| The natural course of chronic benign pain in childhood and adolescence: a two-year population-based follow-up study. | |
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MedLine Citation:
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PMID: 14575668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of pain (London, England) Volume: 7 ISSN: 1090-3801 ISO Abbreviation: Eur J Pain Publication Date: 2003 |
Date Detail:
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Created Date: 2003-10-24 Completed Date: 2004-02-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9801774 Medline TA: Eur J Pain Country: England |
Other Details:
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Languages: eng Pagination: 551-9 Citation Subset: IM |
Affiliation:
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Department of General Practice (Room Ff 325), Erasmus MC - University Medical Center P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Chronic Disease Female Follow-Up Studies Humans Infant Infant, Newborn Male Mother-Child Relations Pain / physiopathology*, psychology* Prognosis Questionnaires |
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