The prevalence of chronic pain in children and adolescents: a systematic review update and meta-analysis

Pain, Год журнала: 2024, Номер 165(10), С. 2215 - 2234

Опубликована: Май 14, 2024

Chronic pain, defined as persistent or recurring pain lasting longer than 3 months, is a common childhood problem. The objective of this study was to conduct an updated systematic review and meta-analysis on the prevalence chronic (ie, overall, headache, abdominal back musculoskeletal multisite/general other) in children adolescents. EMBASE, PubMed, CINAHL, PsycINFO were searched for publications between January 1, 2009, June 30, 2023. Studies reporting population-based estimates nondisease related adolescents (age ≤ 19 years) included. Two independent reviewers screened articles based priori protocol. One hundred nineteen studies with total 1,043,878 (52.0% female, mean age 13.4 years [SD 2.4]) Seventy different countries represented, highest number data points coming from Finland Germany (n = each, 4.3%). overall 20.8%, headache (25.7%). Overall, all types except there significant differences boys girls, girls having higher pain. There high heterogeneity (I 2 99.9%). Overall risk bias low moderate. In summary, approximately 1 5 experience varies by type; most types, among boys. Findings echo expand upon conducted 2011.

Язык: Английский

---

A developmental framework for understanding the influence of sex and gender on health: Pediatric pain as an exemplar

Neuroscience & Biobehavioral Reviews, Год журнала: 2024, Номер 158, С. 105546 - 105546

Опубликована: Янв. 24, 2024

Sex differences are a robust finding in many areas of adult health, including cardiovascular disease, psychiatric disorders, and chronic pain. However, sex not consistently observed until after the onset puberty. This has led to hypothesis that hormones primary contributors health outcomes, largely ignoring relative contributions early developmental influences, emerging psychosocial factors, gender, interaction between these variables. In this paper, we argue comprehensive understanding gender outcomes should start as conception take an iterative biopsychosocial-developmental perspective considers intersecting social positions. We present conceptual framework, informed by review literature basic, clinical, science captures how critical stages for both can affect children's longer-term outcomes. The on pediatric pain is used worked example framework be applied different conditions.

Язык: Английский

---

Multimodal hypersensitivity and somatic symptoms predict adolescent postmenarchal widespread pain

Pain, Год журнала: 2025, Номер unknown

Опубликована: Апрель 28, 2025

Abstract Widespread pain in adolescence is linked with poor mental health, pain, and somatic symptoms childhood. This prospective study 207 premenarchal adolescents used quantitative sensory testing (QST) multimodal hypersensitivity (MMH) measures to assess somatosensory system function identify predictors for widespread (≥3/7 sites). We hypothesized that symptoms, psychological factors, would predict postmenarchal which be associated greater menstrual intensity. At visits, participants completed of a body map, psychosocial questionnaires, QST, experimental MMH including auditory, visual, visceral stimulation. Electroencephalography (EEG) was collected during auditory visual tasks neural correlates MMH. Premenarchal reported by 25% participants, whereas 29% developed new incident postmenarche. Adolescents intensity (median [interquartile range] 47 [28-61]; 0-100 analog scale) than those without (24 [8-50], P = 0.001). Elevated ( 0.012), stress 0.015), sensitivity (bladder filling) 0.046) unpleasant stimuli 0.043) were significant postmenarche pain. A multivariable regression model found map score (OR 1.75, 95% CI [1.20, 2.55]), 1.47, [1.03, 2.11]), 1.62, [1.12, 2.33]) predicted No EEG differences early cortical processing found. Our results suggest increased painful represents novel risk factor

Язык: Английский

---

Influence of chronotype on pain incidence during early adolescence

Pain, Год журнала: 2024, Номер 165(11), С. 2595 - 2605

Опубликована: Май 28, 2024

Abstract During adolescence major shifts in sleep and circadian systems occur with a notable phase delay. Yet, the influence on pain during early is largely unknown. Using 2 years of data from Adolescent Brain Cognitive Development study, we investigated impact chronotype incidence, moderate-to-severe pain, multiregion 1 year later U.S. adolescents. Based Munich ChronoType Questionnaire, was calculated as midpoint between onset offset free days, corrected for debt over week. Adolescents reported presence past month, if present, rated intensity (0-10 numerical rating scale; ≥ 4 defined pain) body site locations (Collaborative Health Outcomes Information Registry Body Map; ≥2 regions pain). Three-level random intercept logistic regression models were specified each outcome, adjusting baseline sociodemographic developmental characteristics. Among 5991 initially pain-free adolescents (mean age 12.0 years, SD 0.7), mean 3:59 am (SD 97 minutes), 1-year incidence 24.4%, 15.2%, 13.5%, respectively. Each hour at associated higher odds developing any (odds ratio [OR] = 1.06, 95% confidence interval [CI] 1.01, 1.11), (OR 1.10, CI 1.05-1.17), 1.08, 1.02-1.14) follow-up. In this diverse adolescent sample, predicted new-onset pain.

Язык: Английский

---

Validity of self-assessment pubertal Tanner stages by realistic color images and Pubertal Development Scale in a longitudinal cohort study

Frontiers in Pediatrics, Год журнала: 2024, Номер 12

Опубликована: Июль 16, 2024

To date, the reliability of pubertal development self-assessment tools is questioned, and very few studies have explored comparison between these in longitudinal studies. Hence, this study aimed to examine using realistic color images (RCIs) Pubertal Development Scale (PDS) a cohort study.

Язык: Английский

---