Prevalence, Patterns, and Correlates of Pain in Medically Hospitalized Pediatric Patients With Somatic Symptom and Related Disorders

Ibeziako, Patricia; Randall, Edin T.; Vassilopoulos, Areti; Choi, Christine; Thomson, Katharine; Ribeiro, Monique; Fernandes, Serena; Thom, Robyn P.; Bujoreanu, Simona

doi:10.1016/j.psym.2020.05.008

Cited by 7 publications

(8 citation statements)

References 29 publications

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“…Although the results for physical abuse, emotional neglect, and physical neglect showed no predictive effect in the statistical analysis, this does not mean that they have no predictive effect on somatic complaints. For instance, Ibeziako et al found that neglect affected the range of pain sites in pediatric patients with somatic symptoms and related disorders ( 65 ). Longitudinal research is needed to verify this relationship.…”

Section: Discussionmentioning

confidence: 99%

Association Between Hyperactivity Symptoms and Somatic Complaints: Mediating and Moderating Mechanisms in Childhood Trauma and Life Events Among Chinese Male Adolescents

Yang

Cui

et al. 2021

Front. Psychiatry

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Background: Prior research has found that attention deficit/hyperactivity disorder (ADHD) – particularly hyperactivity symptoms – is associated with various somatic complaints. The present study further tests the relationship between hyperactivity symptoms and somatic complaints in Chinese male adolescents and explores the underlying moderating and mediating mechanisms.Methods: Our sample included 1,586 males (age = 12–16) recruited as part of an epidemiological study of child and adolescent mental disorders from April to July, 2014. Hyperactivity symptoms and somatic complaints were assessed with Achenbach's Child Behavior Checklist (CBCL), and the Childhood Trauma Questionnaire Short Form (CTQ-SF) and Adolescent Life Events Scale (ASLEC) were used to assess exposure to childhood trauma and recent life events.Results: Adolescents with hyperactivity symptoms experienced more emotional abuse, physical abuse, life events, and reported more somatic complaints symptoms (p < 0.0083 or p < 0.05). Linear regression analysis showed that hyperactivity, total childhood trauma score/emotional abuse and sexual abuse and ASLEC score significantly predicted somatic complaints (all p < 0.05). Emotional abuse and life events mediated the relationship between hyperactivity symptoms and somatic complaints. Furthermore, childhood trauma moderated the path between hyperactivity symptoms and ASLEC in the moderation mediation model for predicting somatic complaints (p < 0.05).Conclusions: Hyperactivity symptoms had a significant impact on somatic complaints among Chinese male adolescents. Furthermore, childhood trauma and life events affected the relationship between hyperactivity symptoms and somatic complaints. Interventions for somatic complaints in male adolescents with hyperactivity symptoms should thus consider history of childhood trauma and life events.

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Section: Discussionmentioning

confidence: 99%

Association Between Hyperactivity Symptoms and Somatic Complaints: Mediating and Moderating Mechanisms in Childhood Trauma and Life Events Among Chinese Male Adolescents

Yang

Cui

et al. 2021

Front. Psychiatry

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“…The pooled effect size for the prevalence of anxiety from 12 studies 3,4,9,10,12,18,39,41,79,80,84,98 was 28.8% (95% CI 20.3-39.1). There was evidence of significant between-study heterogeneity of effect sizes ( Q = 215.42, P < 0.10; I 2 = 94.89), and thus, moderator analyses were conducted.…”

Section: Resultsmentioning

confidence: 97%

“…The pooled effect size for the prevalence of depression from 17 studies (19 samples) [2][3][4]9,10,12,18,31,38,41,52,65,79,80,84,91,98 was 20.0% (95% CI 15.7-25.2). Heterogeneity statistics were significant (Q 5 199.26, P , 0.10; I 2 5 90.97), and 6 moderators were examined (type of sample, type of child chronic pain, timing of parent mental health, child age, sex/gender, and race/ethnicity).…”

Section: Parent Depressionmentioning

confidence: 99%

The association between parent mental health and pediatric chronic pain: a systematic review and meta-analysis

