scholarly journals Acceptance of Pain: Associations With Depression, Catastrophizing, and Functional Disability Among Children and Adolescents in an Interdisciplinary Chronic Pain Rehabilitation Program

2013 ◽  
Vol 38 (7) ◽  
pp. 756-765 ◽  
Author(s):  
K. E. Weiss ◽  
A. Hahn ◽  
D. P. Wallace ◽  
B. Biggs ◽  
B. K. Bruce ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Functional Disability ◽  
Rehabilitation Program

Chronic pain in children and adolescents: 24–42 month outcomes of an inpatient/day hospital interdisciplinary pain rehabilitation program

2014 ◽  
Vol 7 (3) ◽  
pp. 197-206 ◽  
Author(s):  
Gerard A. Banez ◽  
Thomas W. Frazier ◽  
Andrea A. Wojtowicz ◽  
Kristen Buchannan ◽  
Douglas E. Henry ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Rehabilitation Program ◽  
Day Hospital

scholarly journals Adolescents with chronic pain and associated functional disability

2014 ◽  
Vol 19 (4) ◽  
pp. 478-484 ◽  
Author(s):  
Andrea A Wojtowicz ◽  
Gerard A Banez
Keyword(s):  
Chronic Pain ◽  
Functional Disability ◽  
Sleep Problems ◽  
Medical Condition ◽  
Rehabilitation Program ◽  
Medical Procedure ◽  
Contributing Factors ◽  
Physical Trauma ◽  
Pain Experiences ◽  
Parent Personality

The purpose of this research was to describe the biopsychosocial characteristics of adolescents with chronic pain and functional disability. Data were obtained from a registry of 100 adolescents (mean age = 15.84, SD = 2.72; 21 males) admitted to an interdisciplinary pain rehabilitation program. Clinician ratings were used to categorize coping and personality styles. The most common chief complaint at admission was limb pain ( n = 44), followed by headache ( n = 21) and abdominal pain ( n = 17). Eighteen patients presented with other types of pain. The most frequent triggers to pain were physical trauma, medical condition or disability, and surgery or another medical procedure. Sleep problems, mental health difficulties, and high academic performance were common. Seven previously identified pain-associated disability factors, including passive or dependent coping style, chronic illness in a parent, personality consistent with alexithymia, unresolved family problems, early pain experiences, learning/developmental difficulties, and perfectionistic personality, were common. Ninety-eight adolescents presented with two or more of these contributing factors. Fifty-six adolescents had four or more of the factors. Adolescents with chronic pain and associated disability presented with numerous biopsychosocial factors that relate to their impairment. The understanding and attention to these factors will be important for successful rehabilitation.

Children and Adolescents with Chronic Pain and Functional Disability: Use of a Behavioral Rehabilitation Approach

2014 ◽  
Vol 2 (2) ◽  
pp. 86-92 ◽  
Author(s):  
Ximena Celedon ◽  
Adrianna Amari ◽  
Cynthia M. Ward ◽  
Suzanne Prestwich ◽  
Keith J. Slifer
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Functional Disability

scholarly journals Torture survivors’ symptom load compared to chronic pain and psychiatric in-patients

2018 ◽  
Vol 26 (2) ◽  
pp. 11
Author(s):  
Uwe Harlacher ◽  
Linda Nordin ◽  
Peter Barth Polatin
Keyword(s):  
Chronic Pain ◽  
Rating Scales ◽  
Functional Disability ◽  
Depression Scale ◽  
Rehabilitation Program ◽  
Research Centre ◽  
Anxiety And Depression ◽  
Psychotic Symptoms ◽  
Pronounced Difference ◽  
Mixed Pain

Before their entry into the rehabilitation program at the Rehabilitation and Research Centre for Torture Victims (‘RCT’) in Copenhagen, the degree of symptoms of a group of resettled traumatized refugees was assessed by means of two rating scales: the Disability Rating Index (DRI) (n=197), measuring pain-related functional disability, and the Hospital Anxiety and Depression Scale (HADS) (n=147). The results obtained were compared with other patient populations, which included (1) a large Swedish mixed pain group and (2) various groups of pain patients previously investigated in the validation study of the DRI scale. The DRI scores of the refugee group were comparable to, or higher than, those of the pain groups, except for patients suffering from multiple sclerosis. The degree of anxiety and depression was found to be considerably greater in the refugee group than in the pain groups. Another recently published Danish study comparing traumatized refugees with psychiatric in-patients in terms of Health of Nation Outcome Scores (HoNOS) documented a higher degree of psychiatric disability for refugees. Based on the hypothesis that the observed differences in this study were underestimated due to the exclusion of refugees with psychotic symptoms and substance abuse, a partial re-analysis of the data was carried out by calculating effect sizes with and without the items measuring these symptoms. Controlling for the exclusion of the critical items resulted in a more pronounced difference between the refugees and psychiatric inpatients. Based on the data compared in this study, traumatized refugees are shown to suffer from multiple problems, including chronic pain, at a high symptom-level. This challenges prior clinical assumptions that single factors like PTSD can explain all symptoms.

