The association of adverse childhood experiences and of resilience with chronic noncancer pain in the German adult population – A cross‐sectional survey

Haüser, Winfried; Brähler, Elmar; Schmutzer, Gabriele; Glaesmer, Heide

doi:10.1002/ejp.1329

Cited by 10 publications

(16 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our search identified 8320 articles, from which we included 85 studies reported in 87 articles ( Figure 1 ). 73 studies used a cross-sectional (Afifi et al, 2016 ; 2013 ; Alhalal et al, 2018 ; Anno et al, 2015 ; Badley et al, 2019 ; Baiden et al, 2021 ; Barron, 1997 ; Bendixen et al, 1994 ; Bottiroli et al, 2018 ; Brennenstuhl & Fuller-Thomson, 2015 ; Brown et al, 2018 ; Chartier et al, 2007 , 2010 ; Coles et al, 2015 ; Dennis et al, 2019 ; Díaz-Olavarrieta et al, 2002 ; England-Mason et al, 2018 ; Eriksen et al, 2016 ; Fowler et al, 2020 ; 2009 ; 2011 ; Hammond & Colman, 2020 ; Hanlon et al, 2020 ; Hart-Johnson & Green, 2012 ; Häuser et al, 2018 ; Jamieson & Steege, 1997 ; Jiao et al, 2015 ; Kamiya et al, 2016 ; Kascakova et al, 2020 ; Lee et al, 2009 ; Lin et al, 2021 ; Mays et al, 2021 ; McBeth et al, 2015 ; Nicol et al, 2016 ; Noteboom et al, 2021 ; Park et al, 2014a ; Pebole et al, 2022 ; Pierce et al, 2020 ; Reuchlein et al, 2016 ; Riedl et al, 2019 ; Sachs-Ericsson et al, 2007 ; 2017 ; Schrepf et al, 2018 ; Scott et al, 2011 ; Sheikh, 2018 , 2019 ; Shields et al, 2015 ; Sprang et al, 2020 ; Springer et al, 2007 ; Stickley et al, 2015 ; Talley et al, 1998 ; 1994 ; Tietjen et al, 2009 ; 2010 ...…”

Section: Resultsunclassified

“…Three studies covered multiple countries (Lee et al, 2009 ; Reuchlein et al, 2016 ; Scott et al, 2011 ), ACEs were collected through self-reported questionnaires ( n = 76) (Afifi et al, 2016 ; 2013 ; Alhalal et al, 2018 ; Anda et al, 2010 ; As-Sanie et al, 2014 ; Bacon & White, 2022 ; Badley et al, 2019 ; Baiden et al, 2021 ; Barron, 1997 ; Bellis et al, 2018 ; Bendixen et al, 1994 ; Bottiroli et al, 2018 ; Bradford et al, 2012 ; Brennenstuhl & Fuller-Thomson, 2015 ; Brown et al, 2018 ; Chartier et al, 2007 , 2010 ; Coles et al, 2015 ; Daily et al, 2022 ; Dennis et al, 2019 ; Díaz-Olavarrieta et al, 2002 ; England-Mason et al, 2018 ; Eriksen et al, 2016 ; Fowler et al, 2020 ; Fuller-Thomson et al, 2009 ; 2011 ; Hammond & Colman, 2020 ; Hanlon et al, 2020 ; Hart-Johnson & Green, 2012 ; Häuser et al, 2012 ; 2018 ; Jamieson & Steege, 1997 ; Ju et al, 2020 ; Kamiya et al, 2016 ; Kascakova et al, 2020 ; Kopec & Sayre, 2005 ; Li et al, 2022 ; Lin et al, 2021 ; Mays et al, 2021 ; McBeth et al, 2015 ; Nicol et al, 2016 ; Park et al, 2016 ; Pebole et al, 2022 ; Pierce et al, 2020 ; 2022 ; Piontek et al, 2021 ; Rahal et al, 2020 ; Raphael et al, 2001 ; Reuchlein et al, 2016 ; Riedl et al, 2019 ; Schlauch et al, 2022 ; Schrepf et al, …”

