth worldwide. Dr. Tonya Palermo, a pediatric psychologist and Professor of Anesthesiology and Pain Medicine, has had a long-standing interest in how pain affects the lives of children and their families. One aspect of her NIH-funded research has focused on the interrelationships of pain, sleep, and behavioral/psychological factors. This research has found that many adolescents with chronic pain suffer with significant insomnia symptoms that have a major impact on their quality of life and that persist over time. Dr. Palermo is interested in developing sleep interventions for this population to reduce sleep problems and to enhance pain management interventions.

Another aspect of Dr. Palermo's NIH-funded research concerns innovative approaches to pain assessment and intervention in youth. Because of the lack of available resources in many parts of the world to provide specialized pain care to children with chronic pain, there has been an increasingly recognized need to consider alternative modes of delivering interventions to children and their families. Dr. Palermo has developed and tested a cognitive-behavioral intervention delivered online for youth with chronic pain (Web-MAP), finding that adolescents who received this intervention had improvements in their pain levels and in their ability to participate in physical activities. She is now carrying out a new trial of the internet program to further test the efficacy of the intervention in a large sample of children and adolescents recruited from around the U.S. and Canada.

Dr. Palermo is an international expert in pediatric pain management; she is the author of over 80 original research articles and has a book on cognitive-behavioral therapy in children with chronic pain that is in press. Dr. Palermo is also active in professional societies and holds several elected leadership positions including President-elect of the Society of Pediatric Psychology and Chair of the American Pain Society Special Interest Group on Pain in Infants, Children, and Adolescents.

Lab URL

http://www.seattlechildrens.org/research/child-health-behavior-and-development/palermo-lab/

Awards and Honors

Award Name Award Description Awarded By Award Date
Fellow, American Psychological Association (Division 43, Society for Family Psychology) (Scholarship/Research) 2013

