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Chen Y, Liu Z, Werneck AO, Huang T, Van Damme T, Kramer AF, Cunha PM, Zou L, Wang K. Social determinants of health and youth chronic pain. Complement Ther Clin Pract 2024; 57:101911. [PMID: 39368445 DOI: 10.1016/j.ctcp.2024.101911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2024] [Revised: 09/20/2024] [Accepted: 10/01/2024] [Indexed: 10/07/2024]
Abstract
OBJECTIVES To identify the relationships between social determinants of health (SDOH) and chronic pain among U.S. youth (referring to children and adolescents). METHODS Data including a national sample of U.S. youth were retrieved from the 2022 National Survey of Children's Health. Twenty indicators within five SDOH-related domains (e.i., economic stability, social and community context, neighborhood and built environment, health care access and quality, and education access and quality) were included. The presence of chronic pain was assessed using a self-reported question, answered by the main caregiver. Associations of SDOH-related indicators and youth chronic pain were estimated using multi-variable logistic regression models, while adjusting for covariates (e.g., age, sex, ethnicity, weight status, and movement behaviors). RESULTS Data from 30,287 U S. youth aged 6-17 years (median [SD] age, 11.59 [3.30] years; 14,582 girls [48.97 %]) were collected. In 7.5 % of the final sample size, caregivers reported that they had chronic pain. Youth grow up in conditions with diverse SDOH profiles, including food insufficiency (OR = 1.46, 95 % CI: 1.01 to 2.10) and parental unemployment (OR = 1.56, 95 % CI: 1.15 to 2.12); low school engagement (OR = 1.48, 95 % CI: 1.14 to 1.92) and low school safety (OR = 1.65, 95 % CI: 1.14 to 2.39); limited access to quality health care (OR = 2.56, 95 % CI: 2.12 to 3.09), a high frequency of hospital visits (OR = 4.76, 95 % CI: 1.82 to 12.44), and alternative health care (OR = 2.57, 95 % CI: 2.07 to 3.20); bullying victimization (OR = 1.37, 95 % CI: 1.11 to 1.68) and community-based adverse childhood experiences (OR = 1.64, 95 % CI: 1.32 to 2.05); and disadvantageous amenity characteristics (OR = 1.38, 95 % CI: 1.05 to 1.79); resulted in higher odds of presenting chronic pain. CONCLUSIONS Different indicators included in the SDOH domains were associated with a higher probability of presenting chronic pain in U.S youth. These findings have implied relationships between the SDOH and chronic pain in youth, requiring a comprehensive approach to addressing health equity to prevent and reduce the presence of youth chronic pain.
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Affiliation(s)
- Yanxia Chen
- Department of Physical Education, Shanghai Jiao Tong University, Shanghai, China
| | - Zhongting Liu
- Body-Brain-Mind Laboratory, School of Psychology, Shenzhen University, 518060, China
| | - André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), Brazil
| | - Tao Huang
- Department of Physical Education, Shanghai Jiao Tong University, Shanghai, China
| | - Tine Van Damme
- Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; University Psychiatric Center KU Leuven, Child and Adolescent Psychiatry, Leuven, Belgium
| | - Arthur F Kramer
- Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Urbana, IL, USA; Center for Cognitive & Brain Health, Northeastern University, Boston, MA, USA
| | - Paolo M Cunha
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
| | - Liye Zou
- Body-Brain-Mind Laboratory, School of Psychology, Shenzhen University, 518060, China
| | - Kun Wang
- Department of Physical Education, Shanghai Jiao Tong University, Shanghai, China.
