Child and Family Antecedents of Pain During the Transition to Adolescence: A Longitudinal Population-Based Study
| Autor: | Rebecca Giallo, Meredith O'Connor, George A. Chalkiadis, Emily Incledon, Tonya M. Palermo |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Biopsychosocial model
Male Parents Sleep Wake Disorders Longitudinal study medicine.medical_specialty Adolescent Population Pain Child Behavior Disorders Community Health Planning 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Prevalence Medicine Humans Longitudinal Studies Psychiatry education Child Family Health education.field_of_study business.industry Chronic pain Age Factors Australia medicine.disease Low back pain Anesthesiology and Pain Medicine Neurology Cohort Pain catastrophizing Female Neurology (clinical) medicine.symptom business Psychosocial 030217 neurology & neurosurgery |
| Zdroj: | The journal of pain. 17(11) |
| ISSN: | 1528-8447 |
| Popis: | Pediatric persistent pain is associated with poorer physical and psychosocial functioning in children, as well as immediate and long-term societal costs. Onset typically occurs in early adolescence, suggesting that late childhood is a key window for identifying potential intervention targets before pain symptoms become entrenched. This study used population-based data from the Longitudinal Study of Australian Children (n = 3,812) and adopted a biopsychosocial and ecological systems approach to investigate child, family, and sociodemographic factors associated with pain problems in children transitioning to adolescence. The prevalence of at least weekly parent-reported pain in the study sample was approximately 5% at 10 to 11 years of age, and pain continued at 12 to 13 years of age for 40% of these children. Key factors at 10 to 11 years that uniquely predicted parent-reported pain problems at 12 to 13 years were frequency of previous pain (1–3 times weekly: odds ratio [OR] = 7.49; 95% confidence interval [CI], 4.3–13.0; 4–7 times weekly: OR = 17.8; 95% CI, 8.7–36.5) and sleep difficulties (OR = 1.86; 95% CI, 1.16–2.97). This study highlights the importance of early intervention for persistent pain in childhood, because pain complaints in late childhood tend to persist into early adolescence. Perspective This article used a biopsychosocial and ecological systems approach to understanding predictors of pain problems during the transition to adolescence within a nationally representative community-based cohort. Sleep difficulties at 10 to 11 years uniquely predicted pain at ages 12 to 13 years, suggesting that early intervention using sleep interventions may be a promising direction for future research. |
| Databáze: | OpenAIRE |
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