logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 865 2352511, +7 865 2353229.

E-mail
medvestnik@stgmu.ru

Chronic pain syndrome in adolescents

[Original research] [Pediatrics]
Tatyana Ilyinichna Ivanova; Andrey Valerievich Pisklakov; Aleksandra Nikolaevna Lubenitskaya; Natalya Ivanovna Pavlenko; Leonid Aleksandrovich Sitko;

Chronic pain is one of the crucial problems nowadays. This work aimed to study the prevalence and features of chronic pain syndrome in adolescents. An anonymous questionnaire survey was conducted among 5910 adolescents aged 14–18 years using the original questionnaire and the Hospital anxiety and depression scale (HADS) aimed at identifying chronic pain symptoms. The variables obtained are to be subjected to statistical analysis.

A significant prevalence of chronic pain among adolescents (14.6 % of the study group) has been revealed. The female gender is undoubtedly a personal factor increasing the risk of CP development (the ratio of girls who reported the presence of CP had been 75.4 %). The prevalence rate of pain multiple localization (in 862 teens with chronic pain) and the presence of additional concomitant symptoms worsened overall health has been detected. The results obtained in the study have demonstrated an urgent need for multidisciplinary research to determine the mechanisms of the onset and consolidation of pain syndromes to improve diagnosis and treatment to interrupt these mechanisms.

Download

References:
1.Mills S. E. E., Nicolson K. P., Smith B. H. Chronic pain: a review of its epidemiology and associated factors in populationbased studies. Br. J. Anaesth. 2019;123(2):e273-e283. https://doi.org/10.1016/j.bja.2019.03.023
2. Mayer S., Spickschen J., Stein K. V., Crevenna R., Dorner T. E. [et al.] The societal costs of chronic pain and its determinants: The case of Austria. PLoS One. 2019;14(3):e0213889. https://doi.org/10.1371/journal.pone.0213889
3. Lee R. R., Rashid A., Ghio D., Thomson W., Cordingley L. Chronic Pain Assessments in Children and Adolescents: A Systematic Literature Review of the Selection, Administration, Interpretation, and Reporting of Unidimensional Pain Intensity Scales. Pain Res. Manag. 2017:7603758. https://doi.org/10.1155/2017/7603758
4. Coffelt T. A., Bauer B. D., Carroll A. E. Inpatient characteristics of the child admitted with chronic pain. Pediatrics. 2013;132:2-9. https://doi.org/10.1542/peds.2012-1739
5. Vega E., Beaulieu Y., Gauvin R., Ferland C., Stabile S. [et al.]. Chronic non-cancer pain in children: we have a problem, but also solutions. Minerva Anestesiol. 2018;84:81-92. https://doi.org/0.23736/S0375-9393.18.12367-4
6. Smorgick N., As-Sanie S. Pelvic Pain in Adolescents. Semin. Reprod. Med. 2018;36(2):116-122. https://doi.org/10.1055/s-0038-1676088
7. Könning A., Rosenthal N., Brown D., Stahlschmidt L., Wager J. Severity of Chronic Pain in German Adolescent School Students: A Cross-sectional Study. Clin. J. Pain. 2021;37(2):118-125. https://doi.org/10.1097/AJP.0000000000000898
8. Harrison L., Wilson S., Munafò M. R. Exploring the associations between sleep problems and chronic musculoskeletal pain in adolescents: a prospective cohort study. Pain Res. Manag. 2014;19(5):139-145. https://doi.org/10.1155/2014/615203
9. Nees F., Becker S. Psychological Processes in Chronic Pain: Influences of Reward and Fear Learning as Key Mechanisms – Behavioral Evidence, Neural Circuits, and Maladaptive Changes. Neuroscience. 2018;387:72-84. https://doi.org/10.1016/j.neuroscience.2017.08.051
10. Perruchoud C., Buchser E., Johanek L. M., Aminian K., Paraschiv-Ionescu A. [et al.] Assessment of physical activity of patients with chronic pain. Neuromodulation. 2014;17(1):42-47. https://doi.org/10.1111/ner.12036
11. Fisher E., Law E., Dudeney J., Eccleston C., Palermo T. M. Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst. Rev. 2019;4(4):CD011118. https://doi.org/10.1002/14651858.CD011118.pub3
12. Liossi C., Howard R. F. Pediatric Chronic Pain: Biopsychosocial Assessment and Formulation. Pediatrics. 2016;138(5):201-216. https://doi.org/10.1542/peds.2016-0331
13. Jastrowski Mano K. E. School Anxiety in Children and Adolescents with Chronic Pain. Pain Res. Manag. 2017;2017:8328174. https://doi.org/10.1155/2017/8328174
14. Miller M. M., Meints S. M., Hirsh A. T. Catastrophizing, pain, and functional outcomes for children with chronic pain: a meta-analytic review. Pain. 2018;159(12):2442-2460. https://doi.org/10.1097/j.pain.0000000000001342
2. 15. Hassett A. L., Hilliard P. E. Goesling J., Clauw D. J., Harte S. E. [et al.] Reports of chronic pain in childhood and adolescence among patients at a tertiary care pain clinic. The Journal of Pain. 2013;14:1390-1397. https://doi.org/10.1016/j.jpain.2013.06.010
16. Petrosky E., Harpaz R., Fowler K. A., Bohm M. K., Helmick C. G. [et al.]. Chronic Pain Among Suicide Decedents, 2003 to 2014: Findings from the National Violent Death Reporting System. Ann. Intern. Med. 2018;169(7):448-455. https://doi.org/10.7326/M18-0830
17. Tutelman P. R., Langley C. L., Chambers C. T., Parker J. A., Finley G. A. [et al.]. Epidemiology of chronic pain in children and adolescents: a protocol for a systematic review update. BMJ Open. 2021;11(2):e043675. https://doi.org/10.1136/bmjopen-2020-043675
18. Urazlina S. E., Zhdanova T. V., Zueva T. V., Кuznetcova Е. V. Heart remodeling and quality of life in patients with chronic kidney disease on renal replacement therapy. Medical News of North Caucasus. 2019;14(3):453-457. https://doi.org/10.14300/mnnc.2019.14109
19. Zigmond A. S., Snaith R. P. The hospital anxiety and depression scale. Acta Psychiatr. Scand. 1983;67(6):361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
20. Smulevich A. B. Depressii v obshhej medicine. Rukovodstvo dlja vrachej. Moskva: Medicinskoe informacionnoe agentstvo; 2001. 21. Cary M. A., Gyurcsik N. C. Differences in adaptive and maladaptive psychosocial responses to chronic pain among adults with varying physical activity levels. Br. J. Pain. 2021;15(3):259-269. https://doi.org/10.1177/2049463720942535

Keywords: chronic pain, anxiety, depression, affective disorders, adolescents


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy