Abstract

Analysis of Psychological Symptoms in a Retrospective Cohort of Children and Adolescents with Neuropathic and Non-Neuropathic Chronic Pain

Highlights

  • The co-occurrence of psychological distress and pediatric chronic pain is well established [1,2,3,4,5], but estimates of the prevalence of psychiatric disorders among youth with chronic pain conditions vary considerably (20-75%) [6,7,8]

  • Out of a total of 177 patients who were seen in the NAME REDACTED Chronic Pain Clinic over a 4-year period, the parents of 104 patients had completed a C/ASI and were included in the study

  • Patients in the neuropathic pain group primarily had a diagnosis of complex regional pain syndrome (CRPS) (77%), but other patients had a variety of nonmalignant neuropathic pain (Table 1)

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Summary

Introduction

The co-occurrence of psychological distress and pediatric chronic pain is well established [1,2,3,4,5], but estimates of the prevalence of psychiatric disorders among youth with chronic pain conditions vary considerably (20-75%) [6,7,8]. The association of psychiatric symptoms and pediatric neuropathic pain conditions including complex regional pain syndrome (CRPS) has been even more difficult to characterize. Controversial, is whether psychiatric symptoms are more heavily involved in the onset and continuation of different chronic pain syndromes (e.g. CRPS, musculoskeletal pain, abdominal pain, and headache). We aimed to determine what psychiatric symptoms, if any, were present in a pediatric neuropathic pain sample, and if they differed from the symptoms observed in a non-neuropathic pain sample and from norms

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