Section: Resultsunclassified

See 1 more Smart Citation

Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis

Bussières,

Hancock,

Elklit

et al. 2023

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Adverse childhood experiences (ACEs) have been shown to negatively affect health in adulthood. Estimates of associations between ACEs and chronic painful conditions are lacking. Objectives: This systematic review and meta-analysis aimed to evaluate associations between exposure to ACEs and chronic pain and pain-related disability in adults. Methods: We searched 10 electronic databases from inception to February 2023. We included observational studies assessing associations between direct ACEs (childhood sexual, physical, emotional abuse, or neglect) alone or in combination with indirect ACEs (witnessing domestic violence, household mental illness), and adult chronic pain (≥3 months duration) and pain-related disability (daily activities limited by chronic pain). Pairs of reviewers independently extracted data and assessed study risks of bias. Random-effect models were used to calculate pooled adjusted odds ratios [aOR]. Tau square [T 2 ], 95% prediction intervals [95%PI] and I 2 expressed the amount of heterogeneity, and meta-regressions and subgroup meta-analyses investigated sources of heterogeneity (PROSPERO: CRD42020150230). Results: We identified 85 studies including 826,452 adults of which 57 studies were included in meta-analyses. Study quality was generally good or fair ( n = 70). The odds of reporting chronic pain in adulthood were significantly higher among individuals exposed to a direct ACE (aOR, 1.45, 95%CI, 1.38–1.53). Individuals reporting childhood physical abuse were significantly more likely to report both chronic pain (aOR, 1.50, 95CI, 1.39–1.64) and pain-related disability (1.46, 95CI, 1.03–2.08) during adulthood. Exposure to any ACEs alone or combined with indirect ACEs significantly increase the odds of adult chronic painful conditions (aOR, 1.53, 95%CI, 1.42–1.65) and pain-related disability (aOR, 1.29; 95%CI, 1.01–1.66). The risk of chronic pain in adulthood significantly increased from one ACE (aOR, 1.29, 95%CI, 1.22–1.37) to four or more ACEs (1.95, 95%CI, 1.73–2.19). Conclusions: Single and cumulative ACEs are significantly associated with reporting of chronic pain and pain-related disability as an adult.

show abstract

Section: Resultsunclassified

Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis

Bussières,

Hancock,

Elklit

et al. 2023

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…These include physical, emotional or sexual abuse, neglect, poverty, parental incarceration, parental divorce, domestic violence or parental mental health disorders. The ACEQ has been used in several studies of early‐life adversity (Häuser et al., 2019; Merrick et al., 2019) and until recently was the primary tool of the Centres for Disease Control—Kaiser Adverse Childhood Experiences longitudinal population‐level cohort study ( https://www.cdc.gov/violenceprevention/childabuseandneglect/acestudy, last accessed Sept. 11, 2019). The Brief Illness Perceptions Questionnaire (BIPQ). The BIPQ is a shortened 10‐item version of the full Illness Perceptions Questionnaire that taps the primary domains of Leventhal's Common Sense Model of Illness Representations (Leventhal et al., 1997).…”

Section: Methodsmentioning

confidence: 99%

Effects of childhood trauma on pain‐related distress in adults

Walton

Tremblay

Seo

et al. 2021

European Journal of Pain

View full text Add to dashboard Cite

Background Much of the work in post‐musculoskeletal (MSK) trauma and distress has been conducted through frameworks that start from the injury and go forward to better understand the trajectories and predictors of recovery. However, stress–diatheses models suggest that reactions to trauma are shaped by pre‐existing experiences of the person more than the parameters of the event itself. In this study, we explore the effects of adverse childhood experiences (ACEs) on traumatic threat appraisal, distress and pain‐related functional interference in adulthood. Methods Adult participants with acute, non‐catastrophic musculoskeletal trauma completed a battery of questionnaires that included the Adverse Childhood Experiences Questionnaire (ACEQ), the Brief Illness Perceptions Questionnaire (BIPQ), the Traumatic Injuries Distress Scale (TIDS) and the Brief Pain Inventory (BPI). An a priori model was evaluated through path analysis to determine the variance in BPI Interference scores explained through direct or indirect pathways between these variables (ACEQ‐>BIPQ, BIPQ‐>TIDS, TIDS‐>BPI). The analysis was repeated for the sample when disaggregated by sex. Results In n = 114, the base model was saturated. After removing non‐significant pathways, the ACEQ‐>BIPQ‐>TIDS‐>BPI paths were significant and in the expected direction, explaining 57.1% of variance in acute BPI Interference score. When disaggregated by sex, the effect of ACEs on threat appraisal was only significant in men and not women, although this analysis was exploratory. Conclusions Acute pain‐related interference could be predicted by post‐traumatic distress and threat appraisal. Threat appraisal could be further predicted through ACEs, more childhood adversities were associated with more threatening appraisal of trauma in adulthood. The disaggregated finding that the effects of childhood adversities were only significant in males requires further exploration. Significance This study explores the potential pathways of the stress–diathesis model while focusing on adverse childhood experiences as a novel contribution to the field of acute post‐trauma pain. The findings may inform future research design and interpretation of acute‐to‐chronic pain risk stratification tools.