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Bondesson E, Bolmsjö BB, Pardo FL, Jöud AS. Temporal relationship between pain and mental health conditions among children and young people - A population-based register study in Sweden. THE JOURNAL OF PAIN 2024:104662. [PMID: 39209085 DOI: 10.1016/j.jpain.2024.104662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Revised: 08/16/2024] [Accepted: 08/20/2024] [Indexed: 09/04/2024]
Abstract
Both pain and mental health conditions are common among young people. They often co-occur, but we wanted to investigate further whether it is pain (abdominal pain, headache, musculoskeletal pain, menstrual pain) that precedes mental health conditions (depression, anxiety, stress, phobia) or whether it is the other way around, mental health conditions that precedes pain. Using electronic health records - the Skåne Healthcare Register - we identified and followed young people aged 7-18 over a 13-year period and tracked all their registered diagnoses. Using Poisson regression, we analyzed the incidence rate ratio (IRR) of being diagnosed with mental health conditions after an initial diagnosis of pain and vice versa the IRR of being diagnosed with pain after an initial diagnosis of a mental health condition. Among individuals with pain, 12 054 (23%) later received a diagnosis of a mental health condition. The IRR for a mental health condition after pain was 2.86 (95% CI 2.78-2.94) compared to not having pain, adjusted for age, sex and prior healthcare consultations. Among individuals with mental health conditions, 3688 (17%) later received a diagnosis of pain. The adjusted IRR was 1.57 (95% CI=1.52-1.63). Compared to boys, girls had consistently higher estimates and the same was found for the younger individuals compared to the older ones. Individuals with pain have a threefold increased risk of developing mental health conditions while the risk of developing pain after mental health conditions was lower although still elevated compared to young people seeking care regardless of cause. PERSPECTIVE: Young people with pain have a threefold increased risk of developing mental health conditions while the reverse risk is lower but still elevated compared to young people without these conditions. Healthcare professionals must recognize the interplay between pain and mental health in young patients when diagnosing and planning treatment. DATA AVAILABILITY: The data included in this study are stored within the Skåne county council. To access similar data, The Swedish National Board of Health and welfare and The Skåne county council can provide information about how to apply for access.
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Affiliation(s)
- Elisabeth Bondesson
- Department of Clinical Sciences Lund, Ortopedics, Lund University, Lund, Sweden; Department of Research and Education, Skåne University Hospital, Lund, Sweden.
| | - Beata Borgström Bolmsjö
- Center for Primary Health Care Research, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden; University Clinic Primary Care Skåne, Region Skåne, Sweden
| | | | - Anna Saxne Jöud
- Department of Clinical Sciences Lund, Ortopedics, Lund University, Lund, Sweden; Department of Research and Education, Skåne University Hospital, Lund, Sweden; Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden
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Wallbing U, Nilsson S, Wigert H, Lundberg M. Adolescents' experiences of Help Overcoming Pain Early-A school based person-centred intervention for adolescents with chronic pain. PAEDIATRIC & NEONATAL PAIN 2023; 5:119-126. [PMID: 38149219 PMCID: PMC10749401 DOI: 10.1002/pne2.12113] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 04/15/2023] [Accepted: 06/07/2023] [Indexed: 12/28/2023]
Abstract
To illuminate adolescents' experiences of Help Overcoming Pain Early (HOPE), a person-centred intervention delivered in a school setting by school nurses. Twenty-one adolescents with chronic pain recruited from secondary school, who had completed the HOPE intervention, were included in the interview study. The HOPE intervention was built on person-centred ethics and consisted of four meetings between school nurses and adolescents on the subject of stress and pain management. A qualitative method using content analysis with an inductive approach was employed. In the interviews, the adolescents describe how they reclaim their lives with the help of HOPE. They use different strategies and parts of the intervention to move on with their lives. A trustful relationship, as that with the school nurse, was essential to dare to change. The overarching theme summarizes in Becoming myself again and is built up by three sub-themes: Trust a pillar for growth, Making sense of my life with pain, and Putting myself into the world again. A person-centred intervention such as HOPE applied in a school context is promising for promoting confidence in adolescents with chronic pain. A trust-building process emerged, in terms of both the adolescents' trust in the healthcare staff they meet and their confidence in their own ability to handle and influence their situation, which in the long term can promote trust in themselves as a person.
