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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Functional disability and depression symptoms in a paediatric persistent pain sample.

Jaclyn Broadbent1, Melanie D Bertino2, Leah Brooke3

  • 1School of Psychology, Geelong, Deakin University, Australia; Royal Children's Hospital, Melbourne, Australia.

Scandinavian Journal of Pain
|August 30, 2017
PubMed
Summary

Symptoms of depression and functional disability in children with chronic pain are common but weakly linked. The Pediatric Outcomes Data Collection Instrument (PODCI) may offer a clearer measure of pain-related functional issues, independent of depression.

Keywords:
Chronic painDepressionMental healthPaediatricPhysical functioning

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Area of Science:

  • Pediatric Psychology
  • Clinical Child Psychology
  • Pain Management

Background:

  • Chronic pain in children often co-exists with functional disability and depression.
  • Previous research has limited understanding of the nuanced relationship between these conditions.
  • This study investigates the specific associations between depression symptoms and functional disability subtypes in pediatric chronic pain.

Purpose of the Study:

  • To examine the relationship between depressive symptoms and various subtypes of functional disability in children and adolescents with chronic pain.
  • To determine if the Pediatric Outcomes Data Collection Instrument (PODCI) provides a measure of functional limitations less influenced by psychosocial factors like depression.
  • To explore the potential of PODCI in assessing pain-related functional difficulties more independently.

Main Methods:

  • A clinical sample of 239 children and adolescents with chronic pain in Australia was analyzed.
  • Data were collected via a clinical file audit, including standardized instruments.
  • The Children's Depression Inventory (CDI) measured depressive symptoms, and the PODCI assessed functional difficulties.

Main Results:

  • High rates of depression and functional disability were observed in the sample.
  • Depression symptoms showed only weak associations with most functional disability measures.
  • A minor association was found between anhedonia symptoms and the pain/comfort subscale of the PODCI, but not other functional domains.

Conclusions:

  • The relationship between depression and functional disability in pediatric chronic pain may be weaker than previously assumed when using measures less influenced by psychosocial factors.
  • The PODCI may offer a more "pure" assessment of functional limitations due to pain, relatively independent of depressive symptoms.
  • Further research is needed to validate the PODCI's utility in distinguishing pain-related functional deficits from those influenced by depression.