nach oben

European Child & Adolescent Psychiatry

Erschienen in:

01.05.2015 | Original Contribution

Chronic multisite pain in adolescent girls and boys with emotional and behavioral problems: the Young-HUNT study

verfasst von: Marit Skrove, Pål Romundstad, Marit S. Indredavik

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to assess the prevalence of chronic multisite pain with high disability in relation to emotional or behavioral problems and resilience factors in adolescence. A second aim was to investigate if resilience factors could attenuate the associations between psychiatric symptoms and chronic multisite pain. The study was based on a large cross-sectional study carried out in Norway between 2006 and 2008 and included 7,070 adolescents aged 13–19 years. Chronic multisite pain was defined as pain at least once a week during the last 3 months, scoring high on a disability index, and occurring in three or more locations. Chronic multisite pain was prevalent among adolescents with high scores (>85 %) for anxiety/depression, social anxiety, conduct or attention problems (22.8–31.0 % for girls, 8.8–19.0 % for boys). Several coexistent psychiatric symptoms increased the prevalence of chronic multisite pain for both girls and boys. Resilience factors, including high self-esteem, seldom feeling lonely, and high scores for family cohesion or social competence, were associated with a lower prevalence and markedly attenuated the association between psychiatric symptoms and chronic multisite pain. Psychiatrists should be careful to assess and treat comorbid chronic pain in adolescents with emotional or behavioral problems.

Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC (2007) The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull 133(4):581–624. doi:10.1037/0033-2909.133.4.581 PubMedCrossRef

Simons LE, Claar RL, Logan DL (2008) Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent’s pain behaviors. J Pediatr Psychol 33(8):894–904. doi:10.1093/jpepsy/jsn029 PubMedCentralPubMedCrossRef

Campo JV, Bridge J, Ehmann M, Altman S, Lucas A, Birmaher B, Di Lorenzo C, Iyengar S, Brent DA (2004) Recurrent abdominal pain, anxiety, and depression in primary care. Pediatrics 113(4):817–824PubMedCrossRef

Egger HL, Angold A, Costello EJ (1998) Headaches and psychopathology in children and adolescents. J Am Acad Child Adolesc Psychiatry 37(9):951–958. doi:10.1097/00004583-199809000-00015 PubMedCrossRef

Egger HL, Costello EJ, Erkanli A, Angold A (1999) Somatic complaints and psychopathology in children and adolescents: stomach aches, musculoskeletal pains, and headaches. J Am Acad Child Adolesc Psychiatry 38(7):852–860. doi:10.1097/00004583-199907000-00015 PubMedCrossRef

Fichtel A, Larsson B (2002) Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents. Headache 42(8):766–775PubMedCrossRef

Knook LM, Konijnenberg AY, van der Hoeven J, Kimpen JL, Buitelaar JK, van Engeland H, de Graeff-Meeder ER (2011) Psychiatric disorders in children and adolescents presenting with unexplained chronic pain: what is the prevalence and clinical relevancy? Eur Child Adolesc Psychiatry 20(1):39–48. doi:10.1007/s00787-010-0146-0 PubMedCentralPubMedCrossRef

Larsson B, Sund AM (2007) Emotional/behavioural, social correlates and one-year predictors of frequent pains among early adolescents: influences of pain characteristics. Eur J Pain 11(1):57–65. doi:10.1016/j.ejpain.2005.12.014 PubMedCrossRef

Lien L, Claussen B, Hauff E, Thoresen M, Bjertness E (2005) Bodily pain and associated mental distress among immigrant adolescents. A population-based cross-sectional study. Eur Child Adolesc Psychiatry 14(7):371–375. doi:10.1007/s00787-005-0484-5 PubMedCrossRef

10.

Luntamo T, Sourander A, Rihko M, Aromaa M, Helenius H, Koskelainen M, McGrath PJ (2012) Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents. Eur Child Adolesc Psychiatry 21(6):301–313. doi:10.1007/s00787-012-0261-1 PubMedCrossRef

11.

Pine DS, Cohen P, Brook J (1996) The association between major depression and headache: results of a longitudinal epidemiologic study in youth. J Child Adolesc Psychopharmacol 6(3):153–164PubMedCrossRef

12.

