Longitudinal Relationships of Depressive Symptoms to Pain Intensity and Functional Disability Among Children with Disease-Related Pain

Hoff, Ahna L.; Palermo, Tonya M.; Schluchter, Mark D.; Zebracki, Kathy; Drotar, Dennis

doi:10.1093/jpepsy/jsj076

Cited by 64 publications

(60 citation statements)

References 36 publications

(38 reference statements)

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“…We found at the individual level, associations between depression and functional disability in children with SCD, which has been observed previously 12,13,30,31 . In this study, depression significantly accounted for variance in both parent and child functional disability assessments, as well as in psychosocial HRQOL.…”

Section: Discussionsupporting

confidence: 88%

Daily Functioning and Quality of Life in Children With Sickle Cell Disease Pain: Relationship With Family and Neighborhood Socioeconomic Distress

Palermo

Riley

Mitchell

2008

The Journal of Pain

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The aim of this study was to examine the relationship between individual/family and neighborhood socioeconomic distress, pain, and functional outcomes in children with sickle cell disease (SCD). We hypothesized that both individual economic distress as well as residence in neighborhoods of severe economic distress would predict children's level of pain-related functional disability and health related quality of life (HRQOL). Participants (mean age = 12.14 years, 57% male, n = 56) were recruited from an outpatient hematology clinic at a Midwestern tertiary referral hospital. Questionnaires assessing pain, depression, functional disability, and HRQOL were completed by children and their caregivers. Individual socioeconomic data including parental education and family income was reported by caregivers. Neighborhood socioeconomic distress was identified using publicly available census tract data, and was based on neighborhood poverty, female head of household, male unemployment, and high school dropout levels. Multivariate regression analyses revealed that individual/family socioeconomic distress was a significant predictor of children's functional disability and physical and psychosocial HRQOL. Neighborhood socioeconomic distress emerged as a significant independent predictor of physical HRQOL only, where living in a distressed neighborhood predicted diminished physical HRQOL. Findings suggest that individual socioeconomic status and neighborhood economic distress play similar but independent roles in predicting children's functional outcomes related to SCD pain.

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Section: Discussionsupporting

confidence: 88%

Daily Functioning and Quality of Life in Children With Sickle Cell Disease Pain: Relationship With Family and Neighborhood Socioeconomic Distress

Palermo

Riley

Mitchell

2008

The Journal of Pain

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“…Other studies have shown that pain characteristics do not account for a great deal of variance in global functional disability and that other factors (eg, psychological adjustment) contribute strongly to functional outcomes. 11,16,21,28,30,32,34,38 Additionally, in our specialized clinic setting there is little variability in pain reports across individuals. Perhaps in the case of school functioning, other relevant variables, for example, psychological adjustment, academic ability, parental responses, are so numerous and important that the influence of pain severity wanes in contrast.…”

Section: Discussionmentioning

confidence: 99%

“…Depression is particularly likely to contribute to school impairment in youth with chronic pain, given its strong contribution to overall functional impairment in this population 2,11,16,28 and its known effects on school functioning in other adolescent populations. 12,18,25 An additional area for future research is to assess and understand learning abilities among adolescents with chronic pain; possibly, premorbid subtle learning differences play a role in the pain-school avoidance cycle.…”

Section: Discussionmentioning

confidence: 99%

School Impairment in Adolescents With Chronic Pain

Logan

Simons

Stein

et al. 2008

The Journal of Pain

234

177

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“…Third, explained variance rates were very small. Other factors, both child-related factors, such as depression (Hoff et al, 2006;Gauntlett-Gilbert and Eccleston, 2007) and parent-related factors, such as parental attention to their child's pain (Chambers et al, 2002) need to be taken into account. Fourth, this study was designed conceptually and specifically to focus on the effects of specific variables.…”

Section: Discussionmentioning

confidence: 99%

Children's catastrophic thinking about their pain predicts pain and disability 6 months later

Vervoort

Eccleston

Goubert

et al. 2010

European Journal of Pain

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Catastrophic thinking about pain has been identified as an important determinant of adjustment to pain, in both adults and children. No study has investigated the prospective and unique role of catastrophizing in explaining later pain and disability in children. The aim of the present study was to investigate the prospective roles of catastrophic thinking about pain, pain intensity, and trait anxiety and their putative relationship with pain and disability tested 6 months later. Participants were 323 schoolchildren. Analyses revealed that the child's pain catastrophizing at baseline had a small but unique contribution to the prediction of pain and disability 6 months later, even when controlling for the initial pain and disability levels. In line with expectations, moderation analyses revealed that the effects of catastrophizing upon pain and disability at follow‐up were only true for those children reporting low levels intensity of pain at baseline. The variability in disability and pain complaint could not be explained by trait anxiety. Instead anxious disposition might be best conceived of as a precursor of catastrophizing in children; i.e. children with higher levels of trait anxiety at baseline were more inclined to report higher levels of catastrophizing at follow‐up. The findings are discussed in terms of potential mechanisms through which catastrophizing might exert its negative impact upon pain and disability outcomes in children.

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Longitudinal Relationships of Depressive Symptoms to Pain Intensity and Functional Disability Among Children with Disease-Related Pain

Abstract: Study findings suggest that T1-depressive symptoms play a role in the longitudinal course of pain symptoms in children with JIA but not in children with SCD.

Cited by 64 publications

References 36 publications

Daily Functioning and Quality of Life in Children With Sickle Cell Disease Pain: Relationship With Family and Neighborhood Socioeconomic Distress

Daily Functioning and Quality of Life in Children With Sickle Cell Disease Pain: Relationship With Family and Neighborhood Socioeconomic Distress

School Impairment in Adolescents With Chronic Pain

Children's catastrophic thinking about their pain predicts pain and disability 6 months later

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