scholarly journals Fear of pain in pediatric headache

Cephalalgia ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Laura E Simons ◽  
Melissa Pielech ◽  
Stefanie Cappucci ◽  
Alyssa Lebel
Keyword(s):  
Anxiety Sensitivity ◽  
Functional Disability ◽  
Pain Catastrophizing ◽  
School Functioning ◽  
Fear Of Pain ◽  
Cross Sectional ◽  
Pain Acceptance ◽  
Pediatric Headache ◽  
Activity Avoidance ◽  
Headache Patients

Objective The current study provides the first measure of pain-related fear for pediatric headache patients. Methods From a large pediatric headache clinic, a cross-sectional cohort of 206 children and adolescents completed measures of pain-related fear, anxiety sensitivity, catastrophizing, pain acceptance, functional disability, and school functioning. Results The two-factor solution of the Fear of Pain Questionnaire (FOPQ) was confirmed from the originally derived structure with pediatric headache patients. Simultaneously regressing FOPQ subscales fear of pain and activity avoidance on theorized construct validity measures demonstrated that fear of pain was more closely linked with anxiety sensitivity and pain catastrophizing while activity avoidance had a strong negative association with pain acceptance (activity engagement and pain willingness). Pain-related fear was not significantly associated with pain level. After controlling for demographic factors and pain, fear of pain and activity avoidance accounted for an additional 26% of the variance in functional disability and school functioning outcomes, with activity avoidance accounting for much of this relationship. Conclusions Although typically considered an influential construct among musculoskeletal patients, pain-related fear is also an important factor influencing functioning among pediatric headache patients, with the dimension of activity avoidance particularly salient.

The Impact of Sleep on Disability and School Functioning: Results From a Tertiary Pediatric Headache Center

2019 ◽  
Vol 35 (3) ◽  
pp. 221-227
Author(s):  
Michelle A. Clementi ◽  
Yu-Hsing Chang ◽  
Rupa Gambhir ◽  
Alyssa Lebel ◽  
Deirdre E. Logan
Keyword(s):  
Functional Outcomes ◽  
Functional Disability ◽  
Sleep Problems ◽  
School Functioning ◽  
Pediatric Headache ◽  
Persistent Headache ◽  
The Impact ◽  
Headache Center ◽  
Headache Patients

Pediatric headache patients often experience significant sleep disturbance, which may be a risk factor for poor physical, academic, and emotional functioning, including increased anxiety/fear. The current retrospective cohort study of a clinical sample of youth with persistent headache aimed to examine the impact of sleep on functional outcomes and to explore pain-related fear as a mediator of the association between sleep problems and functioning. A total of 109 youth (aged 7-17 years) with persistent headache presenting to a tertiary pediatric headache center (and their parents) completed measures of sleep problems, fear of pain, functional disability, and school functioning at the time of an initial evaluation and 6 months later. After controlling for age and headache frequency and severity, linear regression analyses indicated that increased sleep problems at baseline were associated with increased functional disability and poorer school functioning at baseline ( β = 0.28, P = .01; β = –0.42, P < .001, respectively). Poor sleep at baseline was associated with poorer school functioning (but not functional disability) at follow-up ( β = –0.25, P = .02). Mediation models demonstrated an indirect mediating effect of pain-related fear on the association between baseline sleep problems and follow-up functional disability ( β = 0.06, 95% confidence interval 0.01, 0.15) and between baseline sleep problems and follow-up school functioning ( β = –0.06, 95% confidence interval –0.13, –0.004). Sleep disturbance in youth with headache may be a risk factor for poor functional outcomes, both concurrently and over time, and may be explained partially through pain-related fear. Given the frequency with which pediatric headache patients experience co-occurring sleep problems, sleep should be thoroughly assessed and considered as a potential early treatment target.

scholarly journals Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Danielle B. Rice ◽  
Swati Mehta ◽  
Janet E. Pope ◽  
Manfred Harth ◽  
Allan Shapiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Anxiety Sensitivity ◽  
Experiential Avoidance ◽  
Pain Catastrophizing ◽  
Analysis Of Covariance ◽  
Fear Of Pain ◽  
Pain Anxiety ◽  
Pain Disability

