Evidence map›Paper›PMID 39308529›Full record

ArticleChild abuse review (Chichester, England : 1992)

The spectrum of concern for medical child abuse among adolescents with chronic pain due to central sensitisation.

Katie L Johnson, See Wan Tham, Emily C B Brown, Gary A Walco, Kenneth W Feldman, Rebecca T Wiester, Stephanie N Wilkins, Kristine A Campbell

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Child abuse review (Chichester, England : 1992). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

8 authors.

Katie L JohnsonMayo Clinic Department of Pediatrics, Division of Child Abuse Pediatrics, Rochester, Minnesota, USA.ORCID 0000-0002-6388-489X
See Wan ThamPediatric Pain Medicine Clinic, University of Washington, Seattle, Washington, USA.
Emily C B BrownDepartment of Pediatrics, General Pediatrics Division and the Safe Child and Adolescent Network, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, USA.
Gary A WalcoPediatric Pain Medicine Clinic, University of Washington, Seattle, Washington, USA.
Kenneth W FeldmanDepartment of Pediatrics, General Pediatrics Division and the Safe Child and Adolescent Network, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, USA.
Rebecca T WiesterDepartment of Pediatrics, General Pediatrics Division and the Safe Child and Adolescent Network, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, USA.
Stephanie N WilkinsSeattle Children's Research Institute, Seattle, Washington, USA.
Kristine A CampbellPrimary Children's Hospital, Center for Safe and Healthy Families, Salt Lake City, Utah, USA.

Funding

Sleep deficiency and autonomic function in pediatric chronic abdominal painK23DK118111 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI THAM, SEE WAN · 2019 to 2023
$1.0M
NIDDK NIH HHS K23 DK118111
6 · The paper itself

Abstract

Adolescents with chronic pain can at times present with disability out of proportion to diagnostic workup. This is also a defining feature of medical child abuse (MCA). The aim of this study was to identify themes from the clinical narratives of adolescents with chronic pain that may indicate concern for MCA. This qualitative, retrospective study at an academic children's hospital between 2011 and 2019 identified 37 adolescents aged 13-18 years old with chronic pain and varying levels of concern for MCA. Conventional, inductive content analysis was used to identify themes from the medical records of all patients, which were reviewed by an interdisciplinary panel of experts. Themes were organised into three tiers related to the level of concern for MCA: 'Green zone' themes including fatigue or sleep problems, psychosocial distress, and social withdrawal were common among all patients. 'Yellow zone' themes including fragmented care, caregiver catastrophising, caregiver misrepresentation, medical provider exasperation, and sick identity were more common among patients in whom medical providers raised concern for MCA. A single 'red zone' theme, reportable harm to the child, was only present in patients diagnosed by a child abuse paediatrician as having MCA. A visual display of the results is provided for further research and clinical application.

Indexed as

caregiver-fabricated illness in a childchronic painfictitious disorder imposed on anothermedical child abuseMunchausen syndrome by proxyprimary pain diagnosisqualitative research

Identifiers

PMID39308529
PMCPMC11415242

What OpenQuestion holds

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Registered trials

None linked

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.