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Relationship between Pain, Somatisation, and Emotional Awareness in Primary School Children
M Rossi1, G Bruno1, M Chiusalupi1
1Aplysia Onlus, GIFT Institute of Integrative Medicine, Pisa, Italy.
Insights
Children with poor emotional awareness (EA) experience more somatisation and pain, particularly headaches and back pain. Low EA predicts general pain severity but not abdominal pain in children.
Area of Science:
- Psychology
- Pediatrics
- Health Psychology
Background:
- Poor emotional awareness (EA) is linked to functional somatic complaints and somatisation.
- Understanding this relationship in children is crucial for early intervention.
Purpose of the Study:
- To investigate the links between pain, somatisation, and emotional awareness in children.
- To explore how emotional awareness influences the prevalence and intensity of different pain types.
Main Methods:
- A nonclinical sample of 445 children aged 6-10 participated.
- Pain was assessed using the Children's Somatisation Inventory (CSI).
- Emotional awareness was measured using the Levels of Emotional Awareness Scale-Children (LEAS-C).
Main Results:
- 84.07% of children reported pain in at least one site.
- Low LEAS-Self scores correlated with higher prevalence of headache.
- Lower emotional awareness predicted increased back pain intensity and general pain severity, but not abdominal pain.
Conclusions:
- Low emotional awareness is a significant predictor of somatisation and pain in children.
- Targeting emotional awareness may help manage functional somatic complaints and pain in pediatric populations.
- Further research is needed to understand the specific mechanisms linking EA to different pain types.
Abstract:
Poor emotional awareness (EA) seems to play an important role in the aetiology of functional somatic complaints featuring pain as a form of somatisation. The aim of this study was to shed more light on this relationship by investigating the links between pain, somatisation, and emotional awareness in a nonclinical population of 445 children aged 6-10. Assessing pain through the Children's Somatisation Inventory (CSI), a very high percentage of the entire sample complained of experiencing pain at least one site (84.07%) over the preceding 2 weeks. Although no difference in the prevalence of pain (whole) was found when the sample was subdivided by Levels of Emotional Awareness Scale-Children (LEAS-C), a relationship between low level of LEAS-Self and prevalence of headache (H) was detected (χ2=7.69, p=0.02). LEAS (Self) was correlated with the intensity of back pain (BP) (r=-0.12; p< 0.05), H (r=-0.12; p< 0.05) but not with abdominal pain (AP). Pain worsened QoL, and the greatest negative correlation with total KidScreen-10 was found for abdominal pain (r=-0.14; p< 0.01). Our results suggest that low EA is a predictor of somatisation, BP severity, H, and severity of pain in general, but not AP.
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