Publications

  • Tonya M. Palermo, PhD
    Psychological therapies for the management of chronic and recurrent pain in children and adolescents
    Cochrane Database Syst Rev , 2014 May 5
  • Tonya M. Palermo, PhD
    Recommendations for training in pediatric psychology: Defining core competencies across training levels
    Journal of Pediatric Psychology , 2014 Apr, 8 : Epub ahead of print
  • Tonya M. Palermo, PhD
    Systematic review and meta-analysis: psychological therapies for children with chronic pain
    Journal of Pediatric Psychology , 2014 Mar. : Epub ahead of print
  • Tonya M. Palermo, PhD
    Bidirectional Associations Between Pain and Physical Activity in Adolescents
    Clin J Pain , 2014 : 30(3)251-258
  • Tonya M. Palermo, PhD
    Sleep outcomes in youth with chronic pain participating in a randomized controlled trial of online cognitive-behavioral therapy for pain management
    Behavioral Sleep Medicine , 2014 : 121-17
  • Tonya M. Palermo, PhD
    Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents
    Cochrane Database of Systematic Reviews , 2014 : (5)
  • Tonya M. Palermo, PhD
    When helping hurts: Miscarried helping in families of youth with chronic pain
    Journal of Pediatric Psychology , 2014 : 39(4)427-437
  • Tonya M. Palermo, PhD
    Examination of the factor structure of the Adolescent Sleep-Wake Scale (ASWS)
    Behavioral Sleep Medicine , 2014 : 121-12
  • Tonya M. Palermo, PhD
    Parent pain and catastrophizing are associated with pain, somatic symptoms, and pain-related disability among early adolescents
    Journal of Pediatric Psychology , 2014 : 39(4)418-426
  • Tonya M. Palermo, PhD
    Family and parent influences on pediatric chronic pain: A developmental perspective
    American Psychologist , 2014 : 69(2)142152
  • Tonya M. Palermo, PhD
    The importance of the family environment in pediatric chronic pain
    JAMA Pediatr , 2013 : 167(1)9394
  • Tonya M. Palermo, PhD
    A systematic review of sleep in pediatric pain populations
    J Dev Behav Pediatr , 2013 : 34(2)120128
  • Tonya M. Palermo, PhD
    Factor structure of the childrens depression inventory in a multisite sample of children and adolescents with chronic pain
    J Pain , 2013 : 14(7)689698
  • Tonya M. Palermo, PhD
    Applications of laboratory pain methodologies in research with children and adolescents: emerging research trends
    Pain , 2013 : 154(8)11661169
  • Tonya M. Palermo, PhD
    Daily changes in pain, mood and physical function in children hospitalized for sickle cell disease pain
    Pain Res Manag , 2013 : 18(1)3338
  • Tonya M. Palermo, PhD
    Reciprocal longitudinal associations between pain and depression in adolescents
    European Journal of Pain , 2013 : 17(7)1058-1067
  • Tonya M. Palermo, PhD
    Interprofessional collaboration within an anesthesiology department: Implications for the education and training of pediatric psychologists
    Clinical Practice in Pediatric Psychology , 2013 : 1(1)10-17
  • Tonya M. Palermo, PhD
    Longitudinal course and risk factors for fatigue in adolescents: The mediating role of sleep disturbances
    J Pediatr Psychol , 2013 : 38(10)107080
  • Tonya M. Palermo, PhD
    Persistent pain in adolescents following traumatic brain injury
    J Pain , 2013 : 14(10)1242-1249
  • Tonya M. Palermo, PhD
    Current smoking as a predictor of chronic musculoskeletal pain in young adult twins
    J Pain , 2013 : 14(10)1131-1139
  • Tonya M. Palermo, PhD
    Validation of the Sickle Cell Disease Pain Burden Interview-Youth
    J Pain , 2013 : 14(9)975-982
  • Remote management of pediatric pain
    In Schmidt RF, Gebhart GF (Eds), Encyclopedia of Pain, 2nd Edition. Springer. , 2013
  • Tonya M. Palermo, PhD
    Psychological therapies for the management of chronic and recurrent pain in children and adolescents
    Cochrane Database of Systematic Reviews , 2012
  • Tonya M. Palermo, PhD
    Associations among smoking and chronic musculoskeletal pain in young adult twins
    Journal of Behavioral Medicine , 2012
  • Tonya M. Palermo, PhD
    The importance of listening in pediatric care
    Pediatric Pain Letter , 2012 : 1431-33
  • Tonya M. Palermo, PhD
    Insomnia in youth with chronic pain: A longitudinal study
    Journal of Pain , 2012 : 13s103
  • Tonya M. Palermo, PhD
    Co-morbid pain and sleep disturbance: Sleep outcomes in a randomized controlled trial of internet-based cognitive-behavioral therapy for insomnia
    The Journal of Pain , 2012 : 13s97
  • Tonya M. Palermo, PhD
    Associations among smoking and chronic musculoskeletal pain in young adult twins
    The Journal of Pain , 2012 : 13s13
  • Tonya M. Palermo, PhD
    Longitudinal course of insomnia in adolescents with and without chronic pain
    Journal of Pain , 2012
  • Tonya M. Palermo, PhD
    The Longitudinal Course, Risk Factors and Impact of Sleep Disturbances in Children with Traumatic Brain Injury
    J Neurotrauma Rehab , 2012 : 29(1)154-61
  • Tonya M. Palermo, PhD
    Physical activity and function in adolescents with chronic pain: A controlled study using actigraphy
    J Pain , 2012 : 13(2)121-30
  • Tonya M. Palermo, PhD
    Psychological interventions for parents of children and adolescents with chronic illness
