Association between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children

Jennifer A. Rabbitts, Amy Holley, Cornelius B. Groenewald, Tonya M. Palermo

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Pain involving several body regions generally represents nervous system pathophysiology shifting from predominantly peripheral to more central. In adults, higher widespread pain scores are clinically meaningful and confer risk for poor response to treatment. It is unknown whether widespread pain is similarly important in children. To address this gap, we conducted an observational study examining 1) associations between widespread pain and functional impairment and health-related quality of life (HRQOL) in clinical pediatric samples, and 2) associations among sociodemographic factors and pain catastrophizing with widespread pain scores. Participants were 166 children aged 10 to 18 years from 3 samples (acute pain, presurgery, chronic pain). Children self-reported pain intensity, pain catastrophizing, functional impairment, and HRQOL. Children indicated pain locations on a body diagram, which was coded using the American College of Rheumatology definition of widespread pain. Results revealed higher widespread pain scores were associated with greater functional impairment with routine activities (F = 3.15, P =.02) and poorer HRQOL (F = 3.29, P =.02), adjusting for pain intensity, study group, and demographic characteristics. Older age (B =.11, P =.02), and Hispanic ethnicity (B =.67, P =.04) were associated with higher widespread pain scores. Findings support incorporating evaluation of widespread pain into pediatric pain assessment. Future research is needed to examine the longitudinal effect of widespread pain on children's treatment outcomes. Perspective This article examines the association between widespread pain scores and functional impairment and HRQOL in community and clinical samples of children. Assessment of the spatial distribution of the pain experience provides unique information that may identify children at risk for poorer health.

Original languageEnglish (US)
Pages (from-to)678-684
Number of pages7
JournalJournal of Pain
Volume17
Issue number6
DOIs
StatePublished - Jun 1 2016

Fingerprint

Quality of Life
Pain
Catastrophization
Pediatrics
Body Regions
Acute Pain
Pain Measurement
Hispanic Americans
Chronic Pain
Nervous System
Observational Studies
Demography

Keywords

  • acute pain
  • chronic pain
  • health outcomes
  • health-related quality of life
  • pain location
  • pediatric pain
  • surgery
  • Widespread pain

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Neurology
  • Clinical Neurology

Cite this

Association between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children. / Rabbitts, Jennifer A.; Holley, Amy; Groenewald, Cornelius B.; Palermo, Tonya M.

In: Journal of Pain, Vol. 17, No. 6, 01.06.2016, p. 678-684.

Research output: Contribution to journalArticle

Rabbitts, Jennifer A. ; Holley, Amy ; Groenewald, Cornelius B. ; Palermo, Tonya M. / Association between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children. In: Journal of Pain. 2016 ; Vol. 17, No. 6. pp. 678-684.
@article{f91d2695a5ff44cd9cba9f9dcb5a11de,
title = "Association between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children",
abstract = "Pain involving several body regions generally represents nervous system pathophysiology shifting from predominantly peripheral to more central. In adults, higher widespread pain scores are clinically meaningful and confer risk for poor response to treatment. It is unknown whether widespread pain is similarly important in children. To address this gap, we conducted an observational study examining 1) associations between widespread pain and functional impairment and health-related quality of life (HRQOL) in clinical pediatric samples, and 2) associations among sociodemographic factors and pain catastrophizing with widespread pain scores. Participants were 166 children aged 10 to 18 years from 3 samples (acute pain, presurgery, chronic pain). Children self-reported pain intensity, pain catastrophizing, functional impairment, and HRQOL. Children indicated pain locations on a body diagram, which was coded using the American College of Rheumatology definition of widespread pain. Results revealed higher widespread pain scores were associated with greater functional impairment with routine activities (F = 3.15, P =.02) and poorer HRQOL (F = 3.29, P =.02), adjusting for pain intensity, study group, and demographic characteristics. Older age (B =.11, P =.02), and Hispanic ethnicity (B =.67, P =.04) were associated with higher widespread pain scores. Findings support incorporating evaluation of widespread pain into pediatric pain assessment. Future research is needed to examine the longitudinal effect of widespread pain on children's treatment outcomes. Perspective This article examines the association between widespread pain scores and functional impairment and HRQOL in community and clinical samples of children. Assessment of the spatial distribution of the pain experience provides unique information that may identify children at risk for poorer health.",
keywords = "acute pain, chronic pain, health outcomes, health-related quality of life, pain location, pediatric pain, surgery, Widespread pain",
author = "Rabbitts, {Jennifer A.} and Amy Holley and Groenewald, {Cornelius B.} and Palermo, {Tonya M.}",
year = "2016",
month = "6",
day = "1",
doi = "10.1016/j.jpain.2016.02.005",
language = "English (US)",
volume = "17",
pages = "678--684",
journal = "Journal of Pain",
issn = "1526-5900",
publisher = "Churchill Livingstone",
number = "6",