Beveridge,

Noel,

Soltani

et al. 2023

Pain

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Mental health problems are common among parents of children with chronic pain and associated with worse outcomes for the child with chronic pain. However, the effect sizes of these associations between parent mental health and pediatric chronic pain vary widely across studies. The aim of this systematic review and meta-analysis was to generate pooled estimates of the (1) prevalence of mental health problems among parents of children with chronic pain and (2) associations between parent mental health and the (2a) presence of child chronic pain and (2b) functioning of children with chronic pain. Embase, MEDLINE, PsycINFO, Web of Science, and CINAHL were searched up to November 2022. Observational studies that examined symptoms or diagnoses of parent anxiety, depression, or general distress and the presence of child chronic pain and/or related functioning were included. From 32,848 records, 2 coders identified 49 studies to include in random-effects meta-analyses. The results revealed that mental health problems among parents of children with chronic pain were common (anxiety: 28.8% [95% CI 20.3-39.1]; depression: 20.0% [15.7-25.2]; general distress: 32.4% [22.7-44.0]). Poorer parent mental health was significantly associated with the presence of chronic pain (anxiety: OR = 1.91 [1.51-2.41]; depression: OR = 1.90 [1.51-2.38]; general distress: OR = 1.74 [1.47-2.05]) and worse related functioning (ie, pain intensity, physical functioning, anxiety and depression symptoms; rs = 0.10-0.25, all Ps < 0.05) in children. Moderator analyses were generally nonsignificant or could not be conducted because of insufficient data. Findings support the importance of addressing parent mental health in the prevention and treatment of pediatric chronic pain.

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“…The effects on family life appear to be multidirectional, with family history of chronic pain appearing to be a risk factor for the development of chronic pain within this study. Furthermore, family members' psychological distress has been shown in previous studies to be linked to spreading somatic pain to new sites and result in severe chronic pain (9). Children of parents with chronic pain may have an elevated risk of developing pain-related disability in consequence of several composite interactions (23).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, one or more criterium is required to establish the diagnosis: high levels of anxiety about symptoms, excessive energy devoted to health concerns, disproportionate and persistent thoughts about the seriousness of one's symptoms (8). In a retrospective chart review of pediatric patients hospitalized with somatic symptom and related disorders (SSRD) diagnosis, 97% reported pain as part of the SSRD (9).…”

Section: Introductionmentioning

confidence: 99%

Pediatric Chronic Pain, Resilience and Psychiatric Comorbidity in Canada: A Retrospective, Comparative Analysis

2022

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ObjectiveChronic pain compromises child and adolescent well-being and development. This study aimed to identify risk factors for chronic pain and exploration of how young people negotiate such risks and express resilience. We hypothesized children and youth with chronic pain would report greater prevalence of mental health disorders than the general population; and those demonstrating greater resilience would demonstrate less psychiatric comorbidity.MethodA retrospective chart review was conducted for all patients (ages 7–17) attending the sole pediatric chronic pain clinic in Manitoba, from 2015 to 2019 (N = 116). Patients' demographic information and psychiatric illness burden were compared to provincial epidemiological data using Chi-Square tests. Pain sites, family history, psychiatric illness, psychosocial functioning, treatment history and treatment recommendations were explored.ResultsThe sample was predominantly female (74%; N = 114). Sixty-eight percent of patients reported a family history of chronic pain. Thirty-seven percent of the patients (vs. 14.0% anticipated; N = 326 260) reported comorbid psychiatric disorder, X2 (1, N = 114) = 53.00, p < 0.001. Thirty-two percent reported diagnosis of mood and/or anxiety disorder (vs. 7.3%), X2 (1, N = 114) = 99.34, p < 0.001. Children and youth demonstrating resilience through engagement in more prosocial behaviors reported fewer psychiatric symptoms (rs = −0.292, N = 114, p = 0.002, Spearman's correlation).ConclusionsFemale sex, family history, and lower socioeconomic status were associated with chronic pain. Psychiatric conditions were more prevalent in chronic pain patients than in the general population. Approaching chronic pain from a mind-body perspective, while building on patients' strengths, is central to informing treatment.

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Prevalence, Patterns, and Correlates of Pain in Medically Hospitalized Pediatric Patients With Somatic Symptom and Related Disorders

Cited by 7 publications

References 29 publications

Association Between Hyperactivity Symptoms and Somatic Complaints: Mediating and Moderating Mechanisms in Childhood Trauma and Life Events Among Chinese Male Adolescents

Association Between Hyperactivity Symptoms and Somatic Complaints: Mediating and Moderating Mechanisms in Childhood Trauma and Life Events Among Chinese Male Adolescents

The association between parent mental health and pediatric chronic pain: a systematic review and meta-analysis

Pediatric Chronic Pain, Resilience and Psychiatric Comorbidity in Canada: A Retrospective, Comparative Analysis

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