Severity of pediatric pain in relation to school-related functioning and teacher support: An epidemiological study among school-aged children and adolescents
Open accessAbstract
The current cross-sectional study examined child and adolescent pain severity in relation to various domains of school functioning and, in line with self-determination theory, the potentially protective role of perceived teacher support of child/adolescent autonomy and competence. Data from a large representative sample of Flemish school children and adolescents (N=10650; 50.8% boys; age range 10-21years; mean age=14.33) was collected as part of the World Health Organization (WHO) collaborative Health Behaviour in School-Aged Children (HBSC) survey. Child/adolescent pain severity was graded based on a pediatric pain classification system adapted from that of Von Korff et al. The current study thus provided insight regarding the prevalence of pain among Flemish children/adolescents and, extending the limitations of existing literature, examined the specific role of pain severity across various domains of school functioning. Findings indicated that a sizeable proportion of children reported moderate to severe pain problems (ie, about 14% of children and adolescents were classified in the highest pain grades: ie, grade III or IV). Furthermore, higher pain grades were associated with poorer outcomes across all indices of school functioning (ie, school absenteeism, school-related pressure and satisfaction, and bullying experiences), with the exception of academic performance. However, the association between pain grade and school absenteeism was less pronounced when children perceived their teachers to be highly supportive of competence and autonomy. Furthermore, teacher support of competence appeared to buffer against the harmful effects of severe pain upon instances of bullying experiences at school. Future research directions and implications for school-based interventions are discussed.
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Youth with pain who perceive teachers to be unsupportive may avoid school and experience more academic challenges.
“those who perceive teachers to be unsupportive [5] may avoid school and experience more academic challenges.”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [5]
The Results (section headed “-INSERT FIGURE 1 ABOUT HERE --INSERT FIGURE 2 ABOUT HERE -”; page unavailable) associate lower perceived teacher support with greater pain-related school absenteeism and lower perceived academic performance. The study measured absence due to pain, not whether students intentionally avoided school, so that part of the claim goes beyond its findings. (LLM, conf=0.82)
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- Authors
- Vervoort, T., Logan, D. E., Goubert, L., De Clercq, B., & Hublet, A.
- Affiliations
- Boston Children's Hospital (US)
- Ghent University (BE)
- Corresponding author
- Vervoort, Tine
- Venue
- Pain
- Published
- 2014-06
- Volume
- 155
- Issue
- 6
- Pages
- 1118-1127
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2009222369
- Cited by
- 116
- References
- 64
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 9 · 2023: 8 · 2022: 8 · 2021: 11 · 2020: 15 · 2019: 18 · 2018: 12 · 2017: 13 · 2016: 2 · 2015: 5 · 2014: 2
- FWCI
- 6.90
- Type
- journal article
- Language
- en
- Open access
- green
- biblio.ugent.be
- Licence
- other-oa
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pediatric pain, pain intensity, school functioning, teacher support, self-determination theory, autonomy support, competence support, school absenteeism, bullying, academic performance, adolescents, children, pain prevalence, school-based intervention
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Faculty, Female, Humans, Male, Pain, Schools, Severity of Illness Index, Social Support, Young Adult, Self Report
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