Mulvaney S, Lambert EW, Garber J, Walker LS (2006) Trajectories of symptoms and impairment for pediatric patients with functional abdominal pain: a 5-year longitudinal study. J Am Acad Child Adolesc Psychiatry 45(6):737–744. doi:10.1097/10.chi.0000214192.57993.06 PubMedCentralPubMedCrossRef

13.

Haraldstad K, Sorum R, Eide H, Natvig GK, Helseth S (2011) Pain in children and adolescents: prevalence, impact on daily life, and parents’ perception, a school survey. Scand J Caring Sci 25(1):27–36. doi:10.1111/j.1471-6712.2010.00785.x PubMedCrossRef

14.

Hoftun GB, Romundstad PR, Zwart JA, Rygg M (2011) Chronic idiopathic pain in adolescence––high prevalence and disability: the young HUNT Study 2008. Pain 152(10):2259–2266. doi:10.1016/j.pain.2011.05.007 PubMedCrossRef

15.

Beiter M, Ingersoll G, Ganser J, Orr DP (1991) Relationships of somatic symptoms to behavioral and emotional risk in young adolescents. J Pediatr 118(3):473–478PubMedCrossRef

16.

Kroner-Herwig B, Gassmann J, van Gessel H, Vath N (2011) Multiple pains in children and adolescents: a risk factor analysis in a longitudinal study. J Pediatr Psychol 36(4):420–432. doi:10.1093/jpepsy/jsq099 PubMedCrossRef

17.

Mikkelsson M, Salminen JJ, Sourander A, Kautiainen H (1998) Contributing factors to the persistence of musculoskeletal pain in preadolescents: a prospective 1-year follow-up study. Pain 77(1):67–72PubMedCrossRef

18.

Claar RL, Walker LS (2006) Functional assessment of pediatric pain patients: psychometric properties of the functional disability inventory. Pain 121(1–2):77–84. doi:10.1016/j.pain.2005.12.002 PubMedCentralPubMedCrossRef

19.

Costello DM, Swendsen J, Rose JS, Dierker LC (2008) Risk and protective factors associated with trajectories of depressed mood from adolescence to early adulthood. J Consult Clin Psychol 76(2):173–183. doi:10.1037/0022-006X.76.2.173 PubMedCentralPubMedCrossRef

20.

Ghandour RM, Overpeck MD, Huang ZJ, Kogan MD, Scheidt PC (2004) Headache, stomachache, backache, and morning fatigue among adolescent girls in the United States: associations with behavioral, sociodemographic, and environmental factors. Arch Pediatr Adolesc Med 158(8):797–803. doi:10.1001/archpedi.158.8.797 PubMedCrossRef

21.

Klineberg E, Clark C, Bhui KS, Haines MM, Viner RM, Head J, Woodley-Jones D, Stansfeld SA (2006) Social support, ethnicity and mental health in adolescents. Soc Psychiatry Psychiatr Epidemiol 41(9):755–760. doi:10.1007/s00127-006-0093-8 PubMedCrossRef

22.

Kristjansdottir G, Rhee H (2002) Risk factors of back pain frequency in schoolchildren: a search for explanations to a public health problem. Acta Paediatr 91(7):849–854PubMedCrossRef

23.

Forgeron PA, King S, Stinson JN, McGrath PJ, MacDonald AJ, Chambers CT (2010) Social functioning and peer relationships in children and adolescents with chronic pain: a systematic review. Pain Res Manag 15 (1):27–41

24.

Rhee H (2000) Prevalence and predictors of headaches in US adolescents. Headache 40(7):528–538PubMedCrossRef

25.

Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O (2007) Resilience as a predictor of depressive symptoms: a correlational study with young adolescents. Clin Child Psychol Psychiatry 12(1):91–104PubMedCrossRef

26.

Kaminsky L, Robertson M, Dewey D (2006) Psychological correlates of depression in children with recurrent abdominal pain. J Pediatr Psychol 31(9):956–966. doi:10.1093/jpepsy/jsj103 PubMedCrossRef

27.

Holmen TL, Bratberg G, Krokstad S, Langhammer A, Hveem K, Midthjell K, Heggland J, Holmen J (2013) Cohort profile of the Young-HUNT study, Norway: a population-based study of adolescents. Int J Epidemiol. doi:10.1093/ije/dys232

28.

