Predictors of pain persistence and disability in high-school students with chronic neck pain at 6-month follow-up

被引:5
作者
Andias, Rosa [1 ,2 ]
Silva, Anabela G. [1 ,3 ]
机构
[1] Univ Aveiro, Sch Hlth Sci ESSUA, Campus Univ Santiago, P-3800193 Aveiro, Portugal
[2] Ctr Hlth Technol & Serv Res CINTESIS, Piso 2,Edificio Nascente, P-4200450 Porto, Portugal
[3] Univ Aveiro, Ctr Hlth Technol & Serv Res CINTESIS UA, Campus Univ Santiago, P-3800193 Aveiro, Portugal
关键词
Chronic neck pain; Adolescents; Disability; Psychosocial factors; Sleep; Central Sensitization; CHRONIC MUSCULOSKELETAL PAIN; CENTRAL SENSITIZATION; PSYCHOMETRIC PROPERTIES; WIDESPREAD PAIN; SELF-EFFICACY; RISK-FACTORS; ADOLESCENTS; SLEEP; CHILDREN; SCALE;
D O I
10.1007/s11136-021-02969-0
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Neck pain tends to persist for periods of 1 to 4 years of follow-up in adolescents, and a high percentage of them report disability. However, studies assessing the factors associated with persistent neck pain and disability in this age group are scarce. This study aimed to explore the association between psychosocial factors, sleep, and symptoms of central sensitization at baseline and the persistence of neck pain and disability at 6-month follow-up. Methods A total of 710 adolescents with chronic neck pain were assessed at baseline with an online questionnaire that collected information on sociodemographic data, presence of musculoskeletal pain, pain intensity, physical activity, functional disability, depression, anxiety, stress, quality of sleep, catastrophizing, kinesiophobia, self-efficacy, and symptoms of central sensitization. At 6-month follow-up, adolescents were reassessed for disability and pain intensity and categorized as recovered or reporting persistent neck pain. Results Of the 710 participants with neck pain at baseline, 334 were classified as having persistent neck pain and 375 adolescents as being recovered at 6-month follow-up. Multivariable analysis showed that female gender (OR 1.47; p = 0.04) and symptoms of central sensitization (OR 1.02; p = 0.001) at baseline were positively associated with the persistence of neck pain at 6-month follow-up. Similarly, higher levels of disability (beta = 0.41; p < 0.001) and symptoms of central sensitization (beta = 0.28; p < 0.001) at the baseline were positively associated with disability. Conclusions Symptoms of central sensitization and disability at baseline should be considered in the assessment and design of interventions for adolescents with chronic neck pain as an attempt to minimize its future impact on pain persistence and disability.
引用
收藏
页码:803 / 816
页数:14
相关论文
共 64 条
[1]   European Portuguese version of the Child Self-Efficacy Scale: A contribution to cultural adaptation, validity and reliability testing in adolescents with chronic musculoskeletal pain [J].
Andias, Rosa ;
Silva, Anabela G. .
MUSCULOSKELETAL SCIENCE AND PRACTICE, 2020, 49
[2]   Cross-Cultural Adaptation and Psychometric Properties of the European Portuguese Version of the Central Sensitization Inventory in Adolescents With Musculoskeletal Chronic Pain [J].
Andias, Rosa ;
Silva, Anabela G. .
PAIN PRACTICE, 2020, 20 (05) :480-490
[3]   European Portuguese version of the functional disability inventory: translation and cultural adaptation, validity, and reliability in adolescents with chronic spinal pain [J].
Andias, Rosa ;
Monteiro, Joana ;
Santos, Beatriz ;
Silva, Anabela G. .
DISABILITY AND REHABILITATION, 2021, 43 (12) :1742-1749
[4]   The Role of Sleep in the Transition from Acute to Chronic Musculoskeletal Pain in Youth-A Narrative Review [J].
Andreucci, Alessandro ;
Groenewald, Cornelius B. ;
Rathleff, Michael Skovdal ;
Palermo, Tonya M. .
CHILDREN-BASEL, 2021, 8 (03)
[5]   Sleep problems increase the risk of musculoskeletal pain in boys but not girls: a prospective cohort study [J].
Andreucci, Alessandro ;
Campbell, Paul ;
Mundy, Lisa K. ;
Sawyer, Susan M. ;
Kosola, Silja ;
Patton, George C. ;
Dunn, Kate M. .
EUROPEAN JOURNAL OF PEDIATRICS, 2020, 179 (11) :1711-1719
[6]   Pediatric fear-avoidance model of chronic pain: Foundation, application and future directions [J].
Asmundson, Gordon J. G. ;
Noel, Melanie ;
Petter, Mark ;
Parkerson, Holly A. .
PAIN RESEARCH & MANAGEMENT, 2012, 17 (06) :397-405
[7]   Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents [J].
Auvinen, Juha P. ;
Tammelin, Tuija H. ;
Taimela, Simo P. ;
Zitting, Paavo J. ;
Jarvelin, Marjo-Riitta ;
Taanila, Anja M. ;
Karppinen, Jaro I. .
EUROPEAN SPINE JOURNAL, 2010, 19 (04) :641-649
[8]   Musculoskeletal Pain Combinations in Adolescents [J].
Auvinen, Juha P. ;
Paananen, Markus V. J. ;
Tammelin, Tuija H. ;
Taimela, Simo P. ;
Mutanen, Pertti O. A. ;
Zitting, Paavo J. ;
Karppinen, Jaro I. .
SPINE, 2009, 34 (11) :1192-1197
[9]   The interrelationship between sleep and chronic pain in adolescents [J].
Badawy, Sherif M. ;
Law, Emily F. ;
Palermo, Tonya M. .
CURRENT OPINION IN PHYSIOLOGY, 2019, 11 :25-28
[10]   Cumulative effects of multiple pain sites in youth with chronic pain [J].
Basch, M. C. ;
Chow, E. T. ;
Logan, D. E. ;
Borsook, D. ;
Schechter, N. L. ;
Simons, L. E. .
EUROPEAN JOURNAL OF PAIN, 2018, 22 (06) :1134-1141