scholarly journals Anxiety and Functional Disability in a Large Sample of Children and Adolescents with Chronic Pain

2012 ◽  
Vol 17 (2) ◽  
pp. 93-97 ◽  
Author(s):  
Laura E Simons ◽  
Christine B Sieberg ◽  
Robyn Lewis Claar
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Functional Disability ◽  
Retrospective Chart Review ◽  
Anxiety Symptoms ◽  
Pain Clinic ◽  
Recurrent Pain ◽  
Pain Anxiety ◽  
Low Levels ◽  
Complex Relationships

BACKGROUND: Anxiety is the most common psychiatric condition in children and adolescents, and is linked to significant disruptions across domains of function. Due to the avoidant nature of anxiety and pain-related disability, studying anxiety symptoms in children with chronic and recurrent pain conditions is important.OBJECTIVES: To examine anxiety symptoms in a large cohort of children and adolescents evaluated for complex chronic and recurrent pain conditions.METHODS: Through retrospective chart review, data on anxiety, pain and functional disability were collected from 655 children evaluated at a multidisciplinary pain clinic over a three-year period.RESULTS: Approximately 11% of children and adolescents reported clinically elevated anxiety symptoms, with elevated levels across dimensions of anxiety ranging from 14% (social anxiety, worry) to 27% (physiological). In addition, a notable 31% of the sample potentially minimized their anxiety by responding in a socially desirable manner. Anxiety was linearly associated with greater pain-related functional disability, but was not directly correlated with pain. Moderation analyses revealed that at low levels of worry, higher levels of pain were associated with greater functional disability, whereas at high levels of worry, pain no longer predicted the level of functional disability.CONCLUSIONS: These findings document the prevalence of anxiety in children and adolescents with chronic pain, and also extend recent studies examining the complex relationships among pain, anxiety and pain-related disability.

Behavioural measures of pain

2013 ◽  
pp. 379-383 ◽  
Author(s):  
Jill MacLaren Chorney ◽  
C. Meghan McMurtry
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Children And Adolescents ◽  
Outcome Measures ◽  
Clinical Case ◽  
Functional Disability ◽  
Procedural Pain ◽  
Future Directions ◽  
Current State

This chapter reviews the current state of evidence on behavioural measures of pain in children and adolescents including a brief discussion of future directions. To demonstrate the utility of behavioural scales, it also includes a clinical case example at the end of this chapter. A few limits of coverage should be noted. First, although some of the measures included in this chapter may have been used for infants, we will not review measures that are only validated for infants as these measures are covered by Lee and Stevens (Chapter 35, this volume)). Second, given that there are no well-established behavioural measures of chronic pain, this chapter will focus on measures that are relevant to acute and procedural pain and will also not cover other pain-related outcome measures (e.g. functional disability, quality of life).

scholarly journals Anxiety Sensitivity, Fear of Pain and Pain-Related Disability in Children and Adolescents with Chronic Pain

2007 ◽  
Vol 12 (4) ◽  
pp. 267-272 ◽  
Author(s):  
Andrea L Martin ◽  
Patricia A McGrath ◽  
Stephen C Brown ◽  
Joel Katz
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Anxiety Sensitivity ◽  
Functional Disability ◽  
Depression Scale ◽  
Childhood Anxiety ◽  
Pain Clinic ◽  
Sensitivity Index ◽  
Fear Of Pain ◽  
Pain Disability

BACKGROUND: Converging lines of evidence suggest that anxiety sensitivity and fear of pain may be important vulnerability factors in the development of avoidance behaviours and disability in adults with chronic pain. However, these factors have not been evaluated in children with chronic pain.OBJECTIVES: To examine the relationships among anxiety sensitivity, fear of pain and pain-related disability in children and adolescents with chronic pain.METHODS: An interview and five questionnaires (Childhood Anxiety Sensitivity Index, Pain Anxiety Symptoms Scale, Functional Disability Inventory, Multidimensional Anxiety Scale for Children, and Reynolds Child or Adolescent Depression Scale) were administered to 21 children and adolescents eight to 17 years of age (mean ± SD 14.24±2.21 years) who continued to experience pain an average of three years after discharge from a specialized pain clinic for children.RESULTS: Anxiety sensitivity accounted for 38.6% of the variance in fear of pain (F[1,20]=11.30; P=0.003) and fear of pain accounted for 39.9% of the variance in pain-related disability (F[1,20]=11.95; P=0.003), but anxiety sensitivity was not significantly related to pain disability (R2=0.09; P>0.05).CONCLUSIONS: These findings indicate that children with high levels of anxiety sensitivity had a higher fear of pain, which, in turn, was linked to increased pain disability. The results of this study suggest that anxiety sensitivity and fear of pain may play important and distinct roles in the processes that maintain chronic pain and pain-related disability in children.

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