Healthcare utilization for pain in children and adolescents: a prospective study of laboratory and non-laboratory predictors of care-seeking

Tsao, Jennie C.I.; Evans, Subhadra; Seidman, Laura C; Zeltzer, Lonnie K.

doi:10.1515/ijamh.2011.057

Cited by 6 publications

(3 citation statements)

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“…This development with age is reflected in pain assessment, where for children under the age of 6, behavioural pain scales are usually needed to assess pain, whereas for older children pain assessment can be based on self-report and several self-reporting tools are also recommended from the age of 4 (Beltramini, Milojevic, & Pateron, 2017). Studies have reported that parents with poorer health status (Dreyer, Williamson, Hargreaves, Rosen, & Deeny, 2018;Tsao, Evans, Seidman, & Zeltzer, 2011), or who are high healthcare users themselves (Zhang, Zhou, & Si, 2017), were more likely to seek healthcare for their children. This indicates that parents could play an important role in patterns of healthcare consultation.…”

Section: Discussionmentioning

confidence: 99%

Consultation prevalence among children, adolescents and young adults with pain conditions: A description of age‐ and gender differences

Bondesson

Olofsson

Caverius

et al. 2019

European Journal of Pain

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Background Pain is a common complaint presented in healthcare, but most epidemiological pain research has focused either on single pain conditions or on the adult population. The aim of this study was to investigate the 2017 consultation prevalence of a wide range of pain conditions in the general population of young people. Methods We used the Skåne Healthcare Register, covering prospectively collected data on all healthcare delivered (primary and secondary care) to the population in the region of Skåne, southern Sweden (population 2017 n = 1,344,689). For individuals aged 1–24 in 2017 (n = 373,178), we calculated the consultation prevalence, stratified by sex and age, and the standardised morbidity ratio (SMR) to assess overall healthcare consultation. Results A total of 58,981 (15.8%) individuals consulted at least once for any of the predefined pain conditions. Of these, 13.5% (n = 7,996) consulted four or more times for pain. Abdominal pain, joint pain/myalgia, headache and back/neck pain were the most common complaints. Overall, females had higher consultation prevalence than males: 17.6% versus 14.1% (p < .0001). SMR was 1.82 (95% CI = 1.74–1.87) for females with pain and 1.51 (95% CI = 1.42–1.56) for males with pain. Consultation prevalence increased with age, but this pattern varied between sex and pain condition. Conclusions Among individuals under the age of 25, a significant proportion consult for pain already in early ages, and they also have high healthcare consultation rates for conditions other than pain. The even higher consultation rates among young females need additional attention, both in the clinic and in research. Significance We present comprehensive 1‐year healthcare consultation prevalence data covering all levels of care. A significant proportion of children, adolescents and young adults consult for different pain conditions at multiple occasions warranting greater clinical awareness.

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Section: Discussionmentioning

confidence: 99%

Consultation prevalence among children, adolescents and young adults with pain conditions: A description of age‐ and gender differences

Bondesson

Olofsson

Caverius

et al. 2019

European Journal of Pain

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“…162 In addition, dietary interventions have been shown to reduce pain in adults with irritable bowel syndrome, 55 and pain and psychological distress in adults with headache, 110 suggesting that diet and nutrition habits within a family might influence pain outcomes. Health care utilization may also play a role, as parental health status has been associated with pain-related medical visits in children, 141 and mother and child health care visit frequency are positively correlated in families in which the mother has irritable bowel syndrome. 146 Families who catastrophize about pain may be more likely to seek frequent medical care which, in turn, may further increase pain catastrophizing.…”

Section: Potential Mechanisms For the Transmission Of Riskmentioning

confidence: 99%

Transmission of risk from parents with chronic pain to offspring: an integrative conceptual model

