Disability in adolescents with chronic pain: Patterns and predictors across different domains of functioning
Abstract
Many children and adolescents experience recurrent pain, but only a few become disabled by it. Research has established that higher pain intensity and worse depression seem to predict poorer functioning in this population. Parent and family variables have been minimally researched. This study investigated functional disability, social/adaptive functioning and school attendance in a population of highly disabled adolescents and their parents seeking help for chronic pain. Adolescents (N=110) were assessed using the Bath Adolescent Pain Questionnaire [BAPQ; Eccleston C, Jordan A, McCracken LM, Sleed M, Connell H, Clinch J. The Bath Adolescent Pain Questionnaire (BAPQ): Development and preliminary psychometric evaluation of an instrument to assess the impact of chronic pain on adolescents. Pain 2005;118:263-70], a multidimensional instrument designed for a pain population. Pain intensity and depression predicted functional disability. However, social/adaptive functioning was associated with different variables, including parent factors, and school attendance showed no association with pain intensity or anxiety. The results emphasise the need to measure multiple domains of functioning, and show that the connections between pain, physical disability and adaptive functioning are looser than might be predicted.
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Pain intensity and emotional disorders such as anxiety, cognitive deviations, and physical harm are main predictors of disability in chronic pain disorder.
“In a lot of researches, pain intensity, and emotional disorders such as anxiety, cognitive deviations, and physical harm or injury are considered as main predictors of disability in this disorder (Weiner, Rudy, Kime, & Golla, 2004; Gauntlett - Gilbert & Eccleston, 2007).”
From The effectiveness of group acceptance and commitment therapy on pain intensity, pain catastrophizing and pain-associated anxiety in patients with chronic pain (2015) · cites this paper as Gauntlett - Gilbert & Eccleston, 2007
Other studies of attenders at this clinic have indicated that they are among the most disabled in the chronic pain literature.
“Other studies of attenders at this clinic have indicated that they are among the most disabled in the chronic pain literature (Gauntlett-Gilbert & Eccleston, 2007).”
From Acceptance and values-based treatment of adolescents with chronic pain: Outcomes and their relationship to acceptance (2013) · cites this paper as Gauntlett-Gilbert & Eccleston, 2007
Previous research has established that different aspects of adolescent functioning with pain can be associated with quite separate psychological variables.
“Previous research has established that different aspects of adolescent functioning with pain can be associated with quite separate psychological variables (Gauntlett-Gilbert & Eccleston, 2007).”
From Acceptance and values-based treatment of adolescents with chronic pain: Outcomes and their relationship to acceptance (2013) · cites this paper as Gauntlett-Gilbert & Eccleston, 2007
Gauntlett-Gilbert and Eccleston's (2007) study showed that school attendance was associated with different variables to both physical and social disability.
“Gauntlett-Gilbert and Eccleston's (2007) study showed that school attendance was associated with different variables to both physical and social disability.”
From Acceptance and values-based treatment of adolescents with chronic pain: Outcomes and their relationship to acceptance (2013) · cites this paper as Gauntlett-Gilbert & Eccleston, 2007
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“In a lot of researches, pain intensity, and emotional disorders such as anxiety, cognitive deviations, and physical harm or injury are considered as main predictors of disability in this disorder (Weiner, Rudy, Kime, & Golla, 2004; Gauntlett – Gilbert & Eccleston, 2007).”
Background
- Authors
- Gauntlett-Gilbert, J., & Eccleston, C.
- Affiliations
- Royal National Hospital for Rheumatic Diseases (GB)
- Venue
- Pain
- Published
- 2007-09
- Volume
- 131
- Issue
- 1
- Pages
- 132-141
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2080113925
- Cited by
- 236
- References
- 11
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 10 · 2023: 8 · 2022: 8 · 2021: 12 · 2020: 13 · 2019: 11 · 2018: 19 · 2017: 8 · 2016: 16 · 2015: 11 · 2014: 14 · 2013: 15 · 2012: 15
- FWCI
- 13.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- chronic pain, adolescents, functional disability, school attendance, pain intensity, depression, anxiety, parental factors, predictors of functioning
- MeSH terms
- Activities of Daily Living, Adolescent, Psychology, Adolescent, Chronic Disease, Depression, Disability Evaluation, Female, United Kingdom, Humans, Male, Pain, Surveys and Questionnaires, Risk Factors, Social Adjustment, Incidence, Sickness Impact Profile, Risk Assessment
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