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Affiliation(s)
- U. Wallbing
- Institute of Health and Care Sciences, and the University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Division of Physiotherapy, Department of Neurobiology, Care Sciences and SocietyKarolinska InstitutetStockholmSweden
| | - S. Nilsson
- Institute of Health and Care Sciences, and the University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - H. Wigert
- Institute of Health and Care Sciences, and the University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Division of NeonatologySahlgrenska University HospitalGothenburgSweden
| | - M. Lundberg
- Institute of Health and Care Sciences, and the University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Department of Health Promoting ScienceSophiahemmet UniversityStockholmSweden
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Shinde N, Kanabar DJ, Miles LJ. Narrative review of the prevalence and distribution of acute pain in children in the self-care setting. PAEDIATRIC & NEONATAL PAIN 2022; 4:169-191. [PMID: 36618510 PMCID: PMC9798044 DOI: 10.1002/pne2.12085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 05/16/2022] [Accepted: 07/20/2022] [Indexed: 01/11/2023]
Abstract
Acute pain among children is common, yet it may be underestimated and undertreated if the pain is not recognized. Assessing and managing pediatric pain can be complicated, and as such, measuring the prevalence of acute pain in children can be challenging. We sought to provide a consolidated review of the available data on the prevalence of commonly occurring acute pain in children in the self-care setting. An extensive literature search was performed to determine the prevalence of acute pain at multiple bodily locations in children aged between 3 months and 18 years. We considered the influence of age, sex, and sociodemographic factors on prevalence estimates. We also sought to identify some of the challenges involved in assessing and managing pediatric pain, thus shedding light on areas where there may be clinical and medical unmet needs. In general, a high prevalence of acute pain in children was detected, particularly headache, menstruation-related pain, and dental and back pain. Older age, female sex, and lower socioeconomic status were associated with increased pain prevalence. Risk factors were identified for all pain types and included psychological issues, stress, and unhealthy lifestyle habits. Owing to the heterogeneity in study populations, the prevalence estimates varied widely; there was also heterogeneity in the pain assessment tools utilized. The paucity of information regarding pain prevalence appears to be out of proportion with the burden of acute pain in children. This could indicate that clinicians may not be equipped with an optimal pain management strategy to guide their practice, especially regarding the use of developmentally appropriate pain assessment tools, without which prevalence data may not be captured. If acute pain is not accurately identified, it cannot be optimally treated. Further investigation is required to determine how the information from prevalence studies translates to the real-world setting.
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Affiliation(s)
- Nutan Shinde
- Reckitt Benckiser plc (Global Headquarters)BerkshireUK
| | | | - Lisa J. Miles
- Reckitt Benckiser plc (Global Headquarters)BerkshireUK
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Vitta AD, Bento TPF, Cornelio GP, Perrucini PDDO, Felippe LA, Conti MHSD. Incidence and factors associated with low back pain in adolescents: A prospective study. Braz J Phys Ther 2021; 25:864-873. [PMID: 34872870 DOI: 10.1016/j.bjpt.2021.10.