Document Detail


The natural course of chronic benign pain in childhood and adolescence: a two-year population-based follow-up study.
MedLine Citation:
PMID:  14575668     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To assess the course of chronic benign pain in childhood and adolescence longitudinally.Setting. Cohort of children with chronic pain recruited from the open population. PATIENTS: A cohort of 987 children and adolescents aged 0-18 years with chronic pain (continuous or recurrent pain>3 months), who were identified in a previous population-based prevalence study, were approached for a two-year follow-up study. Subjects were asked to keep a 3-week diary on their pain and to fill out questionnaires about background factors, pain and pain-related consequences. This assessment was repeated annually for two years. RESULTS: At baseline, 254 subjects reported chronic benign pain; of these, 124 (48%) and 77 (30%) subjects still experienced chronic benign pain at one-year and two-year follow-up, respectively. Except for the estimated pain intensity, which decreased marginally, pain remained stable over the follow-up period. Minor changes occurred in the consequences of pain; the main changes were a decrease of the impact of pain on the child's behavior, social functioning and use of health care. Subjects with persistent pain (9.4%) differed from those with non-persistent pain in frequency, history and location of the pain, emotional problems and their mother's health. CONCLUSIONS: Chronic benign pain in childhood and adolescence is common, and seems to persist in a considerable proportion (30-45%), although pain generally does not deteriorate over time.
Authors:
Christel W Perquin; Joke A M Hunfeld; Alice A J M Hazebroek-Kampschreur; Lisette W A van Suijlekom-Smit; Jan Passchier; Bart W Koes; Johannes C van der Wouden
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of pain (London, England)     Volume:  7     ISSN:  1090-3801     ISO Abbreviation:  Eur J Pain     Publication Date:  2003  
Date Detail:
Created Date:  2003-10-24     Completed Date:  2004-02-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9801774     Medline TA:  Eur J Pain     Country:  England    
Other Details:
Languages:  eng     Pagination:  551-9     Citation Subset:  IM    
Affiliation:
Department of General Practice (Room Ff 325), Erasmus MC - University Medical Center P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Chronic Disease
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Mother-Child Relations
Pain / physiopathology*,  psychology*
Prognosis
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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