    Cochrane Database of Systematic Reviews , 2012
  • Tonya M. Palermo, PhD
    Evaluating treatment participation in an internet-based behavioral intervention for pediatric chronic pain
    Journal of Pediatric Psychology , 2012 : 37893-903
  • Tonya M. Palermo, PhD
    Cognitive behavioral therapy for chronic pain in children and adolescents
  • Lewandowski AS, Toliver-Sokol M, Palermo TM
    Evidence-Based Review of Subjective Pediatric Sleep Measures.
    Journal of pediatric psychology , 2011 Jan. 11
  • Palermo TM, Wilson AC, Lewandowski AS, Toliver-Sokol M, Murray CB
    Behavioral and psychosocial factors associated with insomnia in adolescents with chronic pain.
    Pain , 2011 Jan. : 89-94
  • Lewandowski AS, Palermo TM, Stinson J, Handley S, Chambers CT
    Systematic review of family functioning in families of children and adolescents with chronic pain.
    The journal of pain : official journal of the American Pain Society , 2010 Nov. : 1027-38
  • Wilson AC, Samuelson B, Palermo TM
    Obesity in children and adolescents with chronic pain: associations with pain and activity limitations.
    The Clinical journal of pain , 2010 Oct. : 705-11
  • Lewandowski AS, Palermo TM, De la Motte S, Fu R
    Temporal daily associations between pain and sleep in adolescents with chronic pain versus healthy adolescents.
    Pain , 2010 Oct. : 220-5
  • Palermo TM
    Editorial: exploring ethical issues in peer review for the journal of Pediatric Psychology.
    Journal of pediatric psychology , 2010 Apr, : 221-4
  • Brick CA, Seely DL, Palermo TM
    Association between sleep hygiene and sleep quality in medical students.
    Behavioral sleep medicine , 2010 Apr, : 113-21
  • Palermo TM, Eccleston C, Lewandowski AS, Williams AC, Morley S
    Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review.
    Pain , 2010 Mar. : 387-97
  • Lew VK, Lalwani K, Palermo TM
    Factors affecting parental satisfaction following pediatric procedural sedation.
    Journal of clinical anesthesia , 2010 Feb. : 29-34
  • Lewandowski AS, Palermo TM
    Parent-teen interactions as predictors of depressive symptoms in adolescents with headache.
    Journal of clinical psychology in medical settings , 2009 Dec. : 331-8
  • Palermo TM, Eccleston C
    Parents of children and adolescents with chronic pain.
    Pain , 2009 Nov. : 15-7
  • Palermo TM, Wilson AC, Peters M, Lewandowski A, Somhegyi H
    Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain.
    Pain , 2009 Nov. : 205-13
  • Long AC, Palermo TM
    Brief report: Web-based management of adolescent chronic pain: development and usability testing of an online family cognitive behavioral therapy program.
    Journal of pediatric psychology , 2009 June : 511-6
  • Ritterband LM, Palermo TM
    Introduction to the special issue: eHealth in pediatric psychology.
    Journal of pediatric psychology , 2009 June : 453-6
  • Gold JI, Mahrer NE, Yee J, Palermo TM
    Pain, fatigue, and health-related quality of life in children and adolescents with chronic pain.
    The Clinical journal of pain , 2009 June : 407-12
  • Lewandowski AS, Palermo TM, Kirchner HL, Drotar D
    Comparing diary and retrospective reports of pain and activity restriction in children and adolescents with chronic pain conditions.
    The Clinical journal of pain , 2009 May : 299-306
  • Eccleston C, Palermo TM, Williams AC, Lewandowski A, Morley S
    Psychological therapies for the management of chronic and recurrent pain in children and adolescents.
    Cochrane database of systematic reviews (Online) , 2009 Apr, 15 : CD003968
  • Palermo TM
    Enhancing daily functioning with exposure and acceptance strategies: an important stride in the development of psychological therapies for pediatric chronic pain.
    Pain , 2009 Feb. : 189-90
  • Palermo TM, Lewandowski AS, Long AC, Burant CJ
    Validation of a self-report questionnaire version of the Child Activity Limitations Interview (CALI): The CALI-21.
    Pain , 2008 Oct. 31 : 644-52
  • Cohen LL, Lemanek K, Blount RL, Dahlquist LM, Lim CS, Palermo TM, McKenna KD, Weiss KE
    Evidence-based assessment of pediatric pain.
    Journal of pediatric psychology , 2008 Oct. : 939-55; discussion 956-7
  • Palermo TM, Long AC, Lewandowski AS, Drotar D, Quittner AL, Walker LS
    Evidence-based assessment of health-related quality of life and functional impairment in pediatric psychology.
    Journal of pediatric psychology , 2008 Oct. : 983-96; discussion 997-8
  • Palermo TM, Riley CA, Mitchell BA
    Daily functioning and quality of life in children with sickle cell disease pain: relationship with family and neighborhood socioeconomic distress.
    The journal of pain : official journal of the American Pain Society , 2008 Sept. : 833-40
  • Long AC, Palermo TM, Manees AM
    Brief report: using actigraphy to compare physical activity levels in adolescents with chronic pain and healthy adolescents.
    Journal of pediatric psychology , 2008 July : 660-5
  • Long AC, Krishnamurthy V, Palermo TM
    Sleep disturbances in school-age children with chronic pain.
    Journal of pediatric psychology , 2008 Apr, : 258-68
  • Palermo TM, Owens J
    Introduction to the special issue: sleep in pediatric medical populations.
