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ADHD (Attention-Deficit Hyperactivity Disorder) Symptoms Are Associated With Chronic Pain Interference: Results From
Patrick C M Brown1,2, Sarah W Feldstein Ewing3, Anna C Wilson4
1School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Child: Care, Health and Development
|December 4, 2024
Summary
Attention-deficit hyperactivity disorder (ADHD) symptoms are linked to increased chronic pain interference in young adults. This prospective study highlights the need for targeted ADHD and pain management strategies.
Area of Science:
- Pain Medicine
- Psychiatry
- Clinical Psychology
Background:
- A known link exists between attention-deficit hyperactivity disorder (ADHD) and chronic pain.
- Prospective investigation of ADHD symptoms and their impact on pain interference is lacking.
Purpose of the Study:
- To prospectively examine the association between ADHD symptoms and pain interference in young adults.
- To identify predictors of moderate-to-severe pain interference at six months post-opioid prescription.
Main Methods:
- Young adults prescribed opioids were recruited from various clinical settings.
- Participants completed assessments for ADHD symptoms, depression, pain catastrophizing, adverse childhood experiences, and pain interference at baseline and six months.
- Logistic regression analyzed the relationship between ADHD symptoms and pain interference.
Main Results:
- Of 116 baseline participants, 71 completed the six-month follow-up.
- Moderate-to-severe pain interference decreased from 89.7% at baseline to 52.3% at six months.
- ADHD symptoms, depression, and pain catastrophizing were associated with pain interference; ADHD symptoms and pain catastrophizing remained significant predictors in multivariable analysis.
Conclusions:
- Higher ADHD symptom levels correlate with a greater risk of chronic pain interference.
- Findings support previous research on attention's role in chronic pain.
- Tailored prevention and treatment approaches for individuals with ADHD symptoms and chronic pain are warranted.
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