Long-term biopsychosocial issues and health-related quality of life in young adolescents and adults treated for childhood Complex Regional Pain Syndrome, type 1
| Autor: | Anne Sofie Finnmann Munk, Kristian Kjær Petersen, Søren Bødtker, Søren Walther-Larsen, Gitte Bruun Aagaard, Lars Arendt-Nielsen, Christian Wong |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
child
Quality of Life/psychology Fibromyalgia Adolescent Pain complex regional pain syndromes Young Adult Anesthesiology and Pain Medicine quality of life Complex Regional Pain Syndromes/psychology Pain/complications Quality of Life Humans Neurology (clinical) Child chronic pain Complex Regional Pain Syndromes mental health Pain Measurement |
| Zdroj: | Finnmann Munk, A S, Petersen, K K, Bødtker, S, Walther-Larsen, S, Aagaard, G B, Arendt-Nielsen, L & Wong, C 2022, ' Long-term biopsychosocial issues and health-related quality of life in young adolescents and adults treated for childhood Complex Regional Pain Syndrome, type 1 ', Scandinavian Journal of Pain, vol. 22, no. 3, pp. 473-482 . https://doi.org/10.1515/sjpain-2021-0217 |
| DOI: | 10.1515/sjpain-2021-0217 |
| Popis: | Objectives Treatment for childhood Complex Regional Pain Syndrome (CRPS) is associated with long-term recovery. The present study aimed to investigate the long-term biopsychosocial status and quality of life in young adolescents and adults after the treatment of childhood CRPS. Methods A 4 year follow-up of individuals with childhood-CRPS, type 1 (n=22; age:12 years (years) [median] at treatment and 17 years at follow-up) was completed. Biopsychosocial status and quality of life were assessed with structured interviews, using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the Strengths and Difficulties Questionnaire (SDQ), the Pediatric Pain Coping Inventory (PPCI), and the Pediatric Quality of Life Inventory (PedsQL). Comparisons were made with normative samples of age-matched controls. Results CRPS at follow-up was still present in seven out of 22, and non-CRPS pain symptoms were found in 12 out of 22 individuals. Signs of mental health pain-related problems, including phobias and obsessive-compulsive disorder, were observed in ten out of 19 individuals. Mental well-being, social functioning, and quality of life (SDQ and PedsQL) were independent of pain status (p>0.05). Adaptive pain coping strategies were utilized regardless of pain status (PPCI). Social functioning (p Conclusions A subset of individuals treated for childhood-CRPS, type 1 experiences long-term consequences of persistent pain, a decrease in quality of life indicators, and demonstrates significant psychosocial issues. Childhood-CRPS is suggested to be associated with long-term psychosocial consequences and poorer quality of life than found in age-related healthy peers. Subjects treated for childhood CRPS may need a longer clinical follow-up attempting to preclude relapse of CRPS and non-CRPS pain. |
| Databáze: | OpenAIRE |
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