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Adolescents with chronic pain and associated functional disability: A descriptive analysis
Andrea A Wojtowicz1, Gerard A Banez2
1Cleveland Clinic Children's Hospital, USA.
Summary
Adolescents with chronic pain often have multiple biopsychosocial factors contributing to their disability. Addressing these factors is crucial for effective pain rehabilitation programs.
Area of Science:
- Pediatric Psychology
- Rehabilitation Medicine
- Pain Management
Background:
- Chronic pain and functional disability significantly impact adolescent well-being.
- Understanding the multifaceted nature of adolescent chronic pain is essential for targeted interventions.
Purpose of the Study:
- To delineate the biopsychosocial characteristics of adolescents experiencing chronic pain and functional disability.
- To identify common contributing factors to pain-associated disability in this population.
Main Methods:
- Retrospective analysis of data from 100 adolescents admitted to an interdisciplinary pain rehabilitation program.
- Data collection included chief complaints, pain triggers, and clinician-rated coping and personality styles.
- Assessment of seven previously identified pain-associated disability factors.
Main Results:
- Limb pain was the most frequent complaint, followed by headache and abdominal pain.
- Common pain triggers included physical trauma, medical conditions, and surgical procedures.
- Numerous biopsychosocial factors, such as sleep problems, mental health issues, alexithymia, and perfectionism, were prevalent, with most adolescents presenting with multiple contributing factors.
Conclusions:
- Adolescents with chronic pain and disability exhibit a complex interplay of biopsychosocial factors.
- Successful rehabilitation necessitates a comprehensive approach that addresses these diverse contributing elements.
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