Depression and Functional Disability in Chronic Pediatric Pain

Kashikar‐Zuck, Susmita; Goldschneider, Kenneth R.; Powers, Scott W.; Vaught, Michelle H.; Hershey, Andrew D.

doi:10.1097/00002508-200112000-00009

Cited by 312 publications

(242 citation statements)

References 38 publications

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“…Adolescence is a period of emotional vulnerability and adjustment, reflected in increased risk for depression and other mental health conditions [49]. Indeed, children and adolescents with chronic pain have higher rates of depression than healthy peers, which may negatively impact both pain [25] and function [21].…”

Section: Discussionmentioning

confidence: 99%

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Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Miller

Scott

Trost

et al. 2016

The Journal of Pain

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Chronic pain is prevalent in children/adolescents and contributes to high healthcare utilization. Research suggests injustice perceptions about pain are important in adult patients and a possible treatment focus. We conducted a preliminary evaluation of the psychometric properties of the Injustice Experiences Questionnaire (IEQ) and the relationship between injustice perceptions, pain, and functioning in chronic pain patients (N=139, mean age=15 years, 72% female) presenting to a pediatric pain clinic. Patients completed measures assessing pain intensity, injustice perceptions about pain, catastrophizing, overall functional disability, emotional functioning, social functioning, and school functioning. The IEQ demonstrated good reliability and validity. Higher levels of perceived injustice were associated with higher levels of pain intensity, catastrophizing, and functional disability, and with poorer emotional, social, and school functioning. Additionally, perceived injustice remained significantly associated with pain intensity, functional disability, emotional functioning, social functioning, and school functioning after accounting for relevant demographic and clinical factors. This is the first study to suggest that injustice perceptions are important in the experience of pediatric chronic pain patients.Future studies should more thoroughly examine the psychometric properties of the IEQ in children/adolescents and elucidate the causal nature of these relationships, which will inform treatment efforts to improve pediatric pain care.Perspective: This initial investigation suggests that injustice perceptions about pain can be reliably and validly measured and are tied to important clinical outcomes in children/adolescents. Future studies that replicate and extend these preliminary results are necessary to determine the extent to which injustice perceptions are an important target for intervention.

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Section: Discussionmentioning

confidence: 99%

“…Among children/adolescents, chronic pain is associated with several negative outcomes such as disability, depression, and poor social and school functioning [4,12,13,21,22,27,32,33,34,36].…”

Section: Introductionmentioning

confidence: 99%

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Miller

Scott

Trost

et al. 2016

The Journal of Pain

View full text Add to dashboard Cite

show abstract

“…The Children's Depression Inventory (CDI) is a validated and widely used measure of depressive symptoms in children and adolescents (17,18) and is frequently used to assess depressive symptoms in pediatric pain populations (4,5,19). For each item, adolescents choose 1 of 3 responses, representing varying symptom levels that best describe their symptoms for the past 2 weeks.…”

Section: Adolescent Functioningmentioning

confidence: 99%

Family factors, emotional functioning, and functional impairment in juvenile fibromyalgia syndrome

Kashikar‐Zuck¹,

Lynch²,

Slater³

et al. 2008

Arthritis & Rheumatism

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108

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“…Despite the fact that the literature notes that chronic pain in children and adolescents causes school truancy, inability take part in physical activities, sleep disturbances and problems relating to people in the same age group (7,9,27) , these aspects were not identified in this study. Analysis of the accounts showed that children and adolescents kept a social support network through their school friends, neighbors and family members, who helped them have a life that is closer to normality.…”

Section: Discussionmentioning

confidence: 90%

“…Many children and adolescents with chronic diseases and/or in the end-of-life phase live with pain daily, in addition to other signs and symptoms, such as: fatigue, dyspnea, anorexia, nausea, vomiting, insomnia, anxiety, despair, frustration and impotence when managing daily situations (7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

Living with pain: the experience of children and adolescents in palliative care

Borghi

Rossato

Damião

et al. 2014

Rev. esc. enferm. USP

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El estudio tuvo como objetivo conocer la experiencia de niños y adolescentes en cuidados paliativos en el manejo diario del dolor. La investigación cualitativa fue realizada con entrevistas semi-estructuradas con seis niños entre siete y 17 años. La teoría del Desarrollo cognitivo de Piaget fue utilizada como Marco teórico y la Historia Oral como Referencial Metodológico. Cuatro temas fueron encontrados: describiendo el dolor; buscando una vida más próxima de la normalidad, a pesar del dolor y la enfermedad; utilizando varias alternativas para el control del dolor y viviendo la autoimagen perjudicada. A pesar del dolor ser un agente limitante en la vida de los niños y adolescentes, verificamos que enfrentaban el dolor diariamente y, que así mismo, tenían vida además del dolor y la enfermedad. Adicionamos, aun, la importancia de los enfermeros comprender que el eficaz manejo del dolor es esencial para una vida mas próxima de la normalidad, reduciendo su sufrimiento. DESCRIPTORES ABSTRACTA qualitative study was conducted with semi-structured interviews with the aim of understanding the experience of children and adolescents under palliative care when managing pain daily and how they describe the intensity, quality and location of pain. We used Piaget's theory of cognitive development as a theoretical framework and oral history as a methodological framework. We found four themes: describing pain; seeking a life closer to normality, despite pain and disease; using a variety of alternatives for pain control; and living with damaged physical appearance. Although pain is a limiting factor in the lives of children and adolescents, we found that they faced their daily pain and still had a life beyond pain and illness. In addition, we highlight the relevance of nurses' understanding that effective management of pain in children is essential for a normal life and less suffering.

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Depression and Functional Disability in Chronic Pediatric Pain

Cited by 312 publications

References 38 publications

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Family factors, emotional functioning, and functional impairment in juvenile fibromyalgia syndrome

Living with pain: the experience of children and adolescents in palliative care

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