Mikkelsson M, Sourander A, Piha J, Salminen JJ (1997) Psychiatric symptoms in preadolescents with musculoskeletal pain and fibromyalgia. Pediatrics 100(2 Pt 1):220–227PubMedCrossRef

29.

Mikkelsson M, El-Metwally A, Kautiainen H, Auvinen A, Macfarlane GJ, Salminen JJ (2008) Onset, prognosis and risk factors for widespread pain in schoolchildren: a prospective 4-year follow-up study. Pain 138(3):681–687. doi:10.1016/j.pain.2008.06.005 PubMedCrossRef

30.

Mikkelsson M, Salminen JJ, Kautiainen H (1996) Joint hypermobility is not a contributing factor to musculoskeletal pain in pre-adolescents. J Rheumatol 23(11):1963–1967PubMed

31.

Hoftun GB, Romundstad PR, Rygg M (2012) Factors associated with adolescent chronic non-specific pain, chronic multisite pain, and chronic pain with high disability: the Young-HUNT study 2008. J Pain 13(9):874–883. doi:10.1016/j.jpain.2012.06.001 PubMedCrossRef

32.

Strand BH, Dalgard OS, Tambs K, Rognerud M (2003) Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry 57(2):113–118. doi:10.1080/08039480310000932 PubMedCrossRef

33.

Tambs K, Moum T (1993) How well can a few questionnaire items indicate anxiety and depression? Acta Psychiatr Scand 87(5):364–367PubMedCrossRef

34.

Beidel DC, Turner SM, Morris TL (1995) A new inventory to assess childhood social anxiety and phobia: the Social Phobia and Anxiety Inventory for Children. Psychol Assess 7:73–79CrossRef

35.

Aune T, Stiles TC, Svarva K (2008) Psychometric properties of the Social Phobia and Anxiety Inventory for children using a non-American population-based sample. J Anxiety Disord 22(6):1075–1086. doi:10.1016/j.janxdis.2007.11.006 PubMedCrossRef

36.

Kaasboll J, Lydersen S, Indredavik MS (2012) Psychological symptoms in children of parents with chronic pain-the HUNT study. Pain 153(5):1054–1062. doi:10.1016/j.pain.2012.02.013 PubMedCrossRef

37.

Storksen I, Roysamb E, Holmen TL, Tambs K (2006) Adolescent adjustment and well-being: effects of parental divorce and distress. Scand J Psychol 47(1):75–84. doi:10.1111/j.1467-9450.2006.00494.x PubMedCrossRef

38.

Strandheim A, Holmen TL, Coombes L, Bentzen N (2009) Alcohol intoxication and mental health among adolescents––a population review of 8983 young people, 13–19 years in North-Trondelag, Norway: the Young-HUNT study. Child Adolesc Psychiatry Ment Health 3(1):18. doi:10.1186/1753-2000-3-18 PubMedCentralPubMedCrossRef

39.

Hjemdal O, Friborg O, Stiles TC, Martinussen M, Rosenvinge JH (2006) A new scale for adolescent resilience: grasping the central protective resources behind healthy development. Meas Eval Couns Dev 39(2):84–96

40.

Rosenberg M (1965) Society and adolescent self-image. Princeton University

41.

Masruha MR, Lin J, Minett TS, Vitalle MS, Fisberg M, Vilanova LC, Peres MF (2012) Social anxiety score is high in adolescents with chronic migraine. Pediatr Int 54(3):393–396. doi:10.1111/j.1442-200X.2011.03555.x PubMedCrossRef

42.

Stanford EA, Chambers CT, Biesanz JC, Chen E (2008) The frequency, trajectories and predictors of adolescent recurrent pain: a population-based approach. Pain 138(1):11–21. doi:10.1016/j.pain.2007.10.032 PubMedCrossRef

43.

Keogh E, Eccleston C (2006) Sex differences in adolescent chronic pain and pain-related coping. Pain 123(3):275–284. doi:10.1016/j.pain.2006.03.004 PubMedCrossRef

44.

Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL 3rd (2009) Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain 10(5):447–485. doi:10.1016/j.jpain.2008.12.001 PubMedCentralPubMedCrossRef

45.