    Journal of pediatric psychology , 2008 Apr, : 227-31
  • Palermo TM
    Editorial: section on innovations in technology in measurement, assessment, and intervention.
    Journal of pediatric psychology , 2008 Jan. : 35-8
  • Palermo TM, Fonareva I, Janosy NR
    Sleep quality and efficiency in adolescents with chronic pain: relationship with activity limitations and health-related quality of life.
    Behavioral sleep medicine , 2008 : 234-50
  • Palermo TM, Toliver-Sokol M, Fonareva I, Koh JL
    Objective and subjective assessment of sleep in adolescents with chronic pain compared to healthy adolescents.
    The Clinical journal of pain , 2007 Nov. : 812-20
  • Gilman DK, Palermo TM, Kabbouche MA, Hershey AD, Powers SW
    Primary headache and sleep disturbances in adolescents.
    Headache , 2007 Sept. : 1189-94
  • Palermo TM, Putnam J, Armstrong G, Daily S
    Adolescent autonomy and family functioning are associated with headache-related disability.
    The Clinical journal of pain , 2007 June : 458-65
  • Mitchell MJ, Lemanek K, Palermo TM, Crosby LE, Nichols A, Powers SW
    Parent perspectives on pain management, coping, and family functioning in pediatric sickle cell disease.
    Clinical pediatrics , 2007 May : 311-9
  • Hoff AL, Palermo TM, Schluchter M, Zebracki K, Drotar D
    Longitudinal relationships of depressive symptoms to pain intensity and functional disability among children with disease-related pain.
    Journal of pediatric psychology , 2006 Nov. : 1046-56
  • Palermo TM, Harrison D, Koh JL
    Effect of disease-related pain on the health-related quality of life of children and adolescents with cystic fibrosis.
    The Clinical journal of pain , 2006 July : 532-7
  • Lewandowski AS, Palermo TM, Peterson CC
    Age-dependent relationships among pain, depressive symptoms, and functional disability in youth with recurrent headaches.
    Headache , 2006 Apr, : 656-62
  • Drotar D, Schwartz L, Palermo TM, Burant C
    Factor structure of the child health questionnaire-parent form in pediatric populations.
    Journal of pediatric psychology , 2006 Mar. : 127-38
  • Palermo TM, Chambers CT
    Parent and family factors in pediatric chronic pain and disability: an integrative approach.
    Pain , 2005 Dec. 15 : 1-4
  • Koh JL, Harrison D, Palermo TM, Turner H, McGraw T
    Assessment of acute and chronic pain symptoms in children with cystic fibrosis.
    Pediatric pulmonology , 2005 Oct. : 330-5
  • Palermo TM, Platt-Houston C, Kiska RE, Berman B
    Headache symptoms in pediatric sickle cell patients.
    Journal of pediatric hematology/oncology : official journal of the American Society of Pediatric Hematology/Oncology , 2005 Aug. : 420-4
  • Palermo TM, Kiska R
    Subjective sleep disturbances in adolescents with chronic pain: relationship to daily functioning and quality of life.
    The journal of pain : official journal of the American Pain Society , 2005 Mar. : 201-7
  • Hart CN, Palermo TM, Rosen CL
    Health-related quality of life among children presenting to a pediatric sleep disorders clinic.
    Behavioral sleep medicine , 2005 : 4-17
  • Zebracki K, Palermo TM, Hostoffer R, Duff K, Drotar D
    Health-related quality of life of children with primary immunodeficiency disease: a comparison study.
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology , 2004 Dec. : 557-61
  • Palermo TM, Zebracki K, Cox S, Newman AJ, Singer NG
    Juvenile idiopathic arthritis: parent-child discrepancy on reports of pain and disability.
    The Journal of rheumatology , 2004 Sept. : 1840-6
  • Palermo TM, Witherspoon D, Valenzuela D, Drotar DD
    Development and validation of the Child Activity Limitations Interview: a measure of pain-related functional impairment in school-age children and adolescents.
    Pain , 2004 June : 461-70
  • Palermo TM, Valenzuela D, Stork PP
    A randomized trial of electronic versus paper pain diaries in children: impact on compliance, accuracy, and acceptability.
    Pain , 2004 Feb. : 213-9
  • Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S
    Decreased quality of life associated with obesity in school-aged children.
    Archives of pediatrics & adolescent medicine , 2003 Dec. : 1206-11
  • Miller V, Palermo TM, Grewe SD
    Quality of life in pediatric epilepsy: demographic and disease-related predictors and comparison with healthy controls.
    Epilepsy & behavior : E&B , 2003 Feb. : 36-42
  • Rosen CL, Palermo TM, Larkin EK, Redline S
    Health-related quality of life and sleep-disordered breathing in children.
    Sleep , 2002 Sept. 15 : 657-66
  • Tonya M. Palermo, PhD
    The making of a pediatric pain psychologist: Education, training and career trajectories
    Pain Medicine
  • Tonya M. Palermo, PhD
    Pain and sleep-wake disturbances in adolescents with depressive disorders
    J Clin Child Adol Psychol
  • Tonya M. Palermo, PhD
    Ethical guidance for pediatric e-health research using examples from pain research with adolescents
    Journal of Pediatric Psychology
  • Tonya M. Palermo, PhD
    Daytime and nighttime sleep patterns in adolescents with chronic pain and healthy adolescents
    Health Psychol, [Epub ahead of print]