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 05/27/2021] [Accepted: 10/04/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Low back pain (LBP) is a common complaint among children and adolescents and can negatively impact their physical and mental health. Although previous studies investigating the incidence of low back pain (LBP) in children and adolescents have been performed in high income countries, it is unclear whether countries such as Brazil would show similar incidence rates. OBJECTIVE To determine the incidence and to identify predictors of new episodes of LBP in high school students. METHODS This is a 1-year longitudinal study of high school students from public schools in the city of Bauru, Sao Paulo. Collected clinical data were: demographic and socioeconomic factors, information on the use of electronic devices, mental health status (the Strengths and Difficulties Questionnaires), level of habitual physical activity (Baecke Physical Activity Questionnaire), and incidence of LBP (measured with question about LBP in the past 12 months and the Nordic Musculoskeletal Questionnaire). Descriptive analysis and bivariate and multivariate logistic regressions were performed. RESULTS The cumulative incidence of new LBP episodes for the total cohort of 757 high school students was 18.9% (95% CI: 16.2, 21.8). The cumulative incidence was 14.8% (95% CI: 11.7, 18.5) for male students and 24.1% (95% CI: 19.8, 29.9) for female students. Being a female student (OR = 1.78; 95% CI: 1.23, 2.59), sitting posture while using tablet (OR = 4.34; 95% CI: 1.19, 16.60), daily time spent on tablet (OR = 3.21; 95% CI: 1.41, 7.30), daily time spent on mobile phone (OR =1.49; 95% CI: 1.11, 2.00), lying posture while using mobile phone (OR = 1.49; 95% CI: 1.05, 2.12), and mental health status (OR = 2.81; 95% CI: 1.76, 4.48) were identified as predictor variables. CONCLUSION Our findings showed that one in five high school students reported having a LBP episode over the last year. The predictors found to be associated with low back pain include those related to sex, time and posture while using electronic devices, and mental health status.
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Affiliation(s)
- Alberto de Vitta
- Physical Therapy Course, Centro Universitário de Ourinhos, Ourinhos, SP, Brazil.
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Do D, Peele M. The Affordable Care Act's young adult mandate was associated with a reduction in pain prevalence. Pain 2021; 162:2693-2704. [PMID: 34652321 PMCID: PMC8832999 DOI: 10.1097/j.pain.0000000000002263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 03/05/2021] [Indexed: 11/26/2022]
Abstract
ABSTRACT Pain is a major health problem among U.S. young adults. The passage of the Affordable Care Act's young adult mandate in 2010 allowed individuals to remain on their parents' health insurance until age 26. Although studies have documented the positive effects of this mandate on various health outcomes, less is known about its association with self-reported pain among young adults. Using the 2002 to 2018 National Health Interview Survey (N = 48,053) and a difference-in-differences approach, we compared the probabilities of reporting pain at 5 sites (low back, joint, neck, headache/migraine, and facial/jaw) and the number of pain sites between mandate eligible (ages 20-25) and ineligible (ages 26-30) adults before and after the mandate. In fully adjusted models, the mandate was associated with a decline of 2 percentage points in the probability of reporting pain at any site (marginal effect, -0.02; 95% confidence interval [CI], -0.05 to -0.002; weighted sample proportion, 0.37) and in the number of pain sites (coefficient, -0.07; 95% CI, -0.11 to -0.01; weighted sample average, 0.62). These results were primarily driven by the association between the mandate and the probability of reporting low back pain (marginal effect, -0.03; 95% CI, -0.05 to -0.01; weighted sample proportion, 0.20). Additional analyses revealed that the mandate was associated with improvements in access to care and reductions in risk factors for pain-including chronic conditions and risky health behaviors. To the extent that the results are generalizable to other health insurance programs, removing financial barriers to medical care may help reduce pain prevalence.
