Predicting Multiple Facets of School Functioning in Pediatric Chronic Pain

Khan, Kim Anderson; Tran, Susan T.; Mano, Kristen E. Jastrowski; Simpson, Pippa; Cao, Yumei; Hainsworth, Keri R.

doi:10.1097/ajp.0000000000000181

Cited by 33 publications

(26 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emotional vulnerability in young children with chronic illness has been previously documented (Bell, Bayliss, Glauert, Harrison, & Ohan, ). Patients with pediatric chronic pain more frequently miss school or other academic activities because of their symptoms (Kahn et al, ) and are more likely to show signs of withdrawal and other internalizing tendencies (Pascali et al, ). Thus, while the sample as a whole does not appear to have significant psychological difficulties, it will be important for clinicians to identify those children who might be at risk for psychosocial difficulties and who would benefit from intervention services.…”

Section: Discussionmentioning

confidence: 99%

Quality of life and psychological functioning of pediatric and young adult patients with Gaucher disease, type 1

Alioto

Gomez

Moses

et al. 2020

American J of Med Genetics Pt A

View full text Add to dashboard Cite

This study examined the health-related quality of life (HRQoL) and psychological functioning of children and young adults with Gaucher disease, type 1 (GD1). Thirty-two (17 pediatric, 15 young adult) patients with GD1 and one parent completed ageappropriate assessments of HRQoL, emotional, and behavioral health. The HRQoL of children with GD1 was compared with a healthy sample and to children diagnosed with Fabry disease (FD; another lysosomal storage disease), while young adults were compared to a healthy sample and to patients with self-reported chronic illnesses. Children with GD1 reported significantly lower HRQoL across all domains relative to healthy counterparts yet comparable HRQoL compared to children with FD. Young adults reported mildly lower physical functioning than healthy peers, but no differences in HRQoL relative to the chronic illness sample. Parent-reported symptom severity was associated with poorer HRQOL in children but not young adults. Few group differences in psychological functioning were observed, except young children showed more school problems than the normative average and there was a trend toward internalizing symptoms. Overall, results consistently identified younger patients with GD1 as more affected than older patients in HRQoL and psychological domains. Implementation of psychosocial interventions may be particularly beneficial during early childhood. K E Y W O R D SGaucher disease, health-related quality of life, inborn error of metabolism, pediatric, psychological functioning

show abstract

Section: Discussionmentioning

confidence: 99%

Quality of life and psychological functioning of pediatric and young adult patients with Gaucher disease, type 1

Alioto

Gomez

Moses

et al. 2020

American J of Med Genetics Pt A

View full text Add to dashboard Cite

show abstract

“…Addressing these factors in a group setting can help youth return to school and thereby improve school performance. In a study of 349 youth treated in a chronic pain clinic, Khan et al [34] found that anxiety played an important role in both school attendance and function while at school. Addressing anxiety, enhancing self-confidence and self-efficacy, and assisting teens in developing methods to manage anxiety using CBT, are all pillars of practice that are incorporated into our program.…”

Section: Discussionmentioning

confidence: 99%

Supporting Teens with Chronic Pain to Obtain High School Credits: Chronic Pain 35 in Alberta

et al. 2016

View full text Add to dashboard Cite

Chronic pain is a significant problem in children and teens, and adolescents with chronic pain often struggle to attend school on a regular basis. We present in this article a novel program we developed that integrates attendance at a group cognitive-behavioural chronic pain self-management program with earning high school credits. We collaborated with Alberta Education in the development of this course, Chronic Pain 35. Adolescents who choose to enroll are invited to demonstrate their scientific knowledge related to pain, understanding of and engagement with treatment homework, and demonstrate their creativity by completing a project, which demonstrates at least one concept. Integrating Chronic Pain 35 into an adolescent’s academic achievements is a creative strategy that facilitates the engagement of adolescents in learning and adopting pain coping techniques. It also helps teens to advocate for themselves in the school environment and improve their parents’ and teachers’ understanding of adolescent chronic pain. This is one of the first successful collaborations between a pediatric health program and provincial education leaders, aimed at integrating learning and obtaining school credit for learning about and engaging in health self-management for teens. The authors hope this paper serves as an effective reference model for any future collaborating programs aimed at supporting teens with chronic pain to obtain high school credits.

show abstract

“…In fact, school absence rates in pediatric chronic pain possibly exceed rates of absenteeism due to other chronic health conditions [ 34 ]. Youth with chronic pain who frequently experience periods of missed school often fall behind academically as a result of their pain symptoms [ 18 , 23 , 35 , 37 , 38 ]. Chronic pain patients also report lower grades and other maladaptive school-related behaviors following the onset of pain [ 37 , 39 ].…”

Section: School-related Anxiety and Impairment In Pediatric Chronimentioning

confidence: 99%

“…Despite overwhelming evidence of school anxiety among pediatric pain patients [ 18 – 20 ], research focused specifically on the measurement of school anxiety symptoms remains largely undeveloped. There is a need for more tailored assessment strategies targeting school anxiety in pediatric chronic pain [ 20 – 23 ] as clarifying the nature and extent of school anxiety in pediatric chronic pain has important implications for theory, assessment, and intervention.…”

Section: Introductionmentioning

confidence: 99%

School Anxiety in Children and Adolescents with Chronic Pain

Mano

2017

Pain Research and Management

View full text Add to dashboard Cite

Anxiety is highly prevalent in pediatric chronic pain. This comorbidity has been explained by the presence of shared mechanisms underlying the development and maintenance of chronic pain and anxiety. Accumulating evidence demonstrates that school is a significant source of anxiety among youth with chronic pain and that anxiety contributes to school-related functional impairment in this population. This article reviews the cooccurrence of pediatric chronic pain and anxiety, identifies unique sources of heightened school anxiety among youth with chronic pain, and describes current approaches for assessing anxiety in pediatric pain settings. Highlighted by this review is the absence of a comprehensive evidence-based approach for assessing school anxiety in pediatric chronic pain. Given the psychometric limitations inherent to gathering data from a single source, recommendations for advancing measurement methods are provided. Novel approaches may be needed to shed more light on the way in which school anxiety is experienced in pediatric chronic pain.

show abstract

Predicting Multiple Facets of School Functioning in Pediatric Chronic Pain

Cited by 33 publications

References 46 publications

Quality of life and psychological functioning of pediatric and young adult patients with Gaucher disease, type 1

Quality of life and psychological functioning of pediatric and young adult patients with Gaucher disease, type 1

Supporting Teens with Chronic Pain to Obtain High School Credits: Chronic Pain 35 in Alberta

School Anxiety in Children and Adolescents with Chronic Pain

Contact Info

Product

Resources

About