Distinct Influences of Anxiety and Pain Catastrophizing on Functional Outcomes in Children and Adolescents With Chronic Pain

Tran, Susan T.; Mano, Kristen E. Jastrowski; Hainsworth, Keri R.; Medrano, Gustavo R.; Khan, Kimberly Anderson; Weisman, Steven J.; Davies, W. Hobart

doi:10.1093/jpepsy/jsv029

Cited by 81 publications

(55 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to the exercise opportunities provided by parks and green spaces, access to green space has been associated with reduced psychological distress [45]. Psychological distress (e.g., depression, anxiety) plays an important role in pain persistence and pain-related disability among children and adolescents [46,47,48], and proximity to parks may make additional contributions to psychological function.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Characteristics: Influences on Pain and Physical Function in Youth at Risk for Chronic Pain

et al. 2016

View full text Add to dashboard Cite

Neighborhood features such as community socioeconomic status, recreational facilities, and parks have been correlated to the health outcomes of the residents living within those neighborhoods, especially with regard to health-related quality of life, body mass index, and physical activity. The interplay between one’s built environment and one’s perceptions may affect physical health, well-being, and pain experiences. In the current study, neighborhood characteristics and attitudes about physical activity were examined in a high-risk (youths with a parent with chronic pain) and low-risk (youths without a parent with chronic pain) adolescent sample. There were significant differences in neighborhood characteristics between the high-risk (n = 62) and low-risk (n = 77) samples (ages 11–15), with low-risk participants living in residences with more walkability, closer proximity to parks, and higher proportion of neighborhood residents having college degrees. Results indicate that neighborhood features (e.g., walkability and proximity to parks), as well as positive attitudes about physical activity were correlated with lower levels of pain and pain-related disability, and higher performance in physical functioning tests. These findings suggest that the built environment may contribute to pain outcomes in youth, above and beyond the influence of family history of pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Neighborhood Characteristics: Influences on Pain and Physical Function in Youth at Risk for Chronic Pain

et al. 2016

View full text Add to dashboard Cite

show abstract

“…In youth, PC has been associated with similar poor outcomes [10,21,32,61]. Although PC is known to predict heightened pain intensity and interference with daily activities across adults and youth, only a few studies have explored whether PC impacts outcomes differentially for individuals of different ages [10,28,37,57]. …”

Section: Introductionmentioning

confidence: 99%

The Effect of Pain Catastrophizing on Outcomes: A Developmental Perspective Across Children, Adolescents, and Young Adults With Chronic Pain

Feinstein

Sturgeon

Darnall

et al. 2017

The Journal of Pain

View full text Add to dashboard Cite

Pain catastrophizing is one of the most powerful predictors of poor outcomes in youth and adults with pain; however, little is known about differential impacts of pain catastrophizing on outcomes as a function of age. The current study examined the predictive value of pain catastrophizing on pain interference and pain intensity across children, adolescents, and two age groups of young adults with chronic pain. Cross-sectional data are presented from the adult and pediatric Collaborative Health Outcomes Information Registry (CHOIR), including measures of pain catastrophizing, pain intensity, pain interference and emotional distress from 1028 individuals with chronic pain. Results revealed that age moderated the relation between pain catastrophizing and pain interference, with the strength of these effects declining with age. The effect of pain catastrophizing on pain interference was strongest in adolescents and relatively weak in all three other groups. Emotional distress was the strongest predictor of pain interference for children, whereas pain intensity was the strongest predictor for both adult groups. Pain catastrophizing was found to predict pain intensity and, although age was a significant moderator, statistical findings were weak. Developmental considerations and clinical implications regarding the utility of the construct of pain catastrophizing across age groups are discussed.

show abstract

“…The Pain Catastrophizing Scale (PCS), a legacy measure, was added to Peds-CHOIR due to its association with pain intensity and treatment outcomes [8,37,44,61], and to allow for targeting of cognitive patterns that have been associated with impairments in function over time for both patient and caregivers [13,16,18]. We used the Pain Catastrophizing Scale for Children (PCS-C) and Parents (PCS-P) [8,22] and patient- and caregiver-reported PROMIS domains to deeply characterize the patients’ physical, psychological and social functioning including: mobility, pain interference, fatigue, peer relationships, anxiety and depression.…”

Section: Methodsmentioning

confidence: 99%

Pediatric-Collaborative Health Outcomes Information Registry (Peds-CHOIR): a learning health system to guide pediatric pain research and treatment

Bhandari

Feinstein

Huestis

et al. 2016

Pain

View full text Add to dashboard Cite

The pediatric adaptation of the Collaborative Health Outcomes Information Registry (Peds-CHOIR) is a free, open source, flexible learning health care system (LHS) that meets the call by the Institute of Medicine (IOM) for the development of national registries to guide research and precision pain medicine. This report is a technical account of the first application of Peds-CHOIR with three aims: to 1) describe the design and implementation process of the LHS; 2) highlight how the clinical system concurrently cultivates a research platform rich in breadth (e.g., clinic characteristics) and depth (e.g., unique patient and caregiver reporting patterns); and 3) demonstrate the utility of capturing patient-caregiver dyad data in real time, with dynamic outcomes tracking that informs clinical decisions and delivery of treatments. Technical, financial, and systems-based considerations of Peds-CHOIR are discussed. Cross-sectional, retrospective data from patients with chronic pain (N = 352; 8 – 17 years; M = 13.9 years) and their caregivers are reported, including NIH Patient Reported Outcomes Measurement Information System (PROMIS) domains (mobility, pain interference, fatigue, peer relations, anxiety and depression) and the Pain Catastrophizing Scale. Consistent with the literature, analyses of initial visits revealed impairments across physical, psychological and social domains. Patients and caregivers evidenced agreement in observable variables (mobility); however, caregivers consistently endorsed greater impairment regarding internal experiences (pain interference, fatigue, peer relations, anxiety, depression) than patients’ self-report. A platform like Peds-CHOIR highlights predictors of chronic pain outcomes on a group level and facilitates individually tailored treatment(s). Challenges of implementation and future directions are discussed.

show abstract

Distinct Influences of Anxiety and Pain Catastrophizing on Functional Outcomes in Children and Adolescents With Chronic Pain

Abstract: There were age-related differences regarding whether anxiety or pain catastrophizing more strongly predicted specific functional outcomes. Assessment and intervention efforts should emphasize both anxiety and pain catastrophizing.

Cited by 81 publications

References 49 publications

Neighborhood Characteristics: Influences on Pain and Physical Function in Youth at Risk for Chronic Pain

Neighborhood Characteristics: Influences on Pain and Physical Function in Youth at Risk for Chronic Pain

The Effect of Pain Catastrophizing on Outcomes: A Developmental Perspective Across Children, Adolescents, and Young Adults With Chronic Pain

Pediatric-Collaborative Health Outcomes Information Registry (Peds-CHOIR): a learning health system to guide pediatric pain research and treatment

Contact Info

Product

Resources

About