Stone

Wilson

2016

Pain

125

135

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Offspring of parents with chronic pain are at increased risk for pain and adverse mental and physical health outcomes (Higgins et al, 2015). Although the association between chronic pain in parents and offspring has been established, few studies have addressed why or how this relation occurs. Identifying mechanisms for the transmission of risk that leads to the development of chronic pain in offspring is important for developing preventive interventions targeted to decrease risk for chronic pain and related outcomes (eg, disability and internalizing symptoms). This review presents a conceptual model for the intergenerational transmission of chronic pain from parents to offspring with the goal of setting an agenda for future research and the development of preventive interventions. Our proposed model highlights 5 potential mechanisms for the relation between parental chronic pain and pediatric chronic pain and related adverse outcomes: (1) genetics, (2) alterations in early neurobiological development, (3) pain-specific social learning, (4), general parenting and family health, and (5) exposure to stressful environment. In addition, the model presents 3 potential moderators for the relation between parent and child chronic pain: (1) the presence of chronic pain in a second parent, (2) timing, course, and location of parental chronic pain, and (3) offspring’s characteristics (ie, sex, developmental stage, race or ethnicity, and temperament). Such a framework highlights chronic pain as inherently familial and intergenerational, opening up avenues for new models of intervention and prevention that can be family centered and include at-risk children.

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“…Despite there being evidence that a child's appraisal of a situation is likely to impact on their subsequent behavior, 18 as well as their memory of the experience, 19 within the clinical pediatric acute pain context, children's appraisals are rarely assessed is a standardized way. Nevertheless, aspects of appraisal, such as how bothersome the painful experience is, [20][21][22] and belief in one's ability to cope with the painful experience, are likely to hold particular salience for the individual and may be of greater personal importance than the degree of sensory intensity.…”

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confidence: 99%

Multidimensional Self-report Assessment of Children’s Acute Pain in an Inpatient Setting

Jaaniste

Yang

Bang

et al. 2021

The Clinical Journal of Pain

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Objective: This study assessed the feasibility of administering a multidimensional, self-report pain assessment protocol to children in an inpatient, acute pain context, and sought insight into the interrelationships between sensory, affective, and evaluative pain dimensions.Methods: A total of 132 children (5 to 16 y) experiencing acute pain were recruited from acute pain ward rounds or the short-stay surgical unit. A multidimensional self-report assessment protocol was administered, assessing pain intensity, pain-related affect, bother, perceived unfairness, and pain expectations (for tomorrow and in 1 wk). Duration of protocol administration was assessed and ease of administration was rated. Pain-related behaviors were rated using the Face, Legs, Activity, Cry, and Consolability (FLACC) Scale. Results:The duration of protocol administration was <2.5 minutes, on average, for all age groups. Median ease of protocol administration was 7/10 for 5-to 7-year-olds and 8/10 for older age groups. Pain-related bother was higher for 14-to 16-year-olds, relative to younger age groups, and significantly correlated with perceived unfairness (r = 0.59, P < 0.01), intensity (r = 0.76, P < 0.01), and affect (r = 0.33, P < 0.05). For younger age groups, bother was significantly positively correlated only with pain intensity (rs = 0.59 to 0.79, Ps < 0.01) and affect (rs = 0.4 to 0.71, Ps <0.05). A stepwise multiple regression analysis found multidimensional self-reported information (especially pain intensity and perceived unfairness), accounted for significant additional amount of variance, beyond that explained by age, pain duration, and observed pain behavior.Discussion: Sensory, affective, and evaluative aspects of children's clinical, acute pain experience may be assessed using self-report tools, which provide unique and valuable information about their pain experience.

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Healthcare utilization for pain in children and adolescents: a prospective study of laboratory and non-laboratory predictors of care-seeking

Abstract: Background-Few studies have focused on identifying predictors of medical consultation for pain in healthy children and adolescents.

Cited by 6 publications

References 25 publications

Consultation prevalence among children, adolescents and young adults with pain conditions: A description of age‐ and gender differences

Consultation prevalence among children, adolescents and young adults with pain conditions: A description of age‐ and gender differences

Transmission of risk from parents with chronic pain to offspring: an integrative conceptual model

Multidimensional Self-report Assessment of Children’s Acute Pain in an Inpatient Setting

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