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Depression and functional disability in chronic pediatric pain
S Kashikar-Zuck1, K R Goldschneider, S W Powers
1Children's Hospital Medical Center, and Department of Pediatrics, University of Cincinnati College of Medicine, Ohio 45229, USA.
The Clinical Journal of Pain
|January 11, 2002
Summary
Children with chronic pain experience significant functional disability, particularly those with localized musculoskeletal pain. Depression and maladaptive coping strategies are linked to increased disability in pediatric pain patients.
Area of Science:
- Pediatric Pain Management
- Child Psychology
- Rehabilitation Medicine
Background:
- Chronic pain significantly impacts children's quality of life, affecting their daily functioning and emotional well-being.
- Understanding the interplay between pain characteristics, coping mechanisms, and functional disability is crucial for effective pediatric pain management.
Purpose of the Study:
- To describe pain characteristics, coping strategies, depression, and functional disability in pediatric chronic pain patients.
- To identify factors associated with functional disability in this population.
- To compare functional disability between children with localized musculoskeletal pain and chronic daily headaches.
Main Methods:
- Seventy-three pediatric patients with chronic pain conditions participated.
- Data collected via self-report measures on pain intensity, depression, coping strategies, coping efficacy, and functional disability.
- A subset of patients with localized musculoskeletal pain (N=44) and chronic daily headaches (N=38) were compared.
Main Results:
- Chronic pain substantially impacts children's lives, with depression strongly associated with functional disability.
- Maladaptive coping correlated with depression and disability but was not an independent predictor.
- Localized musculoskeletal pain patients reported higher pain intensity and functional disability than those with chronic daily headaches.
Conclusions:
- Treatment for pediatric chronic pain should address developmental issues, coping, emotional functioning, and disability.
- Further research is needed to explore differences in coping and disability across various pediatric pain conditions.
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