In search of risk factors for chronic pain in adolescents: a case&amp;ndash;control study of childhood and parental associations

Coenders, Alies; Chapman, Cindy; Hannaford, Patricia; Jaaniste, Tiina; Qiu, Wen; Anderson, David L.; Glogauer, Maline; Goodison-Farnsworth, Evelyn; McCormick, Marianne; Champion, G. David

doi:10.2147/jpr.s48154

Cited by 12 publications

(13 citation statements)

References 72 publications

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“…37 A number of parental factors are associated with child pain and functioning, including responses to child pain (eg, protectiveness), 10,33 psychological functioning (eg, anxiety), 4,34 and chronic pain history. 4,7,22,40 However, these parental factors typically have been evaluated as separate domains with few studies examining their interrelations. 28,30,37,45,46,56 Understanding the extent to which parental factors are interrelated, and exhibit differential associations with child adjustment to chronic pain may help to improve interventions for parents of youth with chronic pain.…”

mentioning

confidence: 99%

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

Cordts

Stone

Beveridge

et al. 2019

The Journal of Pain

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Parents play a critical role in children,s experience of, and recovery from, chronic pain. Although several parental factors have been linked to child pain and functioning, these factors are typically examined in isolation or as moderators or mediators. Structural equation modeling affords the opportunity to examine the extent to which parental factors are interrelated, and if there are differential associations among parental factors and child outcomes. Based on extant literature, a unified model of parental factors, including chronic pain status, physical functioning, responses to child pain, and psychological factors, and their effect on child pain and functioning, was conceptualized. This model was evaluated using structural equation modeling based on data from 146 dyads recruited from a multidisciplinary pain clinic. Modifications to model iterations were made based on theoretical and statistical justification. The final model revealed associations among all parental factors, with significant loadings on child pain and functioning. Findings indicated the conceptual model was supported, with the exception of parent responses to child pain. Findings support the inclusion of parent chronic pain status and physical and psychological functioning as part of a comprehensive assessment of youth with chronic pain and may inform new parental intervention targets to improve child outcomes. Perspective: A unified structural equation model indicated parents, own chronic pain characteristics and physical and psychological functioning represent important factors associated with child pain and functioning. Current family-based interventions that often primarily focus on parent responses to child pain may need to be adapted to more comprehensively address parental factors.

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confidence: 99%

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

Cordts

Stone

Beveridge

et al. 2019

The Journal of Pain

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“…Although few studies have considered specific precipitating events, studies to date have identified a variety of risk factors including demographic factors, psychosocial factors, and previous pain experiences. For example, Coenders et al 8 found that youth with chronic pain was more likely to have individual and parent history of functional pain syndromes (eg, migraine, nonmigraine headaches, functional abdominal pain, and restless leg syndrome) than youth without chronic pain. In a longitudinal study, Kroner-Herwig et al 22 found that previous multiple pain sites, age, sex, internalizing/externalizing symptoms, and time spent with visual media were significant risk factors for the development of multiple pains in childhood and adolescence.…”

Section: Discussionmentioning

confidence: 99%

Precipitating events in child and adolescent chronic musculoskeletal pain

Becker

Heathcote

Timmers

et al. 2018

PR9

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Introduction:The epidemiology of chronic pain in youth has been increasingly documented over the past decade. However, the precipitating events associated with the onset of pediatric chronic pain are not well studied.Objectives:Understanding the events that precede the onset of pain, and are reported by patients as germane to the early stages of their pain, may add one piece to the puzzle of the causal etiology of pediatric chronic pain disorders.Methods:We conducted a retrospective chart review of 320 young people attending a tertiary care chronic pain clinic with musculoskeletal chronic pain.Results:Approximately two-thirds of patients reported a precipitating event for their pain; injury was the most commonly reported event, followed by a chronic disease, then an infection or illness. Surgery was the least commonly reported event. About one-third of patients did not report any precipitating event for their pain. Patients with neuropathic pain were even more likely to report a precipitating event compared to those with localized and diffuse musculoskeletal pain. Patients with localized musculoskeletal pain and neuropathic pain were most likely to report an injury, whereas patients with diffuse musculoskeletal pain were most likely to report a chronic disease. We found little to no evidence that the presence or type of precipitating event was associated with patients' psychological or physical functioning.Conclusion:This study adds to the epidemiological evidence base for pediatric chronic pain disorders.

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“…Por ejemplo, Coenders y cols. (28), en un estudio transversal con diseño de casos y controles, analizó hasta qué punto la historia personal y familiar de problemas de dolor crónico eran factores de riesgo para presentar dolor crónico en la adolescencia. En este estudio, en el que participaron 101 jóvenes y sus respectivas familias, se constata que la historia personal de migraña, dolor de cabeza y dolor abdominal recurrente, junto a la historia parental de dolor abdominal recurrente y depresión, contribuían a predecir la presencia de dolor crónico en el momento del estudio.…”

Section: Factores De Riesgo Del Dolor Crónico Infantilunclassified

Psicología y dolor crónico infantil

Miró¹,

Vega²,

Solé³

et al. 2017

Rev. Soc. Esp. Dolor.

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Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor.

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In search of risk factors for chronic pain in adolescents: a case–control study of childhood and parental associations

Cited by 12 publications

References 72 publications

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

Precipitating events in child and adolescent chronic musculoskeletal pain

Psicología y dolor crónico infantil

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