ArticlePain medicine (Malden, Mass.)2021
Predictors and Consequences of Pediatric Pain Symptom Trajectories: A 14-Year Longitudinal Study.
Article in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Chronic postsurgical pain in young children: Prevalence, pain trajectories and physical and psychological prognostic factors.The journal of pain · 2025Observational
- Early childhood risk factors for later onset of pediatric chronic pain: a multi-method longitudinal study.BMC pediatrics · 2024Article
- Associations Between Adolescent Pain and Psychopathology in the Adolescent Brain Cognitive Development (ABCD) Study.Behavior genetics · 2023Article
- Associations of Co-occurring Symptom Trajectories With Sex, Race, Ethnicity, and Health Care Utilization in Children.JAMA network open · 2023Article
- A step towards understanding disparities - linking race, ancestry, epigenetics and pain.Epigenomics · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveThe present study had three primary objectives. First, pain trajectory from early childhood to early adolescence were modeled. Second, we examined how early childhood individual-, parental-, and family-level factors predict pain trajectories. Third, we evaluated consequences of pain trajectories in terms of anxiety and depressive symptoms, and substance use at age 16 years.
designThe current paper is a secondary data analysis of a multisite longitudinal study. A total of 731 children and their families were followed from ages 2 to 16 years.
methodsA growth mixture model (GMM) was used to identify pain trajectories from ages 2 to 14 years.
resultsThe GMM revealed three distinct pain trajectories: (1) Low Pain Symptom (n = 572); (2) Increasing Pain Symptom (n = 106); and (3) U-shaped Pain Symptom (n = 53). Children who experienced greater harsh parenting and sleep disturbances in early childhood were more likely to belong to the Increasing Pain Symptom group, and those with greater anxious-depressed symptoms at age 2 years were more likely to belong to the U-shaped Pain Symptom group than the Low Pain Symptom group. Additionally, those youth in the Increasing Pain Symptom group, compared to the Low and U-shaped Pain Symptom groups, showed elevated anxiety symptoms at age 16 years.
conclusionsReducing harsh parenting and children's sleep disturbances could be important targets for preventing pediatric pain problems. Children with increasing pain symptoms may also benefit from learning adaptive pain management skills to lower the risk of developing anxiety problems in late adolescence.
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