Persistent pain in a community-based sample of children and adolescents.

BACKGROUND Very few studies have investigated the psychological factors associated with the pain experiences of children and adolescents in community samples. OBJECTIVES To examine the lifetime prevalence of, and psychological variables associated with, persistent pain in a community sample of children and adolescents, and to explore differences according to sex, age and pain history. METHODS Participants completed the Childhood Anxiety Sensitivity Index (CASI), the Child Pain Anxiety Symptoms Scale (CPASS), the Multidimensional Anxiety Scale for Children-10 (MASC-10), the Pain Catastrophizing Scale for Children (PCS-C) and a pain history questionnaire that assessed chronicity and pain frequency. After research ethics board approval, informed consent⁄assent was obtained from 1022 individuals recruited to participate in a study conducted at the Ontario Science Centre (Toronto, Ontario). RESULTS Of the 1006 participants (54% female, mean [± SD] age 11.6±2.7 years) who provided complete data, 27% reported having experienced pain that lasted for three months or longer. A 2×2×2 (pain history, age and sex) multivariate ANOVA was conducted, with the total scores on the CASI, the CPASS, the MASC-10 and the PCS-C as dependent variables. Girls with a history of persistent pain expressed higher levels of anxiety sensitivity (P<0.001) and pain catastrophizing (P<0.001) than both girls without a pain history and boys regardless of pain history. This same pattern of results was found for anxiety and pain anxiety in the older, but not the younger, age group. CONCLUSIONS Boys and girls appear to differ in terms of how age and pain history relate to the expression of pain-related psychological variables. Given the prevalence of persistent pain found in the study, more research is needed regarding the developmental implications of persistent pain in childhood and adolescence.

• Publication year

  2011

• Venue

  Pain Research and Management

• Publication date

  2011-09-01

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1155/2011/534652PMID 22059200PMCID PMC3206778
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Development and preliminary validation of the Child Pain Anxiety Symptoms Scale in a community sample.

  2010cited by this paper
• The Internet is valid and reliable for child-report: an example using the Activities Scale for Kids (ASK) and the Pediatric Quality of Life Inventory (PedsQL).

  2009cited by this paper
• Testing gender as a moderator of associations between psychosocial variables and functional disability in children and adolescents with chronic pain.

  2009cited by this paper
• Sex, gender, and pain: a review of recent clinical and experimental findings.

  2009cited by this paper
• The severity of chronic pediatric pain: an epidemiological study.

  2008influential reference
• Pain and self-reported health in Canadian children.

  2008cited by this paper
• Anxiety sensitivity, fear of pain and pain-related disability in children and adolescents with chronic pain.

  2007cited by this paper
• Disability in adolescents with chronic pain: Patterns and predictors across different domains of functioning

  2007cited by this paper
• Experience

  2007cited by this paper
• Prevalence and determinants of pain and pain-related disability in urban and rural settings in southeastern Ontario.

  2006cited by this paper
• Sex differences in adolescent chronic pain and pain‐related coping

  2006cited by this paper
• Children with unexplained chronic pain: substantial impairment in everyday life

  2005cited by this paper
• Children with chronic pain: Impact of sex and age on long‐term outcomes

  2005cited by this paper
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  2005cited by this paper
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  2005cited by this paper
• Negative affectivity, catastrophizing and anxiety sensitivity

  2004cited by this paper
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  2004cited by this paper
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  2004cited by this paper
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  2004cited by this paper
• Understanding and treating fear of pain.

  2004cited by this paper
• Childhood and adolescence

  2003cited by this paper
• The natural course of chronic benign pain in childhood and adolescence: a two‐year population‐based follow‐up study

  2003influential reference
• The child version of the pain catastrophizing scale (PCS‐C): a preliminary validation

  2003cited by this paper
• A diathesis-stress model of chronic pain and disability following traumatic injury.

  2002cited by this paper
• A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity.

  2002cited by this paper
• Chronic pain in Canada--prevalence, treatment, impact and the role of opioid analgesia.

  2002cited by this paper
• A longitudinal investigation of anxiety sensitivity in adolescence.

  2002cited by this paper
• Anxiety sensitivity in adolescents: factor structure and relationships to trait anxiety and symptoms of anxiety disorders and depression.

