Work

Predictors of pain and activity limitations in children and adolescents with chronic pain conditions.

Year: 2009

Type: article

Abstract: The current study tested a single predictive model to examine the longitudinal relationship between pain and activity restriction in 89 children and adolescents with recurrent headache (HA) and juvenile chronic arthritis (JCA).Data collection in the 12 month study included administration of prospective and retrospective measures of pain, activity restriction and depressive symptoms.Linear regressions and hierarchical linear modeling (HLM) were used for data analysis.Results indicated that pain intensity predicted children"s degree of restriction in daily activities over time and across measurement type.Group differences between the pain conditions emerged with HA participants reporting significantly higher levels of pain, more depressive symptoms, and greater activity restriction that those with JCA.Participants with HA reported more activity restriction in social domains whereas those with JCA reported more limitation in physically demanding activities.Contrary to hypotheses, results did not reveal uniform biases in retrospective versus prospective reports.Moreover, individual characteristics particularly age, gender, income level, depressive symptoms and pain condition did not consistently impact the strength of the relationship between pain and activity restriction.

Source: OhioLink ETD Center (Ohio Library and Information Network)

Author: Amy S. Lewandowski

Institution: Case Western Reserve University

Language: English

Topic: Pediatric Pain Management Techniques

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institutes of Health

Award: G3549828030