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Affiliation(s)
- Duy Do
- Division of Primary Care and Population Health, Department of Medicine, Stanford School of Medicine, Stanford University, Palo Alto CA, United States
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
| | - Morgan Peele
- Population Studies Center, University of Pennsylvania, Philadelphia, PA, United States
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7
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Groenewald CB, Tham SW, Palermo TM. Impaired School Functioning in Children With Chronic Pain: A National Perspective. Clin J Pain 2021; 36:693-699. [PMID: 32487871 DOI: 10.1097/ajp.0000000000000850] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE The purpose of this study was to determine the association between presence of chronic pain and school functioning among school-aged children (6 to 17 y) using the most recent United States national data. MATERIALS AND METHODS Secondary data analyses of the 2016-2017 National Survey of Children's Health. Parents (n=48,254) reported on whether their child had chronic pain over the past 12 months. Parents also reported on school functioning including (1) engagement with school, (2) number of school days missed, (3) problems at school, (4) repeating a grade, and (5) diagnosis of a learning disability. Children with chronic pain were compared with children without chronic pain using multivariate logistic regression models. We also stratified analysis according to age and sex. RESULTS In multivariate analyses, children with pain were more likely to have low school engagement (adjusted odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.0-1.9), be chronically absent (OR: 4.2, 95% CI: 3.0-5.8), have school-related problems (OR: 1.9, 95% CI: 1.5-2.3), repeat a grade (OR: 1.4, 95% CI: 1.0-2.0), and be diagnosed with a learning disability (OR: 1.6, 95% CI: 1.1-2.5). In stratified analyses, associations between chronic pain and school measures were strongest among adolescents (15 to 17 y of age) and males. DISCUSSION This study extends evidence linking chronic pain status to poorer school functioning in a large, national sample. Poor school functioning is a pressing public concern affecting children with chronic pain. Health care providers, educators, policymakers, and families should work together to ensure that needs are met for this vulnerable population.
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Affiliation(s)
| | | | - Tonya M Palermo
- Departments of Anesthesiology and Pain Medicine.,Pediatrics.,Psychiatry, University of Washington School of Medicine, Seattle, WA
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de Vitta A, Bento TPF, Perrucini PDO, Felippe LA, Poli-Frederico RC, Borghi SM. Neck pain and associated factors in a sample of high school students in the city of Bauru, São Paulo, Brazil: cross-sectional study. SAO PAULO MED J 2021; 139:38-45. [PMID: 33656126 PMCID: PMC9632505 DOI: 10.1590/1516-3180.2020.0168.r1.30102020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 10/30/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Neck pain is a major public health problem. OBJECTIVE The aim of the present study was to determine the prevalence of neck pain among high school students and to analyze associations with sociodemographic variables, use of electronic devices, habitual physical activity practices and mental health problems. DESIGN AND SETTING Cross-sectional epidemiological study on a sample of high school students in the city of Bauru, São Paulo, Brazil. METHOD Participants were selected through cluster sampling in two stages and data were collected via face-to-face interviews. Data collection comprised the following steps: 1. sociodemographic characteristics; 2. use of electronic devices; 3. habitual physical activity levels; 3. mental health; and 4. neck pain. RESULTS A total of 1,628 participants were interviewed. The prevalence of neck pain was 49.1% (95% confidence interval, CI 46.7 to 51.5), with 40.4% (95% CI 37.0 to 43.7) in men and 57.5% (95% CI 54.2 to 60.9) in women. The variables associated with in neck pain were: female (prevalence ratio, PR = 2.04), use of cell phone in standing posture (PR = 1.47), use of tablet in sitting posture (PR = 1.72), length of computer use greater than 3 hours/day (PR = 1.54), length of cell phone use greater than 3 hours/day (PR = 1.54), length of tablet use greater than 3 hours/ day (PR = 1.34) and mental health problems (PR = 1.56). CONCLUSION There is high prevalence of neck pain among students and striking associations with female sex, use of electronic devices and mental health problems.
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Affiliation(s)
- Alberto de Vitta
- PT, PhD. Physiotherapist and Assistant Professor, Centro Universitário das Faculdades Integradas de Ourinhos, Ourinhos (SP), Brazil.
| | | | | | - Lilian Assunção Felippe
- PT, PhD. Physiotherapist and Assistant Professor, Universidade Anhanguera (UNIDERP), Campo Grande (MS), Brazil.
| | | | - Sergio Marques Borghi
- PT, PhD. Physiotherapist and Assistant Professor, Universidade UNOPAR, Londrina (PR), Brazil.
