scholarly journals A Broad Consideration of Risk Factors in Pediatric Chronic Pain: Where to Go from Here?

Children ◽  
2016 ◽  
Vol 3 (4) ◽  
pp. 38 ◽  
Author(s):  
Hannah McKillop ◽  
Gerard Banez
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Pediatric Chronic Pain

scholarly journals Biomarkers of Allostatic Load as Correlates of Impairment in Youth with Chronic Pain: An Initial Investigation

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 709
Author(s):  
Sarah Nelson ◽  
Samantha Bento ◽  
Michelle Bosquet Enlow
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Allostatic Load ◽  
Functional Disability ◽  
Pain Treatment ◽  
Pediatric Pain ◽  
Childhood Experiences ◽  
High Exposure ◽  
Pediatric Chronic Pain ◽  
Study Results

Pediatric chronic pain is common and responsible for significant healthcare burden. However, the mechanisms underlying the development and/or maintenance of pediatric chronic pain remain poorly understood. Allostatic load (AL), or wear and tear on the nervous system following significant or prolonged stress, has been proposed to play a role in the maintenance of chronic pain, but minimal research has examined this possibility. This gap in research is particularly notable given the high exposure to adverse childhood experiences (ACEs; abuse/neglect, etc.) and psychological stress in this population. Accordingly, the current study aimed to preliminarily examine the measurement of AL in a treatment-seeking pediatric pain population. Biomarkers were collected during an already scheduled new patient pain evaluation and included salivary cortisol, dehydroepiandrosterone (DHEA), and C-reactive protein, in addition to waist–hip ratio, body-mass index, and blood pressure. A total of 61 children and adolescents with chronic pain (Mage = 14.47 years; 88.5% female and white/Caucasian) completed study procedures and were included in analyses. Preliminary results indicated that a multifactorial AL composite is feasible to assess for in a tertiary pain treatment setting and that over 50% of youth with chronic pain were classified as high risk for AL (two or more risk factors). Further, it was found that individual AL risk factors were significantly associated with functional disability and that AL may moderate the association between psychosocial and functional outcomes. Given the pilot nature of this study, results should be used to inform future investigations with larger and more diverse pediatric pain samples.

Patterns of anxiety symptoms in pediatric chronic pain as reported by youth, mothers, and fathers.

2016 ◽  
Vol 4 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Susan T. Tran ◽  
Kristen E. Jastrowski Mano ◽  
Kim Anderson Khan ◽  
W. Hobart Davies ◽  
Keri R. Hainsworth
Keyword(s):  
Chronic Pain ◽  
Anxiety Symptoms ◽  
Mothers And Fathers ◽  
Pediatric Chronic Pain

Role of Ethnicity on Pain Perception, Fatigue, and Quality of Life in a Pediatric Chronic Pain Population

2007 ◽  
Author(s):  
Jeffrey I. Gold ◽  
Trina Haselrig ◽  
D. Colette Nicolaou ◽  
Katharine A. Belmont
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Perception ◽  
Pediatric Chronic Pain

scholarly journals Risk Factors for Chronic Pain Following Breast Cancer Surgery: A Prospective Study

2006 ◽  
Vol 7 (9) ◽  
pp. 626-634 ◽  
Author(s):  
Ellen L. Poleshuck ◽  
Jennifer Katz ◽  
Carl H. Andrus ◽  
Laura A. Hogan ◽  
Beth F. Jung ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Chronic Pain ◽  
Prospective Study ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
A Prospective Study

Are sleep problems and non-specific health complaints risk factors for chronic pain? A prospective population-based study with 17 year follow-up

2012 ◽  
Vol 3 (4) ◽  
pp. 210-217 ◽  
Author(s):  
Anne K. Nitter ◽  
Are H. Pripp ◽  
Karin Ø. Forseth
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Sleep Problems ◽  
Population Based ◽  
Chronic Widespread Pain ◽  
Health Complaints ◽  
Widespread Pain ◽  
Population Based Study ◽  
Specific Health

AbstractIntroductionChronic musculoskeletal pain represents a significant health problem among adults in Norway. The prevalence of chronic pain can be up to 50% in both genders. However, the prevalence of chronic widespread pain is significantly higher in females than in males. Chronic widespread pain is seen as the end of a continuum of pain. There is rather sparse knowledge about the incidence of pain in initially pain free individuals and the course of self-reported pain over time. Moreover, little is known about risk factors for incidence of chronic pain or prognostic factors for the course of self-reported pain. We believe that such knowledge may contribute to develop strategies for treatment at an early stadium of the pain condition and thereby reduce the prevalence of chronic pain included chronic widespread pain.Aims of the studyThe aims of this study were threefold: (1) to calculate the incidence of self-reported musculoskeletal pain in a female cohort, (2) to describe the course of pain and (3) to investigate whether or not health complaints and sleep problems are predictive factors for onset of pain or prognostic factors for the course of pain.MethodsThis is a prospective population-based study of all women between 20 and 50 years who were registered in Arendal, Norway, in 1989 (N = 2498 individuals). A questionnaire about chronic pain (pain >3 months duration in muscles, joints, back or the whole body), modulating factors for pain, sleep problems and seven non-specific health complaints was mailed to all traceable women, in 1990 (N =2498), 1995 (n = 2435) and 2007 (n = 2261). Of these, 1338 responded on all three occasions. Outcome measures were presence and extent of chronic pain.ResultsThe prevalence of chronic pain was 57% in 1990 and 61% in 2007. From 1990 to 2007, 53% of the subjects changed pain category. The incidence of chronic pain in initially pain free individuals during follow-up was 44%, whereas the recovery rate was 25%. Impaired sleep quality predicted onset of chronic pain. There was a linear association between the number of health complaints and the incidence of chronic pain in initially pain free individuals. Equivalent results were found for persistence of pain and worsening of pain.ConclusionThe prevalence of chronic pain was rather stable throughout the follow-up period, but the prevalence of chronic widespread pain increased. Individual changes in pain extent occurred frequently. The presence of sleep disturbances and number of health complaints predicted onset, persistence and worsening of pain.ImplicationsSleep problems must be thoroughly addressed as a possible risk factor for onset or worsening of pain. Elimination of sleep problems in an early phase is an interesting approach in treating chronic pain. More research is needed to illuminate the possible pathogenetic relations between pain, non-specific health complaints, sleep problems and also depression.

Anger as a mechanism of injustice appraisals in pediatric chronic pain

2021 ◽  
Author(s):  
Megan M. Miller ◽  
Amy E. Williams ◽  
Eric. L. Scott ◽  
Zina Trost ◽  
Adam T. Hirsh
Keyword(s):  
Chronic Pain ◽  
Pediatric Chronic Pain

Preliminary Validation of the Pain Burden Inventory in a Pediatric Chronic Pain Population

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Melissa Santos ◽  
James P. Santanelli ◽  
William T. Zempsky
Keyword(s):  
Chronic Pain ◽  
Pediatric Chronic Pain ◽  
Preliminary Validation
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