Growing pains: understanding the needs of emerging adults with chronic pain

Twiddy, Hannah; Hanna, Julie; Haynes, Louise

doi:10.1177/2049463717709641

Cited by 31 publications

(29 citation statements)

References 48 publications

(60 reference statements)

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“…Because the majority of significant interactions testing age as a moderator were found for depression, it is possible that age-tailored interventions targeting co-morbid depression may be particularly relevant. Qualitative studies have revealed that young adults with chronic pain present with unique treatment needs; for example, young adults have indicated the need to incorporate content related to the impact of chronic pain on emotional health and transition to college or full-time work (Stinson et al, 2013;Twiddy et al, 2017). However, there has been limited testing of treatments tailored to this age group.…”

Section: Discussionmentioning

confidence: 99%

Age differences in cognitive–affective processes in adults with chronic pain

Murray

Patel

Twiddy

et al. 2021

European Journal of Pain

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Background: Chronic pain is associated with significant physical and psychological impairments across the adult lifespan. However, there is a relative gap in knowledge on individual differences that predict pain-related functioning. The current study highlights one important source of individual variation: age. Methods: We used cross-sectional data from a large treatment-seeking cohort of 2,905 adults (M age = 46.6 [13.1]; 71.8% women) presenting to a tertiary pain centre in the United Kingdom to determine age differences in cognitive-affective processes (catastrophizing, acceptance, self-efficacy), including their differential patterns and effects on disability and depression. Results: Older adults (ages 65-75) were found to experience higher pain acceptance and pain self-efficacy compared to both middle-aged (ages 40-64) and young adult (ages 18-39) age groups. Older adults also experienced lower levels of catasophizing compared to middle-age adults. Testing age as a moderator, we found that the relationships of pain self-efficacy and acceptance with depression as well as the relationship between pain self-efficacy and disability were comparatively weakest among older adults and strongest among young adults. Similarly, the relationship between pain catastrophizing and depression was relatively stronger for young and middleaged adults compared to older adults. Conclusions: Age-related differences in psychological mechanisms that influence pain-related functioning present unique challenges and opportunities for scientists and clinicians to improve our understanding and treatment of pain across the lifespan. Additional work is needed to refine our knowledge of age-related differences in cognitive-affective, biopsychosocial dimensions of chronic pain and to develop and test the efficacy of age-tailored interventions. Significance: Our cross-sectional analysis of 2,905 treatment-seeking adults with chronic pain presenting to a tertiary care center in the United Kingdom revealed distinct age differences in cognitive-affective linked to disability and depression.This study contributes to the limited knowledge on age-related variance in psychological mechanisms underlying adjustment to chronic pain. Promising avenues for future research include refining our understanding of age-related differences in How to cite this article: Murray CB, Patel KV, Twiddy H, Sturgeon JA, Palermo TM. Age differences in cognitive-affective processes in adults with chronic pain.

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Section: Discussionmentioning

confidence: 99%

Age differences in cognitive–affective processes in adults with chronic pain

Murray

Patel

Twiddy

et al. 2021

European Journal of Pain

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“…Back pain (BP) is a significant public health problem. 1–5 Recent studies 6,7 suggested that the prevalence of BP has been increasing in adolescents; this can cause a range of disabilities that may persist into adulthood. 8–10 Therefore, the causes of BP must be investigated with a focus on adolescents.…”

Section: Introductionmentioning

confidence: 99%

Back pain and its risk factors in Brazilian adolescents: a longitudinal study

Candotti

Rosa

Vieira

et al. 2019

British Journal of Pain

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Owing to the lack of longitudinal studies in Latin American countries, we aimed to evaluate back pain and its risk factors in a 3-year longitudinal study of Brazilian adolescents. We analysed data of 525 adolescents (aged 11–16 years) attending primary school (fifth to eighth grade) in Brazil. The students were administered the self-reported Back Pain and Body Posture Evaluation Instrument (BackPEI) questionnaire in 2011 and at a follow-up evaluation that was conducted 3 years later (2014). Back pain was the outcome variable; the exposure variables included exercise, behavioural, hereditary and postural factors. Generalized estimating equations were used to perform a Poisson regression model with robust variance to evaluate the risk factors for back pain. The prevalence of back pain at baseline was 56% ( n = 294); this increased significantly at the 3-year follow-up evaluation to 65.9% ( n = 346). The frequency of experiencing back pain also significantly increased after 3 years in both boys ( p = 0.002) and girls ( p = 0.001). The prevalence of back pain increased significantly in adolescents up to the age of 13 years, stabilized in those aged 14 years and older and was higher among girls. A family history of back pain (in the parents), watching television for lengthy periods and carrying a backpack asymmetrically were predictors for back pain.

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“…Back pain (BP), defined as "pain within the cervical, thoracic and/or lumbar areas" [1][2][3], is a significant public health problem [1][2][3][4][5][6][7]. Recent studies [8][9][10] suggest that the prevalence of BP, including acute, chronic, specific, and non-specific conditions, has been increasing among adolescents; it can cause a range of functional limitations that may persist into adulthood [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Motor performance and back pain in children and adolescents: a systematic review and meta-analysis protocol

2020

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Background The relationship between motor performance and back pain in children and adolescents remains unclear. This article describes the protocol for a systematic review to summarize the knowledge about the association between motor performance, such as agility, flexibility, balance, strength, muscle endurance, and cardiorespiratory fitness, and back pain. Thus, our aim is to identify the influence of motor performance on back pain among children and adolescents. Methods Two independent researchers will search MEDLINE, Scopus, Embase, SPORTDiscus, and CINAHL databases, with no period or language restrictions. We will include cross-sectional, cohort, case-control, and controlled clinical trial studies based on the following criteria: (a) participants from 6 to 19 years of age, (b) assessment of motor performance, (c) assessment of back pain, and (d) report measures of associations between motor performance and back pain. Study quality and risk of bias will be assessed using an adapted version of the Downs and Black instrument. Grading of Recommendations, Assessment, Development, and Evaluations will be used to assess the strength of the body of evidence. Meta-analyses of association measures will be performed for each type of motor performance, separately for different study types. The results will be reported using forest to show the pooled effect of findings and funnel plots to assess precision of the data. If studies are not homogeneous, results from the meta-analyses will not be reported. Associations will then be synthesized descriptively using a pragmatic approach. Discussion This systematic review will provide critical insights into the association between motor performance and back pain among children and adolescents; this information may help support clinical practice guidelines as well as public health programs. Ethics and dissemination Protocol was written according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Systematic review registration PROSPERO CRD42020178496

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Growing pains: understanding the needs of emerging adults with chronic pain

Cited by 31 publications

References 48 publications

Age differences in cognitive–affective processes in adults with chronic pain

Age differences in cognitive–affective processes in adults with chronic pain

Back pain and its risk factors in Brazilian adolescents: a longitudinal study

Motor performance and back pain in children and adolescents: a systematic review and meta-analysis protocol

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