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Abstract
PURPOSE OF REVIEW Headaches are not only responsible for restrictions in everyday life in adults. In children and adolescents, regular headaches lead also to reduced life quality and limitations in the social sphere, in school education, and in professional careers. Here, we provide an overview on the frequency of headache in children and adolescents with the aim of increasing awareness about this particular health issue. RECENT FINDINGS Overall, headache prevalence in children and adolescents has been increasing in recent years. From various regions worldwide, data describing headache, its forms, and consequences are growing. In addition, factors frequently correlated with headache are repeatedly investigated and named: besides genetic factors, psychosocial and behavioral factors are linked to the prevalence of headache. Increasing evidence indicates that headache is underestimated as a common disorder in children and adolescents. Accordingly, too little emphasis is placed by society on its prevention and treatment. Thus, the extent of the social and health economic burden of frequent headaches in children and adolescents needs to be better illustrated, worldwide. Furthermore, the data collected in this review should support the efforts to improve outpatient therapy paths for young headache patients. Factors correlating with headache in pupils can draw our attention to unmet needs of these patients and allow physicians to derive important therapy contents from this data.
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Affiliation(s)
- Vera Nieswand
- Headache Clinic, Pain Center, University Hospital and Faculty of Medicine Carl Gustav Carus, TU Dresden, Fetscherstr 74, 01307, Dresden, Germany
| | - Matthias Richter
- Department of Pediatrics, University Hospital and Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Gudrun Gossrau
- Headache Clinic, Pain Center, University Hospital and Faculty of Medicine Carl Gustav Carus, TU Dresden, Fetscherstr 74, 01307, Dresden, Germany.
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Fors A, Wallbing U, Alfvén G, Kemani MK, Lundberg M, Wigert H, Nilsson S. Effects of a person‐centred approach in a school setting for adolescents with chronic pain—The HOPE randomized controlled trial. Eur J Pain 2020; 24:1598-1608. [DOI: 10.1002/ejp.1614] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 05/31/2020] [Indexed: 02/06/2023]
Affiliation(s)
- Andreas Fors
- Institute of Health and Care Sciences Sahlgrenska AcademyUniversity of Gothenburg Gothenburg Sweden
- Centre for Person‐Centred Care (GPCC) University of GothenburgSahlgrenska AcademyUniversity of Gothenburg Sweden
- Närhälsan Research and Development Primary Health Care Region Västra Götaland Sweden
| | - Ulrika Wallbing
- Institute of Health and Care Sciences Sahlgrenska AcademyUniversity of Gothenburg Gothenburg Sweden
- Department of Neurobiology, Care Sciences and Society Division of Physiotherapy Karolinska Institute Huddinge Sweden
| | | | - Mike K. Kemani
- Department of Clinical Neuroscience (CNS) Stockholm Sweden
- Medical Unit Medical Psychology Section Behavioral Medicine Karolinska University Hospital Stockholm Sweden
- Stress Research InstituteStockholm University Stockholm Sweden
| | - Mari Lundberg
- Centre for Person‐Centred Care (GPCC) University of GothenburgSahlgrenska AcademyUniversity of Gothenburg Sweden
- Department of Neurobiology, Care Sciences and Society Division of Physiotherapy Karolinska Institute Huddinge Sweden
- Institute of Neuroscience and Physiology Department of Health and Rehabilitation Sahlgrenska AcademyUniversity of Gothenburg Gothenburg Sweden
| | - Helena Wigert
- Institute of Health and Care Sciences Sahlgrenska AcademyUniversity of Gothenburg Gothenburg Sweden
- Centre for Person‐Centred Care (GPCC) University of GothenburgSahlgrenska AcademyUniversity of Gothenburg Sweden
- Division of Neonatology Sahlgrenska University Hospital Gothenburg Sweden
| | - Stefan Nilsson
- Institute of Health and Care Sciences Sahlgrenska AcademyUniversity of Gothenburg Gothenburg Sweden
- Centre for Person‐Centred Care (GPCC) University of GothenburgSahlgrenska AcademyUniversity of Gothenburg Sweden