}

TY - JOUR

T1 - Association between Widespread Pain Scores and Functional Impairment and Health-Related Quality of Life in Clinical Samples of Children

AU - Rabbitts, Jennifer A.

AU - Holley, Amy

AU - Groenewald, Cornelius B.

AU - Palermo, Tonya M.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Pain involving several body regions generally represents nervous system pathophysiology shifting from predominantly peripheral to more central. In adults, higher widespread pain scores are clinically meaningful and confer risk for poor response to treatment. It is unknown whether widespread pain is similarly important in children. To address this gap, we conducted an observational study examining 1) associations between widespread pain and functional impairment and health-related quality of life (HRQOL) in clinical pediatric samples, and 2) associations among sociodemographic factors and pain catastrophizing with widespread pain scores. Participants were 166 children aged 10 to 18 years from 3 samples (acute pain, presurgery, chronic pain). Children self-reported pain intensity, pain catastrophizing, functional impairment, and HRQOL. Children indicated pain locations on a body diagram, which was coded using the American College of Rheumatology definition of widespread pain. Results revealed higher widespread pain scores were associated with greater functional impairment with routine activities (F = 3.15, P =.02) and poorer HRQOL (F = 3.29, P =.02), adjusting for pain intensity, study group, and demographic characteristics. Older age (B =.11, P =.02), and Hispanic ethnicity (B =.67, P =.04) were associated with higher widespread pain scores. Findings support incorporating evaluation of widespread pain into pediatric pain assessment. Future research is needed to examine the longitudinal effect of widespread pain on children's treatment outcomes. Perspective This article examines the association between widespread pain scores and functional impairment and HRQOL in community and clinical samples of children. Assessment of the spatial distribution of the pain experience provides unique information that may identify children at risk for poorer health.

AB - Pain involving several body regions generally represents nervous system pathophysiology shifting from predominantly peripheral to more central. In adults, higher widespread pain scores are clinically meaningful and confer risk for poor response to treatment. It is unknown whether widespread pain is similarly important in children. To address this gap, we conducted an observational study examining 1) associations between widespread pain and functional impairment and health-related quality of life (HRQOL) in clinical pediatric samples, and 2) associations among sociodemographic factors and pain catastrophizing with widespread pain scores. Participants were 166 children aged 10 to 18 years from 3 samples (acute pain, presurgery, chronic pain). Children self-reported pain intensity, pain catastrophizing, functional impairment, and HRQOL. Children indicated pain locations on a body diagram, which was coded using the American College of Rheumatology definition of widespread pain. Results revealed higher widespread pain scores were associated with greater functional impairment with routine activities (F = 3.15, P =.02) and poorer HRQOL (F = 3.29, P =.02), adjusting for pain intensity, study group, and demographic characteristics. Older age (B =.11, P =.02), and Hispanic ethnicity (B =.67, P =.04) were associated with higher widespread pain scores. Findings support incorporating evaluation of widespread pain into pediatric pain assessment. Future research is needed to examine the longitudinal effect of widespread pain on children's treatment outcomes. Perspective This article examines the association between widespread pain scores and functional impairment and HRQOL in community and clinical samples of children. Assessment of the spatial distribution of the pain experience provides unique information that may identify children at risk for poorer health.

KW - acute pain

KW - chronic pain

KW - health outcomes

KW - health-related quality of life

KW - pain location

KW - pediatric pain

KW - surgery

KW - Widespread pain

UR - http://www.scopus.com/inward/record.url?scp=84971012226&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84971012226&partnerID=8YFLogxK

U2 - 10.1016/j.jpain.2016.02.005

DO - 10.1016/j.jpain.2016.02.005

M3 - Article

C2 - 26924379

AN - SCOPUS:84971012226

VL - 17

SP - 678

EP - 684

JO - Journal of Pain

JF - Journal of Pain

SN - 1526-5900

IS - 6

ER -