Problem Behaviors and Psychological Distress Among Teens Seen in a National Sample of Emergency Departments

Ranney, Megan L.; Bromberg, Julie R; Hozey, Alyssa; Casper, T. Charles; Mello, Michael J.; Spirito, Anthony; Chun, Thomas H.; Linakis, James G.

doi:10.1016/j.acap.2018.02.016

Cited by 7 publications

(3 citation statements)

References 27 publications

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“…Adolescents with externalizing symptoms might also be more physically active and engage in high-risk behaviours (e.g. alcohol consumption, physical conflict with peers) [ 36 ], which may increase exposure to activities associated with injury and resulting pain. This study has given greater understanding of the relationship between psychological symptoms and pain development in adolescence and highlighted potential modification effects of puberty.…”

Section: Discussionmentioning

confidence: 99%

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Are psychological symptoms a risk factor for musculoskeletal pain in adolescents?

2021

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Adolescent musculoskeletal pain is common and is associated with musculoskeletal pain in adulthood. Psychological symptoms, also common in adolescence, have been shown to be associated with musculoskeletal pain, but the current evidence is mixed and may be dependent on effect modifiers. This study investigated whether adolescents with psychological symptoms (internalizing and externalizing constructs) at age 13 years were at higher odds for musculoskeletal pain at age 17 years and whether the associations were modified by pubertal status and sex. A prospective cohort design examined data on 3865 adolescents from the Avon Longitudinal Study of Parents and Children (ALSPAC). Associations between baseline (aged 13 years) internalizing and externalizing symptoms and musculoskeletal pain at follow-up (aged 17 years) were investigated using logistic regression producing odds ratios (OR) and 95% confidence intervals (95% CI). In total 43.1% of adolescents reported musculoskeletal pain at follow-up. Externalizing symptoms at baseline increased the odds of musculoskeletal pain (OR 1.68, 95% CI 1.28, 2.20), and internalizing symptoms demonstrated a non-significant increase (OR 1.26, 95% CI 0.98, 1.62). Effect modification analysis showed an increased effect dependent on pubertal status.Conclusion: Adolescents with externalizing symptoms, and to some extent internalizing symptoms, are at increased odds of later musculoskeletal pain. Future research is now required to understand the reasons for these associations. What is Known:• Current evidence regarding the association between internalizing symptoms and externalizing symptoms and future musculoskeletal pain in adolescents is mixed. What is New:• This study found that adolescents with externalizing symptoms, and to some extent internalizing symptoms, are at increased odds for musculoskeletal pain, with an increased influence dependent on pubertal status.• These results are of interest for the development of timely preventative interventions designed to reduce the risk of musculoskeletal pain.

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Section: Discussionmentioning

confidence: 99%

“…Potential confounders identified from previous literature were physical activity, smoking, marijuana use and drug use [ 18 , 35 , 36 ]. Parent-reported information on physical activity was gathered at baseline through a questionnaire that included five options of vigorous physical activity (e.g.…”

Section: Methodsmentioning

confidence: 99%

Are psychological symptoms a risk factor for musculoskeletal pain in adolescents?

2021

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“…Codes were also developed for instances of "discussion of deviant behaviors", such as substance use or truancy, which are theoretically related to in-person and online conflict [20]. Deviant behaviors found in message transcripts were divided into three separate codes: "discussion of physical violence", "discussion of drugs", and "discussion of other deviance", such as stealing or skipping school, respectively.…”

Section: Conflict and Deviant Behaviormentioning

confidence: 99%

Insights into Adolescent Online Conflict through Qualitative Analysis of Online Messages

Ranney

Lehrbach²,

Scott³

et al. 2020

Proceedings of the Annual Hawaii International Conference on System Sciences

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Given adolescents' widespread use of online messaging and social media, as well as the prevalence of cyberbullying, analyzing adolescents' online messagebased communication topics and patterns is relevant to public health. To better describe conflict in adolescent online communication, this paper analyzes patterns of conflict in a dataset of adolescent online messages. We describe a qualitative methodology for analyzing these complex data, to expand understanding of adolescents' online conversations, and to identify how best to categorize conflict within online media datasets. In this study, 14,239 messages from 20 adolescents in the Northeast United States (of which 1,911 were coded) were analyzed using thematic analysis. Several distinct kinds of conflict and responses were identified. Conflict was either direct or indirect, serious or non-serious; it most often was indirect and serious, referenced either insults or romantic contacts, and was frequently related to in-person fights. Coding relied on understanding both textual contexts and referents.

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Associations Between Adolescent Pain and Psychopathology in the Adolescent Brain Cognitive Development (ABCD) Study

2023

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Problem Behaviors and Psychological Distress Among Teens Seen in a National Sample of Emergency Departments

Abstract: Youth seen in the ED for any reason who report higher levels of past-year substance use and peer aggression are significantly more likely to report negative mood symptoms. Targeted screening and interventions for this population may be indicated.

Cited by 7 publications

References 27 publications

Are psychological symptoms a risk factor for musculoskeletal pain in adolescents?

Are psychological symptoms a risk factor for musculoskeletal pain in adolescents?

Insights into Adolescent Online Conflict through Qualitative Analysis of Online Messages

Associations Between Adolescent Pain and Psychopathology in the Adolescent Brain Cognitive Development (ABCD) Study

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