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Wager J, Brown D, Kupitz A, Rosenthal N, Zernikow B. Prevalence and associated psychosocial and health factors of chronic pain in adolescents: Differences by sex and age. Eur J Pain 2020; 24:761-772. [DOI: 10.1002/ejp.1526] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 11/19/2019] [Accepted: 12/24/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Julia Wager
- German Paediatric Pain Centre, Children's and Adolescents' Hospital Datteln, Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine Witten/Herdecke University Witten Germany
| | - Donnamay Brown
- German Paediatric Pain Centre, Children's and Adolescents' Hospital Datteln, Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine Witten/Herdecke University Witten Germany
| | - Anna Kupitz
- German Paediatric Pain Centre, Children's and Adolescents' Hospital Datteln, Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine Witten/Herdecke University Witten Germany
| | - Nicola Rosenthal
- German Paediatric Pain Centre, Children's and Adolescents' Hospital Datteln, Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine Witten/Herdecke University Witten Germany
| | - Boris Zernikow
- German Paediatric Pain Centre, Children's and Adolescents' Hospital Datteln, Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine Witten/Herdecke University Witten Germany
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12
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Bondesson E, Olofsson T, Caverius U, Schelin MEC, Jöud A. Consultation prevalence among children, adolescents and young adults with pain conditions: A description of age- and gender differences. Eur J Pain 2019; 24:649-658. [PMID: 31797468 DOI: 10.1002/ejp.1518] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 10/10/2019] [Accepted: 11/30/2019] [Indexed: 12/15/2022]
Abstract
BACKGROUND Pain is a common complaint presented in healthcare, but most epidemiological pain research has focused either on single pain conditions or on the adult population. The aim of this study was to investigate the 2017 consultation prevalence of a wide range of pain conditions in the general population of young people. METHODS We used the Skåne Healthcare Register, covering prospectively collected data on all healthcare delivered (primary and secondary care) to the population in the region of Skåne, southern Sweden (population 2017 n = 1,344,689). For individuals aged 1-24 in 2017 (n = 373,178), we calculated the consultation prevalence, stratified by sex and age, and the standardised morbidity ratio (SMR) to assess overall healthcare consultation. RESULTS A total of 58,981 (15.8%) individuals consulted at least once for any of the predefined pain conditions. Of these, 13.5% (n = 7,996) consulted four or more times for pain. Abdominal pain, joint pain/myalgia, headache and back/neck pain were the most common complaints. Overall, females had higher consultation prevalence than males: 17.6% versus 14.1% (p < .0001). SMR was 1.82 (95% CI = 1.74-1.87) for females with pain and 1.51 (95% CI = 1.42-1.56) for males with pain. Consultation prevalence increased with age, but this pattern varied between sex and pain condition. CONCLUSIONS Among individuals under the age of 25, a significant proportion consult for pain already in early ages, and they also have high healthcare consultation rates for conditions other than pain. The even higher consultation rates among young females need additional attention, both in the clinic and in research. SIGNIFICANCE We present comprehensive 1-year healthcare consultation prevalence data covering all levels of care. A significant proportion of children, adolescents and young adults consult for different pain conditions at multiple occasions warranting greater clinical awareness.
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Affiliation(s)
- E Bondesson
- Division of Orthopaedics, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.,Department of Neurosurgery and Pain Rehabilitation, Skåne University Hospital, Lund, Sweden
| | - T Olofsson
- Department of Clinical Sciences Lund, Rheumatology, Skåne University Hospital, Lund University, Lund, Sweden
| | - U Caverius
- Department of Neurosurgery and Pain Rehabilitation, Skåne University Hospital, Lund, Sweden
| | - M E C Schelin
- Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden
| | - A Jöud
- Division of Orthopaedics, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.,Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Faculty of Medicine, Lund University, Lund, Sweden
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