Evidence map›Paper›PMID 30098405›Full record

ArticleThe journal of pain2019

Associations Between Adolescent Chronic Pain and Prescription Opioid Misuse in Adulthood.

Cornelius B Groenewald, Emily F Law, Emma Fisher, Sarah E Beals-Erickson, Tonya M Palermo

Registry-linked trialAbstract read
In one paragraph

Article in The journal of pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05774002 (Psychological Assessment of Scoliosis Patients Undergoing Surgical Management), which is not on this map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05774002 narecruitingnot on this mapstarted 2023, after this paper: background citation

Psychological Assessment of Scoliosis Patients Undergoing Surgical Management (PASS)

TypeinterventionalSponsorMontefiore Medical CenterRan2023 to 2028Enrolled120ConditionsAdolescent Idiopathic Scoliosis (AIS), Mental HealthArmsAims to Decrease Anxiety and Pain Treatment (ADAPT)
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

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  20. Coping in youth living with chronic pain: A systematic review of qualitative evidence.Canadian journal of pain = Revue canadienne de la douleur · 2025
    Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Cornelius B GroenewaldDepartments of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington. Electronic address: Cornelius.groenewald@seattlechildrens.org.
Emily F LawDepartments of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington.
Emma FisherDepartment for Health, University of Bath, Claverton Down, Bath, UK.
Sarah E Beals-EricksonDivision of Developmental and Behavioral Sciences, Children's Mercy Hospital and University of Missouri-Kansas City, Kansas City, Missouri.
Tonya M PalermoDepartments of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington; Pediatrics, University of Washington School of Medicine, Seattle, Washington; Psychiatry, University of Washington School of Medicine, Seattle, Washington; Division of Developmental and Behavioral Sciences, Children's Mercy Hospital and University of Missouri-Kansas City, Kansas City, Missouri.
Children's Mercy Hospital · USUniversity of Washington · USUniversity of Bath · GB

Funding

Wave IV Data CollectionP01HD031921 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARRIS, KATHLEEN MULLAN · 1994 to 2020
$86.1M
Innovations in Pediatric Pain ResearchK24HD060068 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2009 to 2018
$1.6M
Psychosocial and Family Risk in Pediatric Chronic MigraineK23NS089966 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI LAW, EMILY F · 2015 to 2019
$741k
NICHD NIH HHS K24 HD060068NICHD NIH HHS P01 HD031921NINDS NIH HHS K23 NS089966
6 · The paper itself

Abstract

Prescription opioid misuse is a serious public health concern, yet antecedent factors are poorly described. Using data from the National Longitudinal Study of Adolescent to Adult Health (N = 14,784), we examined the longitudinal relationship between a history of adolescent chronic pain and the odds of misusing prescription opioids in adulthood. The primary predictor variable was chronic pain status during adolescence. The primary outcome variables were prescription opioid misuse during early adulthood and adulthood. Multivariate models controlled for known risk factors of opioid misuse, including sociodemographics (sex, race, and ethnicity), adolescent mental health symptoms (anxiety, depression), adolescent self-reported physical health status, adolescent substance use/abuse, childhood trauma, and adult legitimate opioid use. We found that adults with a history of adolescent chronic pain were more likely to misuse opioids than those without history of chronic pain, even after controlling for other known risk factors. Further, we found that among individuals with history of adolescent chronic pain that race (white), other substance use, and exposure to trauma were risk factors for later opioid misuse. Longitudinal associations between adolescent chronic pain and subsequent adult prescription opioid misuse highlight the need for early targeted screening and prevention efforts that may reduce later opioid misuse. Perspective: Using a large, nationally representative sample, we found that chronic pain during adolescence was an independent risk factor for opioid misuse in adulthood, over and above other known risk factors. Furthermore, among those individuals with adolescent chronic pain, substance use, exposure to trauma, and race were associated with opioid misuse.

Indexed as

AdolescentAdultAdverse Childhood ExperiencesAnalgesics, OpioidAnxietyChronic PainCross-Sectional StudiesDepressionFemaleHumansLongitudinal StudiesMaleOpioid-Related DisordersPrescription Drug MisusePsychological TraumaUnited StatesAnalgesics, OpioidAdolescentchronic painopioid misuse

Identifiers

PMID30098405
PMCPMC6309740
OpenAlexW2887737909

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.