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How children and adolescents in primary care cope with pain and the biopsychosocial factors that correlate with pain‐related disability
Author(s) -
Holm Sara,
Ljungman Gustaf,
Åsenlöf Pernilla,
Söderlund Anne
Publication year - 2013
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12352
Subject(s) - biopsychosocial model , medicine , psychosocial , pain catastrophizing , coping (psychology) , psychological intervention , physical therapy , distraction , explained variation , clinical psychology , chronic pain , psychiatry , psychology , neuroscience , machine learning , computer science
Aim To describe how children and adolescents cope with pain and to examine the biopsychosocial factors that correlate with pain‐related disability (PRD) in a sample of primary care patients. Methods This cross‐sectional study included 133 patients, aged from eight to 16 years, who consulted primary care physiotherapy on a pain‐related problem. Data were collected with the Functional Disability Inventory, the Pain Coping Questionnaire and a study‐specific questionnaire. Linear multivariate regression analyses were applied to study the associations between PRD and (i) pain coping, (ii) individual‐, pain‐related and psychosocial variables. Results Behavioural distraction, externalizing and catastrophizing explained 13% of the variance in PRD (regression model 1). In addition, pain intensity, worrying and the ability to reduce pain explained 21% of the variance in PRD (regression model 2). Conclusion Variance in PRD was partly explained by pain intensity, worrying and ability to reduce pain and by behavioural distraction, externalizing and catastrophizing. Future prospective longitudinal studies are needed to identify possible additional variables explaining PRD, establish causality and the potential benefits of addressing these variables in interventions in primary care.