Presentations

Presentations Title Event Location Date
Past, Present and Future of eHealth Interventions: A Panel Discussion of Critical Issues Symposium presented at the American Psychological Association Annual Convention Washington, DC Aug. 2014
Sleep and pediatric chronic pain: Innovative approaches to assessment and treatment. SLEEP 2014, the 28th Annual Meeting of the Associated Professional Sleep Societies Minneapolis, MN June 2014
Sleep in children with chronic health conditions: challenges and opportunities Symposium presented at the 28th Annual Meeting of the Associated Professional Sleep Societies Minneapolis, MN June 2014
Contemporary issues in pediatric pain research and practice Grand rounds visiting professor Childrens Hospital of Philadelphia April 2014
Innovative delivery of pain self-management programs Symposium presented at the Annual Scientific Meeting of the American Pain Society Tampa, FL April 2014
The maturation of pediatric psychology training: 2013 SPP Task Force recommendations and panel discussion Symposium presented at the Society of Pediatric Psychology Annual Conference Philadelphia, PA March 2014
Internet-based cognitive-behavioral treatment of pediatric chronic pain: Results of a multi-center randomized trial. Utilizing web-based programs to promote child health: Primary prevention, secondary prevention, and treatment Symposium presented at the Society of Pediatric Psychology Annual Conference Philadelphia, PA March 2014
Sleep problems and internalizing symptoms as predictors of adherence in adolescents and emerging adults with spina bifida Paper presented as part of symposium for Society of Pediatric Psychology Annual Conference Philadelphia, PA March 2014
Writing effective grants: An interactive, skills-based workshop Society of Pediatric Psychology Annual Conference Pre-Conference CE course 2014
Assessment and evaluation of the child with chronic pain. Cognitive-Behavioral Treatment of Chronic Pain in Children and Adolescents Workshop presented at the 47th Annual convention of the Association for Cognitive and Behavioral Therapies Nashville, TN. Nov. 2013
Psychological Interventions for Parents of Children with a Chronic Illness International Symposium of Pediatric Pain Stockholm, Sweden June 2013
Evaluating actor-partner effects in the associations between family functioning and miscarried helping in youth with chronic pain and their parents The National Conference on Pediatric Psychology New Orleans, LA April 2013

