Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment

Maunder, Larah; Pavlova, Maria; Beveridge, Jaimie K.; Katz, Joel; Salomons, Tim V.; Noel, Melanie

doi:10.3390/children9040529

Cited by 3 publications

(1 citation statement)

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“…These data provide insight into symptom risk during adolescence, yet a better understanding of phenotypic symptom profiles is warranted, since pain-PSS may emerge simultaneously. This is particularly germane, since co-occurring symptoms may influence and exacerbate one another, contributing to their mutual maintenance and eventual chronicity . Indeed, we recently found that children with comorbid pain-PSS were 5 times more likely than those with no or low symptoms to have persistent or recurrent pain the following year .…”

Section: Introductionmentioning

confidence: 99%

Associations of Co-occurring Symptom Trajectories With Sex, Race, Ethnicity, and Health Care Utilization in Children

et al. 2023

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ImportanceCo-occurring physical and psychological symptoms during childhood and early adolescence may increase risk of symptom persistence into adulthood.ObjectiveTo describe co-occurring pain, psychological, and sleep disturbance symptom (pain-PSS) trajectories in a diverse cohort of children and the association of symptom trajectory with health care utilization.Design, Setting, and ParticipantsThis cohort study was a secondary analysis of longitudinal data from the Adolescent Brain Cognitive Development (ABCD) Study, collected between 2016 and 2022 at 21 research sites across the US. Participants included children with 2 to 4 complete annual symptom assessments. Data were analyzed from November 2022 to March 2023.Main Outcomes and MeasuresFour-year symptom trajectories were derived from multivariate latent growth curve analyses. Pain-PSS scores, including depression and anxiety, were measured using subscales from the Child Behavior Checklist and the Sleep Disturbance Scale of Childhood. Nonroutine medical care and mental health care utilization were measured using medical history and Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) items.ResultsA total of 11 473 children (6018 [52.5%] male; mean [SD] age at baseline, 9.91 [0.63] years) were included in analyses. Four no pain-PSS and 5 pain-PSS trajectories were supported with good or excellent model fit (predicted probabilities, 0.87-0.96). Most children (9327 [81.3%]) had asymptomatic or low, intermittent, or single symptom trajectories. Approximately 1 in 5 children (2146 [18.7%]) had moderate to high co-occurring symptom trajectories that persisted or worsened. Compared with White children, there was a lower relative risk of having moderate to high co-occurring symptom trajectories among Black children (adjusted relative risk ratio [aRRR] range, 0.15-0.38), Hispanic children (aRRR range, 0.58-0.67), and children who identified as another race (including American Indian, Asian, Native Hawaiian, and other Pacific Islader; aRRR range, 0.43-0.59). Less than half of children with moderate to high co-occurring symptom trajectories used nonroutine health care, despite higher utilization compared with asymptomatic children (nonroutine medical care: adjusted odds ratio [aOR], 2.43 [95% CI, 1.97-2.99]; mental health services: aOR, 26.84 [95% CI, 17.89-40.29]). Black children were less likely to report nonroutine medical care (aOR, 0.61 [95% CI, 0.52-0.71]) or mental health care (aOR, 0.68 [95% CI, 0.54-0.87]) than White children, while Hispanic children were less likely to have used mental health care (aOR, 0.59 [95% CI, 0.47-0.73]) than non-Hispanic children. Lower household income was associated with lower odds of nonroutine medical care (aOR, 0.87 [95% CI, 0.77-0.99]) but not mental health care.Conclusions and RelevanceThese findings suggest there is a need for innovative and equitable intervention approaches to decrease the potential for symptom persistence during adolescence.

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Section: Introductionmentioning

confidence: 99%

Associations of Co-occurring Symptom Trajectories With Sex, Race, Ethnicity, and Health Care Utilization in Children

et al. 2023

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Parent Anxiety, Depression, Protective Responses, and Parenting Stress in the Context of Parent and Child Chronic Pain: A Daily Diary Study of Parent Variability

Beveridge,

Walker,

Orr

et al. 2024

The Journal of Pain

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Daily health and well‐being in adulthood and old age: The role of adverse childhood experiences

Potter,

Bridger,

Drewelies

2024

Applied Psych Health & Well

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How susceptible our daily affect is to fluctuations in physical health indicates how well we adapt to everyday health challenges. Adverse childhood experiences (ACEs) are known to have a lasting impact on everyday emotion regulation and adaptation across the lifespan, but less is known about whether and how such adversity is linked to the susceptibility of affect to everyday health challenges. This study therefore tested whether ACEs were associated with daily reports of positive and negative affect and examined weather they moderated emotional reactions to daily physical symptoms in adulthood and old age. We used data from the National Study of Daily Experiences 2 (NSDE‐2) in which middle‐aged and older adults (N = 2,022; Mage = 56 years; range: 33–84) reported symptoms and affect on eight consecutive evenings. Multi‐level models indicated that cumulative ACEs as well as two individual childhood adversities (i.e. physical and sexual abuse by a parent) were independently associated with exacerbated increases in negative affect on days with more symptoms. Findings add to literature on the role of early adversity for the maintenance of everyday well‐being and highlight the potential importance of such experiences for coping and adaption in the face of daily health challenges across adulthood and old age.

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Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment

Cited by 3 publications

References 40 publications

Associations of Co-occurring Symptom Trajectories With Sex, Race, Ethnicity, and Health Care Utilization in Children

Associations of Co-occurring Symptom Trajectories With Sex, Race, Ethnicity, and Health Care Utilization in Children

Parent Anxiety, Depression, Protective Responses, and Parenting Stress in the Context of Parent and Child Chronic Pain: A Daily Diary Study of Parent Variability

Daily health and well‐being in adulthood and old age: The role of adverse childhood experiences

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