Background. Patients with rheumatoid arthritis may experience increased negative outcomes if they exhibit specific patterns of dispositional affect.Objective. To identify subgroups of patients with rheumatoid arthritis based on dispositional affect. The secondary objective was to compare mood, pain catastrophizing, fear of pain, disability, and quality of life between subgroups.Methods. Outpatients from a rheumatology clinic were categorized into subgroups by a cluster analysis based on dispositional affect. Differences in outcomes were compared between clusters through multivariate analysis of covariance.Results. 227 patients were divided into two subgroups. Cluster 1 (n=85) included patients reporting significantly higher scores on all dispositional variables (experiential avoidance, anxiety sensitivity, worry, fear of pain, and perfectionism; allp<0.001) compared to patients in Cluster 2 (n=142). Patients in Cluster 1 also reported significantly greater mood impairment, pain anxiety sensitivity, and pain catastrophizing (allp<0.001). Clusters did not differ on quality of life or disability.Conclusions. The present study identifies a subgroup of rheumatoid arthritis patients who score significantly higher on dispositional affect and report increased mood impairment, pain anxiety sensitivity, and pain catastrophizing. Considering dispositional affect within subgroups of patients with RA may help health professionals tailor interventions for the specific stressors that these patients experience.

scholarly journals Headache catastrophization and its relationship with disability, depression, anxiety, stress and sleep quality

2021 ◽  
pp. 118-127
Author(s):  
Erlene Roberta Ribeiro Ribeiro dos Santos ◽  
Daniella Araújo de Oliveira ◽  
Antonio Flaudiano Bem Leite ◽  
Pedro Augusto Sampaio Rocha Filho ◽  
Marcelo Moraes Valença
Keyword(s):  
Sleep Quality ◽  
Functional Disability ◽  
Pain Catastrophizing ◽  
Final Analysis ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Primary Headaches ◽  
Cross Sectional ◽  
Migraine Group ◽  
Clinical Conditions

IntroductionCross-sectional studies on headache have not yet explored the influence of pain catastrophizing and associations with other psychosomatic comorbidities. The migraine-affected group of individuals was frequently associated with other clinical conditions such as depression, anxiety, stress, and poor sleep quality. These conditions exert a significant influence on carrier’s coping with daily pain and helplessness, since disability hampers work and daily living activities and overly burden individual, their family, society and the health system. Identifying the elements that contribute to disability is crucial in assisting interventions that minimize these conditions.ObjectiveThe aim of this cross-sectional study was to evaluate how the combination of migraine and catastrophizing, associated with functional disability, depression, anxiety, stress, and sleep quality in college students, can influence the perception of pain.MethodsThe 340 participants were selected by drawing lots, in which individuals with primary headaches were assigned. Therefore, the final analysis sample consisted of 288 individuals. The sample was divided into Group with migraine and Group with other primary headaches, with the application of scales: HIT-6 and the scale of pain catastrophizing.ResultsOf the 360 participants, 20 losses were recorded due to inadequate completion of scales, leaving out 340 participants. Of these, 52/340 (15.25%) did not suffer from headaches. 288/340 (84.7%) participants that reported headaches were included in this study, of which 133/288 (46.2%) had migraine, and 155/288 (53.8%) had non-migraine headache. Women who had migraine attacks were those with the most intense anxious symptoms, worse sleep quality, and catastrophization. The odds ratio of catastrophizing was higher for the Migraine Group. Linear and multivariate logistic regression revealed that the greater the presence of catastrophizing, the greater the occurrence of migraine. Catastrophizing had a greater power of contribution related to the disability generated by the crises in the group of migrainous (β = 0.564). The migraine group has a greater perception of pain.ConclusionHigher catastrophization was also associated with a greater intensity of depressive and anxiety symptoms, higher perceived stress, and worse quality of sleep in headache-affected individuals in our study.

