School Absence Associated With Childhood Pain in the United States

Groenewald, Cornelius B.; Giles, Marian; Palermo, Tonya M.

doi:10.1097/ajp.0000000000000701

Cited by 32 publications

(25 citation statements)

References 38 publications

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“…CYP with chronic pain have a higher rate of absenteeism than other chronic health conditions. 90 The most common clinical manifestations of anxiety among CYP with chronic pain include school phobia, separation anxiety and social anxiety. 91 physical symptoms at school and negative peer evaluation.…”

Section: Mental Health and Transitionmentioning

confidence: 99%

“…91 physical symptoms at school and negative peer evaluation. 90 Unfortunately, comprehensively measuring the impact of the chronic pain and chronic disease on school anxiety has not been established. Understanding the duality of chronic pain and disease burden on school related anxiety is incredibly important in JIA as pain often persists after treatment of the inflammatory phase.…”

Section: Mental Health and Transitionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology</p>

Palman¹,

McDonagh²

2020

OARRR

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Section: Mental Health and Transitionmentioning

confidence: 99%

Section: Mental Health and Transitionmentioning

confidence: 99%

<p>Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology</p>

Palman¹,

McDonagh²

2020

OARRR

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“…8 As in a recent study, addressing functional limitations due to all types of pediatric chronic pain, we examined functional limitations primarily using a continuous measure of school absenteeism (number of missed school days due to illness or injury over the past 12 months). 12 To further characterize the association between headache and functional limitations, we used a question from the Strength and Difficulties Questionnaire, which asked whether the child had difficulties with emotions, concentration, behaviors, or getting along with others. 13 Responses to the latter question were reported on an ordinal scale (no difficulties, minor difficulties, definite difficulties, and severe difficulties).…”

Section: Methodsmentioning

confidence: 99%

National Trends in Pediatric Headache and Associated Functional Limitations

Pawlowski

Buckman

Tumin

et al. 2019

Clin Pediatr (Phila)

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Objective. Frequent or severe headaches are associated with school absenteeism and functional limitation in children, but trends in headache prevalence are uncertain. We used nationally representative data to describe trends in pediatric headache prevalence in the United States, and to evaluate whether headache has remained consistently associated with functional limitations among school-age children. Methods. We analyzed data on children age 5 to 17 years in the 2007 to 2015 National Health Interview Surveys. Caregivers reported whether each child experienced frequent or severe headache in the past 12 months. Weighted proportions and multivariable regression were used to estimate headache prevalence over the study period and associations between headache and measures of functional limitation. Results. The analysis included 57 272 children (mean age = 11 years; 52% female). Frequent or severe headache was reported for 6% of children, with no discernable trend over the study period. On multivariable Poisson regression, headache became more strongly associated with school absenteeism over time. In 2007, frequent or severe headache was associated with a 70% increase in the number of missed school days (incidence risk ratio [IRR] = 1.70; 95% confidence interval [CI] = 1.50-1.91; P < .001), whereas by 2015, headache was associated with a 139% increase in the number of missed school days (IRR = 2.39; 95% CI = 2.02-2.83; P < .001). Conclusion. Though the prevalence of frequent or severe headache in school-age children did not change in 2007 to 2015, headache became more strongly associated with school absenteeism, highlighting the need for improved management of patients with headaches to prevent negative impact on school performance and functional status.

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“…The presence of chronic pain in this age group has a negative impact on quality of life, damaging the social, recreational, and academic domains, also being a major cause of absenteeism in children and adolescents. Chronic pain is associated with increased school abstention (Groenewald et al, 2019), and, as shown by prospective cohort studies, chronic pain in adolescents was associated with lower education levels in adulthood, worse career positioning, and other social impacts such as early parenthood and a worse quality in affective relationships (Murray et al, 2020).…”

Section: Introductionmentioning

confidence: 93%

Age as a Mediator of tDCS Effects on Pain: An Integrative Systematic Review and Meta-Analysis

Saldanha

Zortéa

Torres

et al. 2020

Front. Hum. Neurosci.

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Introduction: The transcranial direct current stimulation (tDCS) is a neuromodulatory technique with the potential to decrease pain scores and to improve chronic pain treatment. Although age is an essential factor that might impact the tDCS effect, most studies are solely conducted in adults. Therefore, the age limitation presents a critical research gap in this field and can be shown by only a handful of studies that have included other age groups. To examine the evidence upon the tDCS effect on pain scores on children, adolescents, or elderly, and indirectly, to infer the age-dependent impact on tDCS effects, we conducted a systematic review and meta-analysis. Methods: A systematic review searching the following databases: PubMed, EMBASE, and Science Direct using the following search terms adapted according to MeSh or Entree: [("Adolescent" OR "Children" OR "Elderly") AND ("tDCS") AND ("Pain" OR "Pain threshold") AND ("dorsolateral prefrontal cortex" OR "Motor cortex)] up to April 20th, 2020. We retrieved 228 articles, 13 were included in the systematic review, and five studies with elderly subjects that had their outcomes assessed by pain score or pain threshold were included in the meta-analysis. Results: For the analysis of pain score, 96 individuals received active stimulation, and we found a favorable effect for active tDCS to reduce pain score compared to sham (P = 0.002). The standardized difference was −0.76 (CI 95% = −1.24 to −0.28). For the pain threshold, the analysis showed no significant difference between active and sham tDCS. We reviewed two studies with adolescents: one study using anodal tDCS over the prefrontal cortex reported a reduction in pain scores. However, the second study reported an increase in pain sensitivity for the dorsolateral prefrontal cortex (DLPFC) stimulation. Conclusion: Our findings suggest tDCS may reduce pain levels in the elderly group. Nevertheless, the small number of studies included in this review-and the considerable heterogeneity for clinical conditions and protocols of stimulation present-limits the support of tDCS use for pain treatment in elderly people. Larger studies on the tDCS effect on pain are needed to be conducted in elderly and adolescents, also evaluating different montages and electrical current intensity.

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School Absence Associated With Childhood Pain in the United States

Cited by 32 publications

References 38 publications

<p>Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology</p>

<p>Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology</p>

National Trends in Pediatric Headache and Associated Functional Limitations

Age as a Mediator of tDCS Effects on Pain: An Integrative Systematic Review and Meta-Analysis

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