Multiple Pains in Children and Adolescents: A Risk Factor Analysis in a Longitudinal Study

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

doi:10.1093/jpepsy/jsq099

Cited by 46 publications

(57 citation statements)

References 33 publications

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“…Therefore, multiple, recurrent SHC may constitute behavioural manifestations that depict the low self-control capacity on managing intensification of emotions and activation of behaviour [54]. What is more, neurobiological findings regarding the close proximity of brain structures processing pain and negative emotion may provide impetus to study the association of emotional/behavioural functioning and SHC from a neuropsychological perspective as well [20]. …”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, specific somatic complaints (stomachaches, musculoskeletal pains and headaches) have been found to associate strongly with emotional disorders in girls and with disruptive behaviour disorders in boys [37]. In the same line, a female predisposition to internalizing symptoms and a male tendency to externalizing problems have been reported among adolescents experiencing two or more sites of recurrent pain [20,21]. What is more, gender and age differences have been documented for emotional/behavioural difficulties, as measured by SDQ, during adolescent years [47,48].…”

Section: Discussionmentioning

confidence: 99%

“…Apart from a well-documented female predisposition for increased reports of psychosomatic ailments [10,13,36], SHC and various pain symptoms have been associated with emotional difficulties in girls and externalizing symptoms in boys [20,21,37]. On the other hand, the effect of age on the association of SHC with emotional/behavioural difficulties remains ambiguous, with some evidence disclaiming an age interaction on the aforementioned relationship [12,33,38].…”

Section: Introductionmentioning

confidence: 99%

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Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Petanidou¹,

Giannakopoulos

Tzavara³

et al. 2014

Child and Adolescent Psychiatry and Mental Health

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BackgroundAdolescence has been documented as the peak age of onset for mental health perturbations, clinical disorders and unsubstantiated health complaints. The present study attempted to investigate associations between multiple, recurrent subjective health complaints (SHC) with emotional/behavioural difficulties, as measured by the Strengths and Difficulties Questionnaire scale (SDQ), among Greek adolescents.MethodsQuestionnaires were administered in a large, nation-wide, random, school-based sample of Greek adolescents, aged 12–18 years. Data from 1170 participants were analyzed. Adolescents with multiple, recurrent SHC were compared in terms of their emotional/behavioural difficulties to their peers with lower levels of health complaints. SDQ scales were separately investigated for their associations with multiple, recurrent SHC, after adjustment for gender, age and socioeconomic status (ses). Further analysis included multiple logistic regression models with multiple, recurrent SHC as the dependent variable and gender, age, ses and SDQ Total difficulties score as independent factors. Potential gender and age interactions were also explored.ResultsAlmost half of the study participants reported multiple, recurrent SHC. Adolescents with multiple, recurrent SHC had higher scores on all SDQ scales, except from the Prosocial behavior scale, compared to their peers with lower levels of health complaints. Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention and Peer Problems were associated with greater likelihood of having multiple, recurrent SHC, after adjustment for gender, age and ses. The multiple logistic regression models revealed that older adolescents and girls, as well as those with increased Total difficulties score had an increased risk for multiple, recurrent SHC reporting. No significant interaction between SDQ scales and gender or age was found.ConclusionsOur study highlights the magnitude of psychological burden among adolescents experiencing multiple, recurrent SHC. Professionals in school and clinical settings should be cautious for impaired emotional/behavioural functioning when assessing adolescents with multiple, recurrent SHC, so as early identification of at-risk individuals and timely, appropriate referrals are facilitated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Petanidou¹,

Giannakopoulos

Tzavara³

et al. 2014

Child and Adolescent Psychiatry and Mental Health

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show abstract

“…In children, widespread pain has been characterized as either present or absent, with terms such as widespread pain 16 or multiple pains 14 used descriptively in community samples or in clinical samples 13 . In community samples, prevalence rates of widespread pain in school-age children range from 7-15 % 12,15 .…”

Section: Introductionmentioning

confidence: 99%

Association Between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children

Rabbitts

Holley

Groenewald

et al. 2016

The Journal of Pain

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Pain involving several body regions generally represents nervous system pathophysiology shifting from predominantly peripheral to more central. In adults, higher widespread pain scores are clinically meaningful and confer risk for poor response to treatment. It is unknown whether widespread pain is similarly important in children. To address this gap, we conducted an observational study examining (1) associations between widespread pain and functional impairment and health-related quality of life (HRQOL) in clinical pediatric samples, and (2) associations among sociodemographic factors and pain catastrophizing with widespread pain scores. Participants were 166 children age 10-18 years from three samples (acute pain, pre-surgery, chronic pain). Children self-reported pain intensity, pain catastrophizing, functional impairment and HRQOL. Children indicated pain locations on a body diagram, which was coded using the American College of Rheumatology definition of widespread pain. Results revealed higher widespread pain scores were associated with greater functional impairment with routine activities (F=3.15, p=0.02) and poorer HRQOL (F=3.29, p=0.02), adjusting for pain intensity, study group and demographics. Older age (B=0.11, p=0.01), and Hispanic ethnicity (B=0.67, p=.03) were associated with higher widespread pain scores. Findings support incorporating evaluation of widespread pain into pediatric pain assessment. Future research is needed to examine longitudinal impact of widespread pain on children's treatment outcomes.

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“…Hence, recurrent pain, especially so-called functional pain, is a significant pediatric health problem, with headache being the most prevalent [17], [13]. …”

Section: Introductionmentioning

confidence: 99%

The German Pain Catastrophizing Scale for Children (PCS-C) – psychometric analysis and evaluation of the construct

Kröner‐Herwig

Maas²

2013

GMS Psycho-Social-Medicine; 10:Doc07; ISSN 1860-5214

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Multiple Pains in Children and Adolescents: A Risk Factor Analysis in a Longitudinal Study

Abstract: A supposedly biological disposition, namely pain vulnerability, being particularly high in girls, is assumed to build the basis of pains felt in various sites of the body. Further research is needed to corroborate and specify these assumptions.

Cited by 46 publications

References 33 publications

Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Association Between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children

The German Pain Catastrophizing Scale for Children (PCS-C) – psychometric analysis and evaluation of the construct

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