Emotional/behavioural, social correlates and one‐year predictors of frequent pains among early adolescents: Influences of pain characteristics
- 11 January 2007
- journal article
- Published by Wiley in European journal of pain
- Vol. 11 (1), 57
- https://doi.org/10.1016/j.ejpain.2005.12.014
Abstract
In a one‐year longitudinal study, emotional/behavioural correlates and predictors of four common pain complaints (headaches, stomach, back and limb pain), were examined in a representative school sample of 2360 adolescents aged 12‐ to 15‐years. At first assessment, 18.3% reported being bothered by a frequent pain (at least once a week) and 40% of the pain sufferers had two or more pain locations, more commonly reported by girls. Subjects having any of the four frequent pains reported having fewer friends and were more often absent from school. Frequency and number of reported pains among adolescents were positively related to levels of internalising and externalising problems. These latter problems were consistently and significantly higher among adolescents with frequent back and limb pains, however, when coexistence of another frequent pain was controlled, differences were small. Number of pains at the one‐year follow‐up was significantly predicted by frequent back pain and headache, depressive symptoms scores, somatic complaints (other than pain), number of friends and reduced leisure time activities during the follow‐up period. Frequent back pain and depressive symptoms also predicted multiple frequent pains (vs single frequent pain) at the follow‐up as did recent parental divorce. It is concluded that various emotional and behavioural problems, and which are commonly regarded as being specifically related to pain type or location among adolescents, depend rather on frequency and coexistence of multiple frequent pains. Assessment of adolescents with frequent and multiple pains should, therefore, include broad screening of internalising as well as externalising problems as well as various aspects of impairment.Keywords
This publication has 45 references indexed in Scilit:
- Widespread pain and neck pain in schoolchildren. A prospective one-year follow-up studyActa Paediatrica, 2007
- Relationship of pain and symptoms to pubertal development in adolescentsPain, 2005
- Recurrent Abdominal Pain, Anxiety, and Depression in Primary CarePediatrics, 2004
- Practitioner Review: Assessment and Management of Somatisation in Childhood and Adolescence: A Practical PerspectiveJournal of Child Psychology and Psychiatry, 1999
- Psychosocial factors associated with headache in junior high school studentsJournal of Pediatric Psychology, 1999
- Use of Health Care Services in Childhood MigraineHeadache: The Journal of Head and Face Pain, 1996
- The Association Between Major Depression and Headache: Results of a Longitudinal Epidemiologic Study in YouthJournal of Child and Adolescent Psychopharmacology, 1996
- Psychosocial correlates of recurrent childhood pain: A comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorders.Journal of Abnormal Psychology, 1993
- Relationships of somatic symptoms to behavioral and emotional risk in young adolescentsThe Journal of Pediatrics, 1991
- Psychological Characteristics of Children who Suffer from Headache: A Research NoteJournal of Child Psychology and Psychiatry, 1990