Socio-demographic factors in a pediatric chronic pain clinic: the role of minority status in pain and health outcomes

Evans, Subhadra; Taub, Rebecca; Tsao, Jennie C.I.; Meldrum, Marcia

doi:10.1016/j.jpain.2009.01.051

Cited by 9 publications

(10 citation statements)

References 23 publications

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“…Perhaps, younger age is a protective factor. This is consistent with other findings in the pediatric chronic pain literature, citing that adolescents are at a relative risk compared to younger children in regard to functioning with chronic pain 11, 17 . Developmental considerations such as the role of hormones and puberty and developmental milestones that may result in psychosocial stress, such as moving out of the home or going to college, should be further explored as they relate to persistent postsurgical pain.…”

Section: Discussionsupporting

confidence: 92%

Pain Prevalence and Trajectories Following Pediatric Spinal Fusion Surgery

Sieberg

Simons

Edelstein

et al. 2013

The Journal of Pain

133

132

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Factors contributing to pain following surgery are poorly understood with previous research largely focused on adults. With approximately 6 million children undergoing surgery each year8, there is a need to study pediatric persistent postsurgical pain. The present study includes patients with adolescent idiopathic scoliosis undergoing spinal fusion surgery enrolled in a prospective, multi-centered registry examining post-surgical outcomes. The Scoliosis Research Society Questionnaire- Version 30, which includes pain, activity, mental health, and self-image subscales, was administered to 190 patients prior to surgery and at 1 and 2 years post-surgery. A subset (n=77) completed 5-year post-surgery data. Pain prevalence at each time point and longitudinal trajectories of pain outcomes derived from SAS PROC TRAJ were examined using ANOVAs and post-hoc pairwise analyses across groups. Thirty-five percent of patients reported pain in the moderate-severe range prior to surgery. One year postoperative, 11% reported pain in this range while 15% reported pain at two years post-surgery. At five years post-surgery, 15% of patients reported pain in the moderate to severe range. Among the five empirically-derived pain trajectories, there were significant differences on self-image, mental health, and age. Identifying predictors of poor long-term outcomes in children with postsurgical pain may prevent the development of chronic pain into adulthood.

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Section: Discussionsupporting

confidence: 92%

Pain Prevalence and Trajectories Following Pediatric Spinal Fusion Surgery

Sieberg

Simons

Edelstein

et al. 2013

The Journal of Pain

133

132

View full text Add to dashboard Cite

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“…A recent review 90 highlights how cultural and socio-contextual factors can predispose chronically ill children to poor sleep patterns, but also underscores vast limitations in the evidence base. This is similar in the literature on pediatric persistent pain as only one study on the pain-sleep association examined these factors, 91 finding that minority children with persistent pain reported sleeping less than Caucasian children with persistent pain. Of note, while SCD is seen primarily in minority populations, most other pediatric pain conditions are more common in Caucasians, complicating research on the influence of race/ethnicity/culture and socio-contextual factors in pediatric pain.…”

Section: Resultssupporting

confidence: 74%

A Systematic Review of Sleep in Pediatric Pain Populations

Valrie

Bromberg²,

Palermo

et al. 2013

Journal of Developmental &Amp; Behavioral Pediatrics

201

137

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Objective The primary aim of this systematic review was to examine the evidence for a pain-sleep relationship in children with persistent pain by reviewing studies using single and mixed pediatric persistent pain samples. Method Electronic searches of Medline, PubMed, the Cochrane Database of Systematic Reviews, and PsycINFO were conducted to identify all relevant empirical studies. Studies were included in the review if the majority of participants were between 0-17 years and from one of the following pediatric pain populations: juvenile idiopathic arthritis, sickle cell disease, migraine/headache, functional abdominal pain, juvenile fibromyalgia syndrome, chronic musculoskeletal pain, or mixed populations including the aforementioned conditions. Results Research from single and mixed sample studies support the hypothesis that children and adolescents with persistent pain suffer from sleep impairment. Literature addressing factors that may influence or mediate the pain-sleep relationship and the functional outcomes of the pain-sleep relationship was reviewed, and a model of the interrelationships with pain and sleep developed. Conclusion Findings from this review highlight the need to assess and treat sleep problems in children presenting with persistent pain. Healthcare providers should consider conducting routine sleep screenings, including a comprehensive description of sleep patterns and behaviors obtained through clinical interview, sleep diaries, and/or the use of standardized measures of sleep. Future research focusing on investigating the mechanisms associating sleep and pediatric persistent pain and on functional outcomes of poor sleep in pediatric pain populations is needed.

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“…Maternal solicitousness may be particularly important when understanding girls’ anxiety and pain intensity, whereas maternal anxiety may affect boys’ anxiety and pain through other, as yet untested, influences. It is possible that girls with chronic pain are highly sensitive to modeling of anxiety and reinforcing behaviors in their mothers, given findings that girls with pain tend to become heavily enmeshed and reliant on their mothers, whereas boys with pain may respond to maternal worries with increased efforts for independence [ 39 ]. Future studies should continue to focus on the impact of maternal emotional and behavioral contributors to boys’ and girls’ pain, as well as explore the role of fathers’ emotional and behavioral functioning in boys and girls with chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Maternal Anxiety and Children’s Laboratory Pain: The Mediating Role of Solicitousness

et al. 2016

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There has been limited empirical examination of how parent variables such as anxiety and solicitousness collectively impact child pain response. We sought to examine the relationships among maternal anxiety, solicitous parenting, and children’s laboratory anxiety and pain intensity in children with chronic pain. Participants included 80 children and adolescents (ages 8–18) with chronic pain and their mothers. Children completed questionnaires and lab pain tasks measuring their parents’ solicitous parenting, pressure, cold and heat pain anticipatory anxiety and pain intensity. Using bootstrapping analysis, maternal anxiety predicted child anticipatory anxiety and pain intensity in girls with chronic pain, which was mediated by the child’s report of parental solicitousness. For boys with chronic pain, maternal anxiety predicted boys’ anticipatory anxiety and pain intensity, with no support for mediation. This study adds to the growing literature demonstrating the impact of maternal anxiety on children’s pain. The study highlights the importance of considering parents in treatment designed to reduce children’s pain.

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Socio-demographic factors in a pediatric chronic pain clinic: the role of minority status in pain and health outcomes

Cited by 9 publications

References 23 publications

Pain Prevalence and Trajectories Following Pediatric Spinal Fusion Surgery

Pain Prevalence and Trajectories Following Pediatric Spinal Fusion Surgery

A Systematic Review of Sleep in Pediatric Pain Populations

Maternal Anxiety and Children’s Laboratory Pain: The Mediating Role of Solicitousness

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