(535) Functional disability, anxiety, and depression in chronic pediatric headache patients

2015 ◽  
Vol 16 (4) ◽  
pp. S109
Author(s):  
A. Caruso ◽  
J. Rabner ◽  
E. Mahoney ◽  
A. McCarthy ◽  
L. Lazdowsky ◽  
...  
Keyword(s):  
Functional Disability ◽  
Anxiety And Depression ◽  
Pediatric Headache ◽  
Headache Patients

Understanding How Perfectionism Impacts Intensive Interdisciplinary Pain Treatment Outcomes: A Nonrandomized Trial

2020 ◽  
Author(s):  
Edin T Randall ◽  
Yasmin C Cole-Lewis ◽  
Carter R Petty ◽  
Kelsey N Jervis
Keyword(s):  
Chronic Pain ◽  
Functional Disability ◽  
Pain Treatment ◽  
Pain Catastrophizing ◽  
Clinical Care ◽  
Pain Severity ◽  
Secondary Outcome ◽  
Fear Of Pain ◽  
Interdisciplinary Pain Treatment ◽  
Nonrandomized Trial

Abstract Objective  Several factors are known to impact response to the intensive interdisciplinary pain treatment (IIPT) program described in this study, yet no research has explored the role of perfectionism. This secondary data analysis explored direct and indirect relations between perfectionism and functional disability (primary outcome) and pain severity (secondary outcome) after IIPT, with pain catastrophizing and fear of pain as mediators. Methods  Youth (N = 253) aged 8–21 with chronic pain and associated disability completed pre- and post-IIPT measures of self-oriented perfectionism (SOP), socially prescribed perfectionism (SPP), pain catastrophizing, fear of pain, functional disability, and pain characteristics for routine clinical care and this nonrandomized trial. Eight mediated models were run for the two predictors, two mediators, and two outcomes. Results  Pretreatment perfectionism (SOP and SPP) led to greater reductions in pain catastrophizing over the course of IIPT, which resulted in lower pain severity (β = −.02 [CI = −0.07, −0.01] for SOP and β = −.02 [CI = −0.06, −0.003] for SPP) and less functional disability (β = −.06 [CI = −0.13, −0.01] for SOP and β = −.06 [CI = −0.14, −0.01] for SPP). Independent of pain catastrophizing, pretreatment SPP was directly associated with more posttreatment functional disability (β = .16 [CI = 0.05, 0.27]). Fear of pain was not a mediator. Conclusions  Findings suggest perfectionism has the potential to negatively impact IIPT outcomes. However, when perfectionistic youth with chronic pain learn to manage pain-related distress, they benefit. Results highlight the importance of assessing for and treating perfectionism and pain-related distress in youth with chronic pain.

scholarly journals The Role of Pain Catastrophizing and Pain Acceptance in Performance-Based and Self-Reported Physical Functioning in Individuals with Fibromyalgia and Obesity

2021 ◽  
Vol 11 (8) ◽  
pp. 810
Author(s):  
Giorgia Varallo ◽  
Federica Scarpina ◽  
Emanuele Maria Giusti ◽  
Carlos Suso-Ribera ◽  
Roberto Cattivelli ◽  
...  
Keyword(s):  
Physical Functioning ◽  
Psychological Factors ◽  
Pain Catastrophizing ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Pain Acceptance ◽  
Lower Pain ◽  
And Performance

Impaired physical functioning is one of the most critical consequences associated with fibromyalgia, especially when there is comorbid obesity. Psychological factors are known to contribute to perceived (i.e., subjective) physical functioning. However, physical function is a multidimensional concept encompassing both subjective and objective functioning. The contribution of psychological factors to performance-based (i.e., objective) functioning is unclear. This study aims to investigate the contribution of pain catastrophizing and pain acceptance to both self-reported and performance-based physical functioning. In this cross-sectional study, 160 participants completed self-report measures of pain catastrophizing, pain acceptance, and pain severity. A self-report measure and a performance-based test were used to assess physical functioning. Higher pain catastrophizing and lower pain acceptance were associated with poorer physical functioning at both self-reported and performance-based levels. Our results are consistent with previous evidence on the association between pain catastrophizing and pain acceptance with self-reported physical functioning. This study contributes to the current literature by providing novel insights into the role of psychological factors in performance-based physical functioning. Multidisciplinary interventions that address pain catastrophizing and pain acceptance are recommended and might be effective to improve both perceived and performance-based functioning in women with FM and obesity.

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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