show abstract

“…Die Lebenszeitprävalenz der sexualisierten Gewalt im Kindes-und Jugendalter lag in unserer Studie bei 18,2 % und war damit höher als bisher für Deutschland berichtet [18,21,32]. Gründe hierfür könnten der Pilotcharakter der Studie mit einer überschaubaren Stichprobengröße und der breit gewählte Begriff der sexualisier-▶Abb.…”

Section: Diskussionunclassified

“…In Deutschland gab es seit den 2010er Jahren mehrere retrospektive Querschnittsstudien mit repräsentativen Bevölkerungsstichproben volljähriger Personen aus Privathaushalten zur Häufigkeit sexualisierter Gewalt in Kindheit und Jugend [17][18][19][20][21][22][23][24][25], wobei die Daten der sogenannten MiKADO-Studie bisher nicht wissenschaftlich begutachtet veröffentlicht wurden. Je nach Definition sexualisierter Gewalt, des Schutzalters, der einbezogenen Aus-kunftsquellen und Tätergruppen wurden Lebenszeitprävalenzen zwischen 2,5 % [22] und 13,9 % [21] identifiziert, die zudem nicht auf eine Rückläufigkeit dieser gesamtgesellschaftlichen Herausforderung hinweisen.…”

Section: Introductionunclassified

Ein Schritt ins Dunkle: Pilotstudie zu Prävalenz, situativem Kontext und Folgen sexualisierter Gewalt gegen Kinder und Jugendliche in Deutschland

et al. 2022

View full text Add to dashboard Cite

Zusammenfassung Ziel der Studie war die Erfassung des Ausmaßes sexualisierter Gewalt gegen Kinder und Jugendliche, der unterschiedlichen Tatkontexte und Folgen sexualisierter Gewalt. Methodik Es wurde eine Zufallsstichprobe aus einer städtischen Bevölkerung (18–69 Jahre) erhoben, die zum aktuellen Wohlbefinden, zu Hilfsangeboten für Kinder und Jugendliche bei sexualisierter Gewalt und zu Erfahrungen mit sexualisierter Gewalt im Kindes- und Jugendalter mittels einer Hybridumfrage befragt wurden. Ergebnisse Der Rücklauf betrug n=159 (17,3%). Es gaben 18,2% an, mindestens einmal in der Kindheit oder Jugend Opfer sexualisierter Gewalt geworden zu sein. Davon berichteten 34,5% zum ersten Mal von diesen Ereignissen. Das psychische Wohlbefinden war in der Gruppe der von sexualisierter Gewalt Betroffenen signifikant geringer. Die Kenntnis zu Hilfsangeboten war bei allen Teilnehmenden eher gering. Schlussfolgerung Die gewählte Methode ließe sich im Rahmen einer bundesweiten repräsentativen Befragung anwenden, um Einblicke in das Dunkelfeld der sexualisierten Gewalt zu geben.

show abstract

The association of adverse childhood experiences and of resilience with chronic noncancer pain in the German adult population – A cross‐sectional survey

Cited by 10 publications

References 35 publications

Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis

Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis

Effects of childhood trauma on pain‐related distress in adults

Ein Schritt ins Dunkle: Pilotstudie zu Prävalenz, situativem Kontext und Folgen sexualisierter Gewalt gegen Kinder und Jugendliche in Deutschland

Contact Info

Product

Resources

About