ArticleEuropean journal of pain (London, England)2013
Reciprocal longitudinal associations between pain and depressive symptoms in adolescents.
Article in European journal of pain (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Enhancing Chronic Non-Cancer Pain Management: A Systematic Review of Mindfulness Therapies and Guided Imagery Interventions.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Trial
- Persistent musculoskeletal pain and its association with future mental distress in adolescents: The Fit Futures study.BMC public health · 2025Article
- Sleep deficiency and symptoms of pain, fatigue, and depressed mood in youth with and without childhood systemic lupus erythematosus.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Inflammatory Markers in Children and Adolescents with Functional Somatic Disorders: A Systematic Review.Children (Basel, Switzerland) · 2024Review
- Using collaborative logic analysis evaluation to test the program theory of an intensive interdisciplinary pain treatment for youth with pain-related disability.Paediatric & neonatal pain · 2020Article
- A usability and feasibility study of a computerized version of the Bath Adolescent Pain Questionnaire: the BAPQ-C.BMC pediatrics · 2020Article
- Article
- Psychometric properties of the short form of the Children's Depression Inventory (CDI-S) in young people with physical disabilities.Journal of psychosomatic research · 2016Article
- The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain.The journal of pain · 2016Review
- Examination of the Factor Structure of the Adolescent Sleep-Wake Scale (ASWS).Behavioral sleep medicine · 2015Article
- The price of pain: the economics of chronic adolescent pain.Pain management · 2015Article
- Co-occurring depression and pain in multiple sclerosis.Physical medicine and rehabilitation clinics of North America · 2013Review
- Commentary: Routh Early Career Award: The "not-so" painful journey of a pediatric pain researcher.Journal of pediatric psychologyArticle
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundElevated depressive symptoms are common in youth with chronic pain, and pain symptoms are frequent in adolescents with depressive disorders. While studies have identified concurrent associations between pain and depression over time in youth, it is unclear how change in one symptom impacts change in the other symptom.
methodsThis three-time point 12-month longitudinal study examined reciprocal associations among pain and depression in a clinical sample of adolescents (12-18) diagnosed with chronic pain (n = 55) or a depressive disorder (n = 40). Mixed-effects multivariate models were used to test if changes over a preceding time interval predicted symptom severity at subsequent time points. Study group, age, sex, race, baseline pain intensity and baseline depressive symptoms were included as covariates.
resultsGeneralized estimating equations revealed that pain and depressive symptoms were significantly associated over time (β = 1.54; p < 0.001). As hypothesized, changes in pain were associated with subsequent depressive symptoms (β = 1.16; p < 0.001). Conversely, changes in depressive symptoms predicted subsequent pain (β = 0.026; p < 0.05), but with a weaker association. In the model predicting pain, an interaction between depressive symptoms and study group emerged (β = -0.02; p < 0.05), with change in depressive symptoms having the greatest impact on pain in the depressed sample.
conclusionsFindings extend previous adult research to an adolescent sample showing changes in pain intensity are predictive of subsequent depressive symptoms. In comparison to adult data, changes in depressive symptoms had less impact on subsequent pain in youth. Future research can examine how targeting persistent pain may also aid the treatment of depressive symptoms in adolescents.
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