Lumley MA, Cohen JL, Borszcz GS, Cano A, Radcliffe AM, Porter LS, Schubiner H, Keefe FJ (2011) Pain and emotion: a biopsychosocial review of recent research. J Clin Psychol 67(9):942–968. doi:10.1002/jclp.20816 PubMedCentralPubMedCrossRef

46.

Garland EL (2012) Pain processing in the human nervous system: a selective review of nociceptive and biobehavioral pathways. Prim Care 39(3):561–571. doi:10.1016/j.pop.2012.06.013 PubMedCentralPubMedCrossRef

47.

Asmundson GJ, Katz J (2009) Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety 26(10):888–901. doi:10.1002/da.20600 PubMedCrossRef

48.

Stahl S, Briley M (2004) Understanding pain in depression. Hum Psychopharmacol 19(Suppl 1):S9–S13. doi:10.1002/hup.619 PubMedCrossRef

49.

Dyb G, Holmen TL, Zwart JA (2006) Analgesic overuse among adolescents with headache: the Head-HUNT-Youth study. Neurology 66(2):198–201. doi:10.1212/01.wnl.0000193630.03650.19 PubMedCrossRef

50.

Hansen DL, Hansen EH, Holstein BE (2008) Using analgesics as tools: young women’s treatment for headache. Qual Health Res 18(2):234–243. doi:10.1177/1049732307312303 PubMedCrossRef

51.

Stoffel M, Reis D, Schwarz D, Schroder A (2013) Dimensions of coping in chronic pain patients: factor analysis and cross-validation of the German version of the Coping Strategies Questionnaire (CSQ-D). Rehabil Psychol 58(4):386–395. doi:10.1037/a0034358 PubMedCrossRef

52.

Lopez-Martinez AE, Esteve-Zarazaga R, Ramirez-Maestre C (2008) Perceived social support and coping responses are independent variables explaining pain adjustment among chronic pain patients. J Pain 9(4):373–379. doi:10.1016/j.jpain.2007.12.002 PubMedCrossRef

53.

Skrove M, Romundstad P, Indredavik MS (2013) Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the Young-HUNT study. Soc Psychiatry Psychiatr Epidemiol 48(3):407–416. doi:10.1007/s00127-012-0561-2 PubMedCrossRef

54.

Sandstrom MJ, Schanberg LE (2004) Peer rejection, social behavior, and psychological adjustment in children with juvenile rheumatic disease. J Pediatr Psychol 29(1):29–34PubMedCrossRef

55.

McGrath PA, Speechley KN, Seifert CE, Biehn JT, Cairney AE, Gorodzinsky FP, Dickie GL, McCusker PJ, Morrissy JR (2000) A survey of children’s acute, recurrent, and chronic pain: validation of the pain experience interview. Pain 87(1):59–73PubMedCrossRef

Titel: Chronic multisite pain in adolescent girls and boys with emotional and behavioral problems: the Young-HUNT study
verfasst von: Marit Skrove
Pål Romundstad
Marit S. Indredavik
Publikationsdatum: 01.05.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Child & Adolescent Psychiatry / Ausgabe 5/2015
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-014-0601-4

Neu im Fachgebiet Psychiatrie

18.04.2024 | Arterielle Hypertonie | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Chronic multisite pain in adolescent girls and boys with emotional and behavioral problems: the Young-HUNT study

Abstract

Neu im Fachgebiet Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Delir kann Demenz begünstigen

Zunahme von Geschlechtsinkongruenz und -dysphorie registriert

Vitiligo: Prävalenz steigt und viele Erkrankte werden spät behandelt

Update Psychiatrie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2015

Multilevel analysis of ADHD, anxiety and depression symptoms aggregation in families

Regular gaming behavior and internet gaming disorder in European adolescents: results from a cross-national representative survey of prevalence, predictors, and psychopathological correlates

Predictors of and barriers to service use for children at risk of ADHD: longitudinal study

Identification of determinants of referral and follow-up body mass index of adolescent patients with anorexia nervosa: evidence for the role of premorbid body weight

Association between mental health and comorbid obesity and hypertension among children and adolescents in the US

Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis

Neu im Fachgebiet Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Delir kann Demenz begünstigen

Zunahme von Geschlechtsinkongruenz und -dysphorie registriert

Vitiligo: Prävalenz steigt und viele Erkrankte werden spät behandelt

Update Psychiatrie