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Impaired health-related quality of life in children with recurrent pain
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.ORCID iD: 0000-0001-6720-2430
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
2009 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 124, no 4, e759-e767 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The goal of the current study was to investigate self-reported, health-related quality of life (HRQoL) in a general population of young schoolchildren with recurrent pain (ie, headache, stomachache, or backache).

METHODS: The study was performed in Umeå, a university city in Sweden. All children in grades 3 and 6 were invited, and 97% participated (313 girls and 292 boys in grade 3 [mean age: 9.7 years]; 386 girls and 464 boys in grade 6 [mean age: 12.6 years]). Pain and HRQoL were measured with questionnaires.

RESULTS: Two thirds of the children reported recurrent pain (at least monthly). One third reported weekly pain, and 4 of 10 experienced pain from multiple locations. HRQoL impairment was twice as common among children with recurrent pain, compared with children without pain. All aspects of HRQoL (ie, physical, emotional, social, and school functioning and well-being) were impaired. The level of impairment was classified as considerable, especially for children who experienced pain from multiple body sites and children with weekly pain (Cohen's d = 0.6–0.8).

CONCLUSIONS: This study shows that young schoolchildren with recurrent pain have considerable impairment of their HRQoL.

Place, publisher, year, edition, pages
2009. Vol. 124, no 4, e759-e767 p.
Keyword [en]
abdominal pain, back pain, child, headache, quality of life
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-3050DOI: 10.1542/peds.2008-1546PubMedID: 19736269OAI: oai:DiVA.org:umu-3050DiVA: diva2:141487
Note
Titel på avhandlingens delarbete 4: Low health related quality of life in young schoolchildren with recurrent painAvailable from: 2008-03-20 Created: 2008-03-20 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Recurrent pain and health related quality of life in young schoolchildren
Open this publication in new window or tab >>Recurrent pain and health related quality of life in young schoolchildren
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The objectives of this thesis were 1) to describe the occurrence and co-occurrence of recurrent pain (headache, stomach-ache, and backache) in young school children; 2) to describe Health Related Quality of Life (HRQoL) in these children, from the perspective of the child, 3) to examine the psychometric properties of the PedsQL, a pediatric HRQoL instrument.

Three data collections were performed, two in Umeå, Sweden, and one in a nearby smaller municipality, Lycksele. In Umeå, the first survey included schoolchildren from grades 0-6 and three years later all schoolchildren attending grade three and six were approached. In Lycksele all school children attending grades three through six and grade nine were invited to participate. Pain and quality of life were measured by questionnaires.

The main findings of the thesis were that 2/3 of the children experienced pain from the head, stomach or back recurrently (at least monthly) and 1/3 experienced weekly pain. Weekly headache was reported by 23% of the children, 19 % reported weekly stomach-ache and 7% weekly backache. Half of the children with recurrent pain conditions reported pain from several body sites, and, in children with weekly pain, 2/3 reported multi-site pain. HRQoL in children with recurrent pain problems was markedly impaired, especially in children with multi-site pain and in children with weekly pain. Finally, The Swedish PedsQL self-report forms showed acceptable psychometric properties.

In conclusion, in young schoolchildren, headache, stomach-ache and backache are common conditions associated with a clearly reduced HRQoL. The results show an urgent need for early preventive and curative programs targeting HRQoL domains such as physical, emotional, social and school areas. The results also indicate that recurrent pain should be regarded a potential general pain disorder rather than merely a local disorder. The PedsQL was found to be a reliable and valid measure of HRQoL in young Swedish school-aged children.

Place, publisher, year, edition, pages
Umeå: Pediatrik, 2008. 101 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1168
Keyword
Pediatrics, Abdominal pain, Back pain, Child, Headache, Pain, Psychometrics, Quality of Life, Schools, validation studies, Pediatrik
Research subject
Pediatrics
Identifiers
urn:nbn:se:umu:diva-1592 (URN)978-91-7264-537-0 (ISBN)
Public defence
2008-04-11, sal B, 9tr, Tandläkarhögskolan, Umeå Universitet, Umeå, 09:00 (English)
Opponent
Supervisors
Available from: 2008-03-20 Created: 2008-03-20 Last updated: 2015-04-29Bibliographically approved

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