Association of Depressive Symptoms with Consumption of Analgesics among Adolescents

Hena, Momota; Leung, Cherry Y.; Clausson, Eva; Garmy, Pernilla

doi:10.1016/j.pedn.2018.12.008

Cited by 15 publications

(27 citation statements)

References 26 publications

(33 reference statements)

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“…The aim of this study was to examine the use of analgesics and its association with bullying among school‐age children while considering regular physical pain. Bodily pain and mental health problems have been found in earlier studies to be linked with one another suggesting bidirectional relationships . We found a high frequency of pain medication use among both non‐bullied and bullied students.…”

Section: Discussionsupporting

confidence: 56%

Bullying, pain and analgesic use in school‐age children

et al. 2019

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Aim: The aim of this study was to examine whether the self-reported use of analgesics is associated with being a victim of bullying.Methods: This cross-sectional, school-based survey included all students in grades 6 (11 years old), 8 (13 years old) and 10 (15 years old) in Iceland (response rate: 84%; n = 11 018). The students filled out an anonymous standardised questionnaire: the Icelandic Contribution to the International Health Behavior in School-Aged Children (HBSC) Study.Results: Being bullied was associated with increased use of analgesics even after controlling for self-reported pain.Conclusion: Bullying occurs in all schools, and its effects on health are pervasive.Interventions aimed at reducing bullying and promoting health in schools are important and may reduce the use of analgesics in adolescents.

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Section: Discussionsupporting

confidence: 56%

Bullying, pain and analgesic use in school‐age children

et al. 2019

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“…Additionally, adolescent girls have higher prevalence of certain psychological difficulties, such as generalized anxiety disorder and depression, both of which typically commence in mid-to late-adolescence (Beesdo, Pine, Lieb, & Wittchen, 2010;Merikangas, Nakamura, & Kessler, 2009). This predisposition of an increased risk of psychological symptoms and chronic pain may signify a common vulnerability, with both conditions often comorbid (Borgman, Ericsson, Clausson, & Garmy, 2018;Cohen et al, 2010;Hena, Leung, Clausson, & Garmy, 2018). However, in some research, differences with age but not sex have been observed.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated psychosocial and health factors of chronic pain in adolescents: Differences by sex and age

Wager

Brown

Kupitz

et al. 2020

European Journal of Pain

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Background Chronic pain is a common issue in adolescents. Prevalence of pain and associated factors present differently in sex and age subgroups; however, the interaction of sex and age combined has not been thoroughly assessed. This study aimed to identify psychosocial and health factors associated with chronic pain in younger and older adolescent girls and boys. Methods Students from five schools in grades 5–10 self‐completed a pain survey. Participants were 2,280 adolescents (52% girls) aged 10–18 years (M = 12.95, SD = 1.84). Data were analysed using multivariate logistic regression models. Results Chronic pain was present in 33% of participants. The risk of chronic pain increased by 29% in girls, compared to 16% in boys, per year of age (p = .039). Overall, depression (OR = 2.05, p < .001), anxiety (OR = 1.51, p < .001), lower school satisfaction (OR = 1.41, p = .034) and sleep issues (OR = 2.34, p < .001) were associated with chronic pain. Stratified analyses identified unique significant associations between chronic pain and psychosocial factors. In boys aged 10–13 years, higher socioeconomic status (OR = 1.76, p = .024) and poorer school performance (OR = 1.60, p = .027) were uniquely important; in girls aged 10–13 years, lower school satisfaction (OR = 2.92, p = .003) was associated with pain, and in older girls aged 14–18 years, anxiety (OR = 1.74, p = .009) was significantly associated with pain. When these differences were assessed statistically, only lower school satisfaction had significant differences between subgroups (p = .049). Conclusions Many psychosocial and health factors are similarly important, with few differences, for chronic pain in girls and boys at different stages of adolescence. Significance We report evidence that negative psychosocial and health factors are related to a higher prevalence of chronic pain in adolescents. Furthermore, the relationships between anxiety, socioeconomic status, lower school satisfaction and lower school performance with pain may vary between adolescents of differing sexes and ages. Understanding how possible risk factors for chronic pain contribute differently to the pain experience of adolescent girls and boys is an important step towards lowering the prevalence of this common health condition.

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“…4 Female adolescents show a higher prevalence of health complaints than male adolescents, [5][6][7] experience higher levels of stress and somatic symptoms, 8 and are more likely to experience pain and depressive symptoms. 4,9 Loneliness, which is a major risk to health and well-being, is also higher among adolescent girls. 10 It has been demonstrated that somatic symptoms in adolescence predict severe mental illness in adulthood; therefore, regardless of the presence of co-occurring depression and anxiety, adolescents need early treatment to address these symptoms.…”

Section: Introductionmentioning

confidence: 99%

The effects of a dance intervention on somatic symptoms and emotional distress in adolescent girls: A randomized controlled trial

et al. 2020

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Objective: To investigate whether a dance intervention for adolescent girls reduces stressrelated symptoms. Methods: This was a randomized controlled trial of an after-school intervention. Participants were 112 girls aged 13 to 18 years with stress-related somatic symptoms and emotional distress. The intervention comprised twice-weekly dance sessions for 8 months with a focus on enjoyment and socialization. A questionnaire was administered at baseline and after 8, 12 and 20 months. Participants rated the frequency with which they had experienced somatic symptoms and emotional distress during the previous 3 months. Results: After the intervention, there was a significantly greater reduction in somatic symptoms and emotional distress in the dance intervention group than in the control group. The difference in the mean score change on a 5-point scale was 0.26 (95% confidence interval [CI]: 0.04 to 0.47) for somatic symptoms and 0.30 (95% CI: 0.04 to 0.58) for emotional distress. Conclusion: Dance interventions may reduce somatic symptoms and emotional distress in adolescent girls, and may constitute a nonpharmacological complement to school health services. However, continued participation is needed for long-term sustainable results. Additional randomized studies are required to further evaluate the effect of this type of intervention in different settings.

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Association of Depressive Symptoms with Consumption of Analgesics among Adolescents

Cited by 15 publications

References 26 publications

Bullying, pain and analgesic use in school‐age children

Bullying, pain and analgesic use in school‐age children

Prevalence and associated psychosocial and health factors of chronic pain in adolescents: Differences by sex and age

The effects of a dance intervention on somatic symptoms and emotional distress in adolescent girls: A randomized controlled trial

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