Children in Pain: Recurrent Back Pain, Abdominal Pain, and Headache in Children and Adolescents in a Four-Year-Period

Gessel, Hester van; Gaßmann, Jennifer; Kröner‐Herwig, Birgit

doi:10.1016/j.jpeds.2010.11.051

Cited by 37 publications

(38 citation statements)

References 26 publications

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“…This confirms the findings of a number of studies showing that early pains indicate a dispositional pain vulnerability 48. The interpretation that this disposition is stronger in headache and may be earlier expressed is in concordance with data documenting that headache develops at a lower age in childhood than back pain and has a higher prevalence already during childhood/adolescence in contrary to low back pain 49. With some caution, the phenomenon that early biopsychological characteristics affected by genetic or gene/environment interactions play a smaller role in back pain or at least become effective later could be interpreted.…”

Section: Discussionsupporting

confidence: 90%

Predicting the occurrence of headache and back pain in young adults by biopsychological characteristics assessed at childhood or adolescence

Kröner‐Herwig¹,

Gorbunova²,

Maas³

2017

AHMT

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The aim of the current study was to identify predictors of recurrent headache and back pain in young adults (aged 18–27 years) from data assessed in childhood or adolescence, i.e., 9 years before the final survey. Our interest was whether psychological characteristics contribute to the risk of pain prevalence in adult age when controlling for already empirically supported risk factors such as parental pain, pediatric pain and sex. The study was part of a five-wave epidemiological investigation of >5000 families with children aged between 7 and 14 years when addressed first. In a multiple hierarchical regression analysis, the abovementioned three variables (Block-I variables) were entered first followed by five psychological trait variables (Block-II variables: internalizing, anxiety sensitivity, somatosensory amplification, catastrophizing and dysfunctional stress coping) to find out the extent of model improvement. The multivariable hierarchical regression analysis confirmed the hypothesis that the Block-I variables significantly enhance the risk of future pain at young adult age. None of the psychological variables did so. Thus, the hypothesis of a significant surplus predictive effect was not confirmed. The amount of total explained variance differed strongly between headache and back pain. In particular, a valid prediction of back pain was not possible. When analyzed separately in simple regression analysis, psychological variables turned out to be significant predictors, however, of very low effect size. The inclusion of Block-I variables in the model clearly reduced the impact of the psychological variables. This risk profile is discussed in the context of the different trajectories of headache and back pain from childhood to adult age, which were proposed by various studies. We propose that a biopsychological characteristic denoted as emotional negativity, especially regarding self-reference, might be a common factor behind all selected variables. Risk research in recurrent pain is a field where much more multidisciplinary research is needed before progress can be expected.

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Section: Discussionsupporting

confidence: 90%

Predicting the occurrence of headache and back pain in young adults by biopsychological characteristics assessed at childhood or adolescence

Kröner‐Herwig¹,

Gorbunova²,

Maas³

2017

AHMT

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“…Quality of life among headache sufferers may be aggravated by psychopathological symptoms [77], in particular among those with frequent and chronic headache [14, 29, 108, 115]. …”

Section: Functional Impairment Potential Precipitating Factors and mentioning

confidence: 99%

Psychiatric Comorbidity in Childhood and Adolescence Headache

Dyb

Stensland

Zwart

2015

Curr Pain Headache Rep

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Primary headaches among children and adolescents have a substantial impact on quality of life, daily activities, social interaction, and school performance in combination with psychopathological symptoms. The main purpose of the present paper is to summarize clinical and epidemiological evidence for psychiatric comorbidity among children and adolescents with headaches, to describe how evidence in headache research suggest different pathways involved in the development and maintenance of these comorbid conditions, and finally suggest some elements professionals may find helpful to assess the scope of complaints, related functional impairment, and potential precipitating factors in planning of more targeted treatments.

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“…Mädchen sind besonders häufig betroffen [Schwille et al, 2009;van Gessel et al, 2011]. Die Diagnose erfolgt nach internationalen Leitlinien (Rome III) für funktionelle gastrointestinale Störungen und berücksichtigt neben der Schmerzdauer, -lokalität, -häufigkeit und -intensität auch Einschränkungen der Tagesaktivitäten durch die Schmerzen [Magista et al, 2006].…”

Section: Introductionunclassified

Chronische Bauchschmerzen: Psychosoziale Belastung und behandlungsinduzierte Veränderungen in der Krankheitsbewältigung

Groß

Warschburger²

2013

Verhaltenstherapie

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Hintergrund: Chronische Bauchschmerzen (CBS) sind im Kindesalter nicht nur weit verbreitet, sondern auch sehr stabil. Insbesondere psychosoziale Funktionseinschränkungen wie ein erhöhtes Stresserleben belasten die Kinder und deren Eltern und erschweren das Krankheitsmanagement; weitere komorbide Störungen können sich entwickeln. Dies legt nahe, dass eine Behandlung frühzeitig einsetzen und zudem auch die psychosozialen Aspekte mit berücksichtigen muss. Vor diesem Hintergrund wurde das kognitiv-behaviorale, kindzentrierte Gruppenprogramm «Stopp den Schmerz mit Happy-Pingu» entwickelt und evaluiert. Wie ist die psychosoziale Situation der betroffenen Kinder? Ist das kognitiv-behaviorale Programm in der Lage, psychosoziale Einschränkungen zu verbessern? Methodik: Das Programm besteht aus 6 Sitzungen für die Kinder sowie 1 Elternabend; die Trainingssitzungen fanden 1-mal wöchentlich statt. Im Rahmen einer randomisierten kontrollierten Studie wurde das Programm an 29 Kindern im Alter zwischen 6 und 12 Jahren auf seine Wirksamkeit hin überprüft. Die Evaluation erfolgte anhand eines Vergleiches zwischen Interventionsgruppe (IG) und Wartekontrollgruppe (WKG) zu den 3 Messzeitpunkten T1 (Prä), T2 (Post) und T3 (3-Monats-Follow-up). Ergebnisse: Bei den Kindern traten vor allem emotionale Probleme gehäuft auf. Die Akzeptanz des Programms war sehr hoch. Teilnehmer der IG erlebten im Vergleich zur WKG eine signifikante Verbesserung des Stresserlebens und der Coping-Strategien. Die Effektstärken sind überwiegend mittel bis hoch. Schlussfolgerungen: Multimodale kognitiv-behaviorale Ansätze scheinen geeignet, um Kinder mit CBS erfolgreich zu behandeln. Weitere kontrollierte Studien sollten unter anderem klären, welche Trainingselemente konkret für die Schmerzreduktion verantwortlich sind.

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Children in Pain: Recurrent Back Pain, Abdominal Pain, and Headache in Children and Adolescents in a Four-Year-Period

Cited by 37 publications

References 26 publications

Predicting the occurrence of headache and back pain in young adults by biopsychological characteristics assessed at childhood or adolescence

Predicting the occurrence of headache and back pain in young adults by biopsychological characteristics assessed at childhood or adolescence

Psychiatric Comorbidity in Childhood and Adolescence Headache

Chronische Bauchschmerzen: Psychosoziale Belastung und behandlungsinduzierte Veränderungen in der Krankheitsbewältigung

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