Abstract
Background. Pediatric chronic pain is considered to be a multidimensional construct that includes biological, psychological, and social components. Methods. The 99 enrolled study patients (mean age 13.2 years, 71% female, 81% Caucasian) and an accompanying parent completed a series of health-related questionnaires at the time of their initial appointment in a pediatric chronic pain medicine clinic. Results. Significant correlations (r ≥ 0.30, P < 0.05) were observed between pediatric chronic pain intensity and patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, and parent functional disability. Pediatric chronic pain intensity was significantly associated with patient anxiety (P = 0.002). Significant correlations (r ≥ 0.30, P < 0.05) were observed between pediatric functional disability and patient chronic pain intensity, patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, parent functional disability, parent anxiety, parent depression, and parent stress. Pediatric functional disability was significantly associated with patient chronic pain intensity (P = 0.025), patient anxiety (P = 0.021), patient pain coping (P = 0.009), and parent functional disability (P = 0.027). Conclusions. These findings provide empirical support of a multidimensional Biobehavioral Model of Pediatric Pain. However, the practical clinical application of the present findings and much of the similar previously published data may be tenuous.
Highlights
Pediatric chronic pain has extensive and often sustained detrimental effects on the health, development, and quality of life of young people, with a concomitant adverse impact on all those invested in their well-being [1,2,3,4,5,6].A Delphi poll of professionals with a specific interest in chronic pain in children and adolescents was undertaken to reach a consensus as to the factors associated with pediatric chronic pain and disability [7]
The results of the linear regression modeling indicated that patient self-reported pain intensity (PPQ) was significantly associated with patient anxiety (RCMAS-2) (Table 3) whereas patient self-reported functional disability (FDI) was significantly associated with patient chronic pain intensity (PPQ), patient anxiety (RCMAS-2), patient pain coping (PCQ Approach Subscale), and parent functional disability (BPI-SF Pain Interference Subscale) (Table 3)
Pediatric chronic pain intensity was significantly associated with patient anxiety
Summary
Pediatric chronic pain has extensive and often sustained detrimental effects on the health, development, and quality of life of young people, with a concomitant adverse impact on all those invested in their well-being [1,2,3,4,5,6].A Delphi poll of professionals with a specific interest in chronic pain in children and adolescents was undertaken to reach a consensus as to the factors associated with pediatric chronic pain and disability [7]. Significant correlations (r ≥ 0.30, P < 0.05) were observed between pediatric chronic pain intensity and patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, and parent functional disability. Pediatric chronic pain intensity was significantly associated with patient anxiety (P = 0.002). Significant correlations (r ≥ 0.30, P < 0.05) were observed between pediatric functional disability and patient chronic pain intensity, patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, parent functional disability, parent anxiety, parent depression, and parent stress. Pediatric functional disability was significantly associated with patient chronic pain intensity (P = 0.025), patient anxiety (P = 0.021), patient pain coping (P = 0.009), and parent functional disability (P = 0.027). These findings provide empirical support of a multidimensional Biobehavioral Model of Pediatric Pain. The practical clinical application of the present findings and much of the similar previously published data may be tenuous
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