Childhood Psychological Trauma and Chronic Refractory Low-Back Pain

Schofferman, Jerome; Anderson, David L.; Hines, Resche D.; Smith, Glen A.; Keane, Gerald P.

doi:10.1097/00002508-199312000-00007

Cited by 81 publications

(46 citation statements)

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“…Childhood adversity (e.g., physical or sexual abuse) has been demonstrated to have a particularly negative impact on subsequent development of back pain and its chronicity/refractoriness [23,28,41,42]. In our sample, 24.5% of respondents reported a history of physical or sexual abuse during childhood (i.e., occurring before 18 years of age).…”

Section: Childhood Adversitymentioning

confidence: 87%

“…Methodological shortcomings common in previous research include reliance on small [4,[24][25][26]41,45] and clinically based samples [8,13,[24][25][26]41], limiting the generalizability of reported results. Furthermore, failure to consider psychopathological states such as depression and anxiety may result in spurious relationships between endorsed adversity exposure and CBP-related outcomes [8,23,24,28,41,42]. Finally, the approaches typically used 0304 to assess adversity in CBP research may obscure important differences between low levels of adversity exposure and a history of no experience with adverse life events.…”

Section: Introductionmentioning

confidence: 99%

“…Higher rates of self-reported exposure to adverse events have been demonstrated among CBP patients as compared with non-patients [13] and among CBP patients demonstrating psychological distress (e.g., depression) relative to CBP patients without concomitant distress [4,25,26,45]. Moreover, CBP patients report an increased rate of traumatic events in childhood, including sexual or physical abuse [27,28,41]. Demonstrating a graded relationship, a greater number of childhood traumas predicted greater likelihood of adult CBP [23].…”

Section: Introductionmentioning

confidence: 99%

“…Demonstrating a graded relationship, a greater number of childhood traumas predicted greater likelihood of adult CBP [23]. Similarly, childhood physical and sexual abuse rendered CBP patients refractory to surgical interventions [41,42].…”

Section: Introductionmentioning

confidence: 99%

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Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain

Seery

Leo

Holman

et al. 2010

Pain

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a b s t r a c tPrevious research has demonstrated an association between lifetime exposure to adverse events and chronic back pain (CBP), but the nature of this relationship has not been fully specified. Adversity exposure typically predicts undesirable outcomes, suggesting that lack of all adversity is optimal. However, we hypothesized that among individuals faced with CBP, a history of a low level of lifetime adversity would yield protective effects, manifested as lower impairment and healthcare utilization. Adult members of a national panel (N = 396) endorsed a history of CBP when reporting their physical health status in an online survey; they further reported their functional impairment and healthcare utilization. Respondents had previously completed a survey of lifetime exposure to adverse events. Significant Ushaped quadratic relationships emerged between adversity and self-rated functional impairment (p < 0.001), disabled employment status (p < 0.001), frequency of physician/clinic visits for CBP (p < 0.01), prescription (but not over-the-counter) analgesic use (p < 0.01), and comorbid depression treatment seeking (p < 0.01). Specifically, people with some lifetime adversity reported less impairment and healthcare utilization than people who had experienced either no adversity or a high level of adversity. Additional analyses failed to support alternative explanations of the findings. Implications for understanding and promoting resilience in the context of CBP are discussed. Ó

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Section: Childhood Adversitymentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain

Seery

Leo

Holman

et al. 2010

Pain

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“…Childhood psychological trauma is correlated with an increased level of unsuccessful lumbar spine surgery [54] and with an increased risk of chronic low back pain [53]. A study showed that children suffering from idiopathic musculoskeletal pain self-reported a lower level of wellbeing than children suffering from rheumatoid arthritis [55].…”

Section: Psychosocial Factorsmentioning

confidence: 99%

Non-specific low back pain in children and adolescents: risk factors

Balagué¹,

Troussier

Salminen

1999

European Spine Journal

337

290

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IntroductionBackache in children and adolescents has traditionally been considered a rare and serious condition, causing one to suspect an organic, infectious, inflammatory or neoplastic origin. Several surveys, however, have revealed a high prevalence of backache, and particularly of lumbar pain, in these age groups, indeed sometimes similar to that reported for adults. The purpose of this article is to review the recent literature, published since 1992 [6], on this topic. Epidemiological dataThe prevalence of back pain in children varies according to the age of the population studied and, particularly, according to the methodology of the studies themselves, viz.:1. Cross-sectional studies by means of a questionnaire, with or without the participation of an investigator, looking at subjective morbidity [4,5,8,9,13,18,26,35,41,48,50,59,62,64,69]. 2. Cross-sectional studies based on physical examination of the subjects, to evaluate the measurable morbidity [4,13,35,48,50,69]. 3. Longitudinal studies (cohort studies) to measure the yearly incidence of spinal pain [12,15].Moreover, studies differ in terms of the definition of backache selected (any localisation of spinal pain versus pain limited to the lumbar area, radicular pain), and also according to the type of prevalence studied (lifetime prevalence or point prevalence of back pain). Several approaches are used in evaluating the intensity of pain: relapsing or permanent pain, need for medical care, or disability due to pain. Furthermore, in studying risk factors, it is important from a methodological point of view to distinguish cross-sectional studies without either a control group or multiple analysis of variance [2, 9, 13, 18, 22, Abstract Low back pain (LBP) among children and adolescents has become the subject of an increasing amount of literature over the last 15 years. This topic, which was considered almost insignificant less than two decades ago, was the focus of a recent international meeting organised in Grenoble (France) in March 1999. This review paper is the result of an literature update search performed by members of three groups which have been active in this field for many years. Current epidemiological data on LBP is summarized as well as the role of the major risk factors according to studies published in the principal peer reviewed journals interested in the topic.Key words Non-specific low back pain · Schoolchildren · Risk factors · Epidemiology Eur Spine J (1999) 8 : 429-438 REVIEW

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Handbook of Complex Occupational Disability Claims

Schultz

Gatchel²

2005

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Childhood Psychological Trauma and Chronic Refractory Low-Back Pain

Cited by 81 publications

References 0 publications

Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain

Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain

Non-specific low back pain in children and adolescents: risk factors

Handbook of Complex Occupational Disability Claims

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