Cited by 116Pediatric Pain Management TechniquesSchool Health and Nursing EducationMusculoskeletal pain and rehabilitation

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Severity of pediatric pain in relation to school-related functioning and teacher support: An epidemiological study among school-aged children and adolescents

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Vervoort, Tine, Logan, Deirdre E., Goubert, Liesbet, De Clercq, Bart, Hublet, Anne·2014·Pain

DOI 10.1016/j.pain.2014.02.021

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Abstract

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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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
ORCID: Vervoort, Tine
Logan, Deirdre E.
Goubert, Liesbet
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-06
Volume: 155
Issue: 6
Pages: 1118-1127
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2014.02.021
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 › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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Severity of pediatric pain in relation to school-related functioning and teacher support: An epidemiological study among school-aged children and adolescents

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