Research Funding

Grant Title Grantor Amount Award Date
Predicting Treatment Response in Pediatric Functional Abdominal Pain Eunice Kennedy Shriver National Institute of Child Health and Human Development $292,056 May 1, 2014 - March 31, 2019
A web-based platform for remote training and supervision of health behavior interventionists Center for Child Health Behavior and Development, Stimulus Grant $20,570 Nov. 14, 2013 - Sept. 30, 2014
Life After Pediatric Sepsis (LAPSE) Eunice Kennedy Shriver National Institute of Child Health and Human Development $3,162,312 Oct. 1, 2013 - Sept. 30, 2018
Predicting Outcomes in Children with Mild Traumatic Brain Injury Eunice Kennedy Shriver National Institute of Child Health and Human Development Aug. 23, 2013 - May 31, 2018
The Transition from Acute to Chronic Pediatric Pain: An Examination of the Pediatric Fear-Avoidance Model and Pain Memories among Children undergoing Major Surgery Canadian Institutes of Health, Research Fellowship Research Allowance $135000 July 1, 2013 - June 30, 2016
Evaluation of Web Based management of Adolescent Pain in Youth with Sickle Cell Disease, HFPG "WebMap" Hartford Foundation for Public Giving $17,500 Jan. 1, 2013 - April 30, 2015
Enhancing the Web Platform of Web-MAP (Web-based Management of Adolescent Pain) SCH Research Institute $25,000 Oct. 1, 2012 - Sept. 30, 2013
Chronic Pain in Pediatric Primary Care Eunice Kennedy Shriver National Institute of Child Health and Human Development $564,290 April 15, 2012 - Feb. 28, 2017
Problem Solving Skills Training for Parent Caregivers of Youth with Chronic Pain Eunice Kennedy Shriver National Institute of Child Health and Human Development $414,727 Aug. 25, 2011 - May 31, 2014
Sleep-wake Disturbances in Adolescents Following Mild to Moderate Traumatic Brain Injury NIH $20,000 July 1, 2011 - June 30, 2012
Mentored Scholar's Award, Chronic Pain in Pediatric Primary Care $100,000 July 1, 2011 - June 30, 2013
An Internet CBT Intervention for Pediatric Chronic Pain and Disability Federal $2,841,330 Aug. 25, 2010 - July 31, 2015
Using e-Diaries to Assess Sleep and Pain in Children and Adolescents with Sickle Cell Disease National Heart, Lung, and Blood Institute $593,945 July 1, 2010 - June 30, 2015
Adolescents At Risk for Chronic Pain Eunice Kennedy Shriver National Institute of Child Health and Human Development $575,223 June 1, 2010 - March 31, 2015
Improving Health through Skype(tm): Family-based Intervention for Teens with Poorly Controlled Diabetes $450,000 Jan. 1, 2010 - Dec. 31, 2013
Innovations in Pediatric Pain Research Eunice Kennedy Shriver National Institute of Child Health and Human Development $885,560 Sept. 30, 2009 - June 30, 2019
Sleep-Wake Disturbances in Adolescents with Chronic Pain Federal $1,950,100 April 1, 2007 - March 31, 2012
Internet Intervention for Pain and Sleep Problems in Youth in Military Families NIH $713,824