  2001cited by this paper
• Chronic pain in Australia: a prevalence study

  2001cited by this paper
• Relation between headache in childhood and physical and psychiatric symptoms in adulthood: national birth cohort study

  2001cited by this paper
• Chronic pain and its impact on quality of life in adolescents and their families.

  2001cited by this paper
• Insights in the use of health care services in chronic benign pain in childhood and adolescence

  2001cited by this paper
• Gender differences in the utilization of health care services.

  2000cited by this paper
• Pain in children and adolescents: a common experience

  2000cited by this paper
• Gender Differences in Pain and Pain Behavior: The Role of Catastrophizing

  2000cited by this paper
• Test-retest reliability of the Multidimensional Anxiety Scale for Children.

  1999cited by this paper
• The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity.

  1997cited by this paper
• Gender variations in clinical pain experience

  1996cited by this paper
• The Pain Catastrophizing Scale: Development and validation.

  1995cited by this paper
• Gender Differences in Infirmary Use at a Residential Summer Camp

  1992cited by this paper
• The pain anxiety symptoms scale: development and validation of a scale to measure fear of pain

  1992cited by this paper
• Childhood Anxiety Sensitivity Index

  1991cited by this paper
• Theoretical perspectives on the fear of anxiety

  1987cited by this paper
• Anxiety sensitivity, anxiety frequency and the prediction of fearfulness.

  1986cited by this paper
• Using Multivariate Statistics

  1983cited by this paper

• Pediatric Pain Education Research: Text Network Analysis and Topic Modeling.

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  2024cites this paper
• Feasibility of wearable activity tracking devices to measure physical activity and sleep change among adolescents with chronic pain—a pilot nonrandomized treatment study

  2024cites this paper
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  2024cites this paper
• Anxiety and Depression in Youth With Chronic Pain: A Systematic Review and Meta-Analysis.

  2024cites this paper
• A developmental framework for understanding the influence of sex and gender on health: Pediatric pain as an exemplar.

  2024cites this paper
• Improvements in Sleep Correlate With Improvements in Clinical Outcomes Among Adolescents Undergoing Intensive Interdisciplinary Pain Treatment

  2021cites this paper
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  2019cites this paper
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  2019cites this paper
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  2018cites this paper
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  2018cites this paper
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  2018cites this paper
• Symptoms and clinical parameters of pediatric and adolescent migraine, by gender - a retrospective cohort study

  2017cites this paper
• Defining chronic pain in epidemiological studies: a systematic review and meta-analysis

  2017cites this paper
• Pain Beliefs and Quality of Life in Young People With Disabilities and Bothersome Pain

  2017cites this paper
• Psychological predictors of headache remission in children and adolescents

  2016cites this paper
• A quasi randomized-controlled trial to evaluate the effectiveness of clowntherapy on children’s anxiety and pain levels in emergency department

  2016cites this paper
• Headache symptoms consistent with migraine and tension-type headaches in children with anxiety disorders.

  2016cites this paper
• Early-Stage Juvenile Fibromyalgia in a 12-Year-Old Girl

  2015cites this paper
• "Pain Can't Stop Me": Examining Pain Self-Efficacy and Acceptance as Resilience Processes Among Youth With Chronic Headache.

  2015cites this paper
• The Influence of Anxiety Reduction on Clinical Response to Pediatric Chronic Pain Rehabilitation

  2015cites this paper
• Die deutsche Fassung der Schmerzkatastrophisierungsskala (SKS-D) - psychometrische Analyse und Evaluation des Konstrukts

  2013cites this paper
• Factorial validity of the English-language version of the Pain Catastrophizing Scale--child version.

  2013cites this paper
• The German Pain Catastrophizing Scale for Children (PCS-C) – psychometric analysis and evaluation of the construct

  2013cites this paper
• Pediatric pain management: the multidisciplinary approach

  2013cites this paper
• Pain-related psychological correlates of pediatric acute post-surgical pain

  2012cites this paper
• Headache Disorders in Children and Adolescents: Their Association With Psychological, Behavioral, and Socio‐Environmental Factors

  2012cites this paper
• Pediatric fear-avoidance model of chronic pain: foundation, application and future directions.

  2012cites this paper