Risk factors associated with the development and persistence of pain in adolescents: an international Delphi study
PAIN Reports,
Journal Year:
2025,
Volume and Issue:
10(2), P. e1260 - e1260
Published: March 18, 2025
Abstract
Introduction:
Despite
significant
advancements
in
research
on
paediatric
pain,
a
consensus
the
primary
risk
factors
(RFs)
for
development
and
persistence
of
pain
this
population
has
not
yet
been
reached.
Objectives:
This
study
aims
to
establish
among
experts
most
RFs
onset
adolescents.
Methods:
A
modified
international
e-Delphi
with
4
rounds
was
conducted.
An
multidisciplinary
panel
and/or
recruited.
The
were
provided
2
lists
potential
(1
onset,
1
pain)
asked
rate
importance
each
RF
5-point
Likert
scale.
In
round,
reconsider
their
answers
light
other
experts'
evaluations
comments.
Results:
total
43
participated
(33
completed
all
rounds).
Forty-six
(out
74)
reached
considered
very
important.
Regarding
56
out
88
RFs.
Eleven
these
found
be
Conclusion:
generated
several
will
valuable
informing
design
future
longitudinal
studies,
as
well
treatment
preventive
programs.
Language: Английский
Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(11), P. 3629 - 3629
Published: May 22, 2025
Background/Objectives:
Pediatric
chronic
pain
requires
individualized
care.
The
Pain
Screening
Tool
(PPST)
allows
for
stratification
of
psychosocial
and
physical
risk
factors
may
guide
targeted
interventions.
However,
its
integration
into
multimodal
physiotherapy
programs
remains
unexplored.
This
exploratory
feasibility
case
series
study
evaluated
a
PPST-guided,
risk-stratified
intervention
in
children
aged
8–17
years
with
pain.
Methods:
Participants
were
classified
as
low,
medium,
or
high
risk.
Interventions
tailored
accordingly.
Outcomes
assessed
pre-
post-intervention
included
intensity,
interference,
psychological
distress,
quality
life.
Results:
Ten
participants
(mean
age
=
13.5
years;
60%
girls)
included.
Six
high,
three
one
low
based
on
the
PPST.
After
an
8-week
physiotherapist
program,
interference
significantly
decreased
(MD
−7.5;
p
0.040;
d
1.69),
did
intensity
at
rest
−3.1;
0.002;
2.60)
during
movement
−3.0;
0.004;
2.55),
exceeding
MCID
1.92.
In
high-risk
group,
reductions
observed
anxiety
(p
0.006;
2.36),
pain-related
worries
0.001;
3.79),
fear
0.015;
1.62),
3.37).
Eighty
percent
reported
feeling
“a
great
deal
better”
PGIC
including
all
participants.
Conclusions:
These
results
supports
integrating
PPST
management,
providing
structured
effective
framework
addressing
pediatric
Language: Английский
Linking 24-Hour Movement Behavior Guidelines to Academic Engagement and Social-Emotional Functioning Among Youth with Chronic Pain
Mental health and physical activity,
Journal Year:
2024,
Volume and Issue:
27, P. 100614 - 100614
Published: June 18, 2024
Language: Английский
The complexities of the sleep-pain relationship in adolescents: A critical review
Sleep Medicine Reviews,
Journal Year:
2022,
Volume and Issue:
67, P. 101715 - 101715
Published: Nov. 12, 2022
Language: Английский
Association between use of electronic vaping products and insufficient sleep among adolescents: Findings from the 2017 and 2019 YRBS
Sleep Medicine,
Journal Year:
2022,
Volume and Issue:
101, P. 19 - 27
Published: Oct. 19, 2022
Language: Английский
The Treatment of Pediatric Pain in Spain: A Survey Study
International Journal of Environmental Research and Public Health,
Journal Year:
2023,
Volume and Issue:
20(3), P. 2484 - 2484
Published: Jan. 30, 2023
Pain
is
a
common
experience
among
children
and
adolescents,
pain
management
in
this
population
challenge
to
clinicians.
The
aims
of
study
were
increase
our
understanding
current
practices
the
both
acute
chronic
pediatric
Spain,
explore
potential
barriers
ideal
practices,
identify
professional
needs
as
perceived
by
healthcare
professionals.
A
total
277
professionals
took
part,
all
whom
had
wide
managing
adolescents
with
(M
[SD]
age
=
44.85,
[10.73];
75%
women).
Participants
respond
web-based
survey
50
questions
related
education,
organizational
characteristics
their
programs
(including
patients
treated),
assessment
treatment
pain.
Almost
participants
(93%)
acknowledged
important
gaps
training,
only
47%
reported
that
they
received
specific
education
on
during
undergraduate
postgraduate
studies.
third
(31%)
members
multidisciplinary
teams,
almost
(99%)
understood
protocols
guide
young
people
necessary.
However,
few
them
used
protocol
assess
treat
(56%
48%,
respectively)
(24%
23%,
respectively).
data
also
showed
lack
coordination
professionals,
guidelines
was
an
barrier
care
provided
Spain.
findings
can
now
be
Spain
interested
pain,
well
policymakers
concerned
improve
given
Language: Английский
Fatigue, sleep disturbance, and pain interference in children and adolescents with chronic pain: a longitudinal study
Pain,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 30, 2024
Research
has
shown
that
pain
and
sleep
disturbance
often
co-occur
influence
each
other
over
time
in
children
adolescents
with
chronic
pain.
Longitudinal
studies
examining
the
underlying
mechanisms
of
this
association
are
scarce
have
focused
primarily
on
role
internalizing
mental
health
symptoms
mood.
This
longitudinal
study
aimed
to
determine
whether
fatigue
underlies
co-occurrence
mutual
maintenance
Participants
were
355
school-aged
(mean
age
=
11.63
year
old;
67%
female)
The
participants
provided
sociodemographic
information
responded
a
survey
included
measures
(duration,
intensity,
interference),
disturbance,
at
first
assessment
12
months
later.
Partially
latent,
cross-lagged,
panel,
structural
equation
models
revealed
interference
co-occurred
both
points.
Higher
levels
predicted
higher
follow-up,
respectively.
follow-up
while
controlling
for
initial
disturbance.
Furthermore,
was
found
mediate
between
interference,
findings
highlight
need
assess
address
Language: Английский