Abstract
BackgroundChronic non-specific musculoskeletal pain (CNSMSP) may develop in childhood and adolescence, leading to disability and reduced quality of life that continues into adulthood. The purpose of the study was to build a biopsychosocial profile of children and adolescents with CNSMSP.MethodsCNSMSP subjects (n = 30, 18 females, age 7-18) were compared with age matched pain free controls across a number of biopsychosocial domains.ResultsIn the psychosocial domain CNSMSP subjects had increased levels of anxiety and depression, and had more somatic pain complaints. In the lifestyle domain CNSMSP subjects had lower physical activity levels, but no difference in television or computer use compared to pain free subjects. Physically, CNSMSP subjects tended to sit with a more slumped spinal posture, had reduced back muscle endurance, increased presence of joint hypermobility and poorer gross motor skills.ConclusionThese findings support the notion that CNSMSP is a multidimensional biopsychosocial disorder. Further research is needed to increase understanding of how the psychosocial, lifestyle and physical factors develop and interact in CNSMSP.
Highlights
Chronic non-specific musculoskeletal pain (CNSMSP) may develop in childhood and adolescence, leading to disability and reduced quality of life that continues into adulthood
It is generally acknowledged that CNSMSP disorders have a multidimensional biopsychosocial basis [15,16,17,18,19], where these disorders are perpetuated by physical, lifestyle and psychosocial factors that interact to create a vicious cycle of pain [20]
Consensus on the classification of CNSMSP disorders according to the presence of factors from multiple dimensions is not always forthcoming [22]
Summary
Chronic non-specific musculoskeletal pain (CNSMSP) may develop in childhood and adolescence, leading to disability and reduced quality of life that continues into adulthood. The purpose of the study was to build a biopsychosocial profile of children and adolescents with CNSMSP. Chronic non-specific musculoskeletal pain (CNSMSP) is common in adolescents and adults, and the prevalence appears to be increasing [1,2]. It is generally acknowledged that CNSMSP disorders have a multidimensional biopsychosocial basis [15,16,17,18,19], where these disorders are perpetuated by physical, lifestyle and psychosocial factors that interact to create a vicious cycle of pain [20]. Consensus on the classification of CNSMSP disorders according to the presence of factors from multiple dimensions is not always forthcoming [22]. Greater understanding of the factors underlying CNSMSP disorders is needed to assist clinicians in classifying these subjects, and to help guide decision making processes during management
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