Longitudinal examination of associations with the onset of pediatric chronic pain at different pain locations

被引:2
作者
Rau, Lisa-Marie [1 ,2 ]
Humberg, Clarissa [1 ,2 ]
Koenning, Anna [1 ,2 ,3 ]
Rosenthal, Nicola [1 ,2 ]
Stahlschmidt, Lorin [1 ,2 ]
Wager, Julia [1 ,2 ,3 ]
机构
[1] Childrens & Adolescents Hosp, German Paediat Pain Ctr, Datteln, Germany
[2] Witten Herdecke Univ, Fac Hlth, Sch Med, Dept Childrens Pain Therapy & Paediat Palliat Care, Witten, Germany
[3] PedSci Res Inst, Datteln, Germany
关键词
Chronic pain onset; Headache; Abdominal pain; Musculoskeletal pain; Pediatrics; Longitudinal; Children; Adolescents; CHILDREN; ADOLESCENTS; SLEEP; LIFE; POPULATION; DEPRESSION; PREVALENCE; DISABILITY; FREQUENCY; HEADACHES;
D O I
10.1097/j.pain.0000000000003237
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Chronic pain is a frequent phenomenon in pediatrics. Little research explores whether there are factors that uniquely predict or accompany the onset of new chronic pain in different locations of the body. In this study, we report pediatric pain data for 3 location subsamples-headache, abdominal pain, and musculoskeletal pain-of a large secondary school sample (N = 2280). We distinguished between participants who experienced an onset of chronic pain and participants who had no chronic pain at the respective pain location within a 1-year period. We used regression and multilevel models to compare the 2 groups regarding factors previously associated with chronic pain. Our results indicate that irrespective of location, the onset of chronic pain is predicted by psychosocial factors, in particular, symptoms of depression (odds ratio [OR] = 1.13-1.17, P < 0.01) and anxiety (OR = 1.12-1.21, P < 0.05). Although the onset of headache is predicted by psychosocial factors only, the onsets of abdominal and musculoskeletal pain are additionally predicted by physiological factors such as level of physical activity. Many of the predictors were also accompanying factors. Regarding chronic abdominal pain, sleep deficiency did not predict pain onset but was a co-occurring phenomenon. Our findings underline the importance of mental health factors in the pain onset at all 3 body locations, whereas in chronic abdominal and musculoskeletal pain, physiological factors should also be considered. Measures of model fit, however, indicate that the occurrence of chronic pain is more complex and not well predicted by these factors alone.
引用
收藏
页码:2344 / 2355
页数:12
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