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Recurrent pain and health related quality of life in young schoolchildren
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik. Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.ORCID-id: 0000-0001-6720-2430
2008 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
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.

Ort, förlag, år, upplaga, sidor
Umeå: Pediatrik , 2008. , s. 101
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 1168
Nyckelord [en]
Pediatrics, Abdominal pain, Back pain, Child, Headache, Pain, Psychometrics, Quality of Life, Schools, validation studies
Nyckelord [sv]
Pediatrik
Forskningsämne
pediatrik
Identifikatorer
URN: urn:nbn:se:umu:diva-1592ISBN: 978-91-7264-537-0 (tryckt)OAI: oai:DiVA.org:umu-1592DiVA, id: diva2:141488
Disputation
2008-04-11, sal B, 9tr, Tandläkarhögskolan, Umeå Universitet, Umeå, 09:00 (Engelska)
Opponent
Handledare
Tillgänglig från: 2008-03-20 Skapad: 2008-03-20 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Delarbeten
1. High prevalence of tiredness and pain in young schoolchildren
Öppna denna publikation i ny flik eller fönster >>High prevalence of tiredness and pain in young schoolchildren
2003 (Engelska)Ingår i: Scandinavian journal of public health, Vol. 31, nr 5, s. 367-374Artikel i tidskrift (Refereegranskat) Published
Identifikatorer
urn:nbn:se:umu:diva-3047 (URN)10.1080/14034940210165064 (DOI)14555373 (PubMedID)
Tillgänglig från: 2008-03-20 Skapad: 2008-03-20 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
2. Recurrent pain symptoms in young schoolchildren are often multiple.
Öppna denna publikation i ny flik eller fönster >>Recurrent pain symptoms in young schoolchildren are often multiple.
2006 (Engelska)Ingår i: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 121, nr 1-2, s. 145-150Artikel i tidskrift (Refereegranskat) Published
Nyckelord
Abdominal Pain/*complications/epidemiology, Adolescent, Back Pain/*complications/epidemiology, Child, Confidence Intervals, Female, Headache/*complications/epidemiology, Humans, Male, Odds Ratio, Questionnaires, Recurrence, Sex Factors, Time Factors
Identifikatorer
urn:nbn:se:umu:diva-14588 (URN)10.1016/j.pain.2005.12.017 (DOI)16473464 (PubMedID)
Tillgänglig från: 2007-11-28 Skapad: 2007-11-28 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
3. Psychometric properties of the Swedish PedsQL, Pediatric Quality of Life Inventory 4.0 generic core scales
Öppna denna publikation i ny flik eller fönster >>Psychometric properties of the Swedish PedsQL, Pediatric Quality of Life Inventory 4.0 generic core scales
2009 (Engelska)Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 98, nr 9, s. 1504-1512Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim:  To study the psychometric performance of the Swedish version of the Pediatric Quality of Life Inventory (PedsQL) 4.0 generic core scales in a general child population in Sweden.

Methods:  PedsQL forms were distributed to 2403 schoolchildren and 888 parents in two different school settings. Reliability and validity was studied for self-reports and proxy reports, full forms and short forms. Confirmatory factor analysis tested the factor structure and multigroup confirmatory factor analysis tested measurement invariance between boys and girls.

Results:  Test-retest reliability was demonstrated for all scales and internal consistency reliability was shown with α value exceeding 0.70 for all scales but one (self-report short form: social functioning). Child-parent agreement was low to moderate. The four-factor structure of the PedsQL and factorial invariance across sex subgroups were confirmed for the self-report forms and for the proxy short form, while model fit indices suggested improvement of several proxy full-form scales.

Conclusion:  The Swedish PedsQL 4.0 generic core scales are a reliable and valid tool for health-related quality of life (HRQoL) assessment in Swedish child populations. The proxy full form, however, should be used with caution. The study also support continued use of the PedsQL as a four-factor model, capable of revealing meaningful HRQoL differences between boys and girls.

Nyckelord
Child;PedsQL;Quality of life;Sweden;Validation studies
Forskningsämne
pediatrik
Identifikatorer
urn:nbn:se:umu:diva-3049 (URN)10.1111/j.1651-2227.2009.01360.x (DOI)19570060 (PubMedID)
Anmärkning
Titel i avhandlingens delarbete 3: Psychometric properties of the pediatric quality of life inventory 4.0 generic core scaleTillgänglig från: 2008-03-20 Skapad: 2008-03-20 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
4. Impaired health-related quality of life in children with recurrent pain
Öppna denna publikation i ny flik eller fönster >>Impaired health-related quality of life in children with recurrent pain
2009 (Engelska)Ingår i: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 124, nr 4, s. e759-e767Artikel i tidskrift (Refereegranskat) 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.

Nyckelord
abdominal pain, back pain, child, headache, quality of life
Forskningsämne
pediatrik
Identifikatorer
urn:nbn:se:umu:diva-3050 (URN)10.1542/peds.2008-1546 (DOI)19736269 (PubMedID)
Anmärkning
Titel på avhandlingens delarbete 4: Low health related quality of life in young schoolchildren with recurrent painTillgänglig från: 2008-03-20 Skapad: 2008-03-20 Senast uppdaterad: 2018-06-09Bibliografiskt granskad

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