Sociodemographic and Environmental Factors are Associated with Adolescents’ Pain and Longitudinal Health Outcomes

Tran, Susan T.; Koven, Marissa L.; Castro, Ashley S.; Arce, Ana B. Goya; Carter, Jocelyn S.

doi:10.1016/j.jpain.2019.06.007

Cited by 22 publications

(25 citation statements)

References 43 publications

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“…Having a chronically ill sibling can be viewed as an environmental stressor, and the research is clear that youth respond differently to various types of environmental stressors (Mance et al, 2019; McMahon et al, 2013). Many youth have an increased risk for social and behavioral challenges as a result of stress, although others develop resilient characteristics (Aronowitz, 2005; Tran et al, 2020). The second major theme describes the psychosocial adjustment of HS to chronic illness.…”

Section: Resultsmentioning

confidence: 99%

Sibling Adjustment to Childhood Chronic Illness: An Integrative Review

Lummer-Aikey

Goldstein

2020

J Fam Nurs

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Siblings of children with a chronic illness are among the close family members impacted by childhood chronic illness. Family roles, routines, and functioning are adjusted to fit the needs of the child and family throughout the course of the illness. Empirical articles regarding adjustment of healthy siblings of children with chronic illnesses ages 0 to 17 years, published in 2000 to 2019 were searched on PsycInfo, PubMed, and Medline using the keywords “sibling adjustment,” “sibling chronic,” and “sibling illness.” Through thematic synthesis, four broad topics emerged concerning sibling adjustment to chronic illness: (a) experiences, (b) psychosocial adjustment, (c) coping, and (d) communication. Implications for family nursing and family health practitioners and future research directions are presented.

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Section: Resultsmentioning

confidence: 99%

Sibling Adjustment to Childhood Chronic Illness: An Integrative Review

Lummer-Aikey

Goldstein

2020

J Fam Nurs

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“…Second, the majority of families in the current study were white and of higher socioeconomic status (i.e., well educated, employed, and high household income). Sociodemographic disparities are integrally related to both trauma and pain [ 79 , 80 , 81 , 82 ] and the results of this study may not generalize to other populations. Third, since there are likely a large number of factors contributing to gene expression levels, we are unable to account for all possible contributing factors.…”

Section: Discussionmentioning

confidence: 89%

A Pilot Study Investigating the Role of Gender in the Intergenerational Relationships between Gene Expression, Chronic Pain, and Adverse Childhood Experiences in a Clinical Sample of Youth with Chronic Pain

et al. 2021

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Chronic pain is a highly prevalent and costly issue that often emerges during childhood or adolescence and persists into adulthood. Adverse childhood experiences (ACEs) increase risk for several adverse health conditions, including chronic pain. Recent evidence suggests that parental trauma (ACEs, post-traumatic stress disorder (PTSD) symptoms) confers risk of poor health outcomes in their children. Intergenerational relationships between parental trauma and child chronic pain may be mediated by epigenetic mechanisms. A clinical sample of youth with chronic pain and their parents completed psychometrically sound questionnaires assessing ACEs, PTSD symptoms, and chronic pain, and provided a saliva sample. These were used to investigate the intergenerational relationships between four epigenetic biomarkers (COMT, DRD2, GR, and SERT), trauma, and chronic pain. The results indicated that the significant biomarkers were dependent upon the gender of the child, wherein parental ACEs significantly correlated with changes in DRD2 expression in female children and altered COMT expression in the parents of male children. Additionally, the nature of the ACE (maltreatment vs. household dysfunction) was associated with the specific epigenetic changes. There may be different pathways through which parental ACEs confer risk for poor outcomes for males and females, highlighting the importance of child gender in future investigations.

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“…The current study did not find any evidence for moderation of identity characteristics. Though no study to our knowledge has specifically looked at the moderating effects of identity among the relationships between pain and physical activity, there is evidence from other studies that marginalized groups are at an inequitable risk of worse pain experiences [ 8 , 26 , 27 , 28 , 29 , 31 , 32 , 34 , 58 ] and lower rates of physical activity [ 19 , 35 , 36 , 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…This finding conflicts with some research finding the opposite phenomenon [ 26 , 27 , 58 ]. Perhaps this finding suggests that reports of pain are experienced differently than the impact of pain; other research has found that white adolescents also report more pain than those of color [ 34 ]. Findings from experimentally induced pain studies examining conditioned pain modulation, an identified risk factor of chronic pain, demonstrated that when engaging in similar levels of physical activity as their white peers, African American/Black and Latinx young adults exhibited the same conditioned pain responses [ 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

“…Upstream factors, or those at the root of health inequities, such as economic and social resources, educational attainment, living and working conditions, and systematic oppression have been shown to be causally linked to downstream factors, or those most often attributed in explaining health outcomes, like behavior and health care utilization [ 24 ]. Research has shown that pain is inequitably experienced by different sociodemographic groups, with worse pain experiences (frequency and severity; greater risk for pain related disability) among Latinx and Black/African American adults with chronic pain, women, and those with lower SES [ 8 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ]. Further, Black/African American and Hispanic adults, women, and those with low SES report lower rates of physical activity [ 19 , 35 , 36 , 37 , 38 ] than their white, male, and higher SES counterparts.…”

Section: Introductionmentioning

confidence: 99%

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Using Technology to Assess Bidirectionality between Daily Pain and Physical Activity: The Role of Marginalization during Emerging Adulthood

et al. 2021

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Emerging adulthood is often overlooked as a developmental time period critical to shaping future health outcomes. Recurrent pain is a commonly experienced health concern within this age group, particularly headaches and low back pain, and early experiences of recurrent pain are related to subsequent chronic pain and disability. Furthermore, adults from marginalized populations report more frequent and severe recurrent pain. Many studies have demonstrated the therapeutic effect of physical activity on pain relief; however, others have demonstrated that physical activity can also exacerbate pain symptoms. Therefore, the current study aimed to (1) assess a bidirectional relationship between reported pain and engagement in physical activity among an emerging adult sample (N = 265) and (2) determine whether sociodemographic factors moderate this relationship. Using longitudinal daily reported pain and ActiGraph monitor data collected over two weeks, a novel dynamic structural equation modeling approach was employed. Results indicated no significant cross-lagged relationships between pain and physical activity, and no significant moderation effects. These findings suggest that a bidirectional relationship does not exist among a diverse college sample of emerging adults even after considering sociodemographic moderators. Excellent retention and few missing data suggest that using accelerometers and daily diaries are feasible methods to collect data in this population. Sample considerations and future analytical approaches are discussed.

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Sociodemographic and Environmental Factors are Associated with Adolescents’ Pain and Longitudinal Health Outcomes

Cited by 22 publications

References 43 publications

Sibling Adjustment to Childhood Chronic Illness: An Integrative Review

Sibling Adjustment to Childhood Chronic Illness: An Integrative Review

A Pilot Study Investigating the Role of Gender in the Intergenerational Relationships between Gene Expression, Chronic Pain, and Adverse Childhood Experiences in a Clinical Sample of Youth with Chronic Pain

Using Technology to Assess Bidirectionality between Daily Pain and Physical Activity: The Role of Marginalization during Emerging Adulthood

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