Chronic pain and its impact on quality of life in adolescents and their families
Open accessAbstract
OBJECTIVE: To study chronic pain not caused by somatic disease in adolescents and the effect of pain on the quality of life of the adolescents and their families. METHODS: One hundred twenty-eight youngsters (12-18 years) who had reported chronic pain kept a 3-week diary of their pain and completed a questionnaire on quality of life. Their mothers completed a questionnaire on the impact of their youngster's pain on the family. RESULTS: The most prevalent pains were limb pain, headache, abdominal, and back pain. The pain increased during the day, with the highest frequency around dinner time and the highest intensity around bedtime. Girls reported more intense and more frequent pain than boys. The higher the intensity and frequency of the pain, the lower the self-reported quality of life of the female or male adolescent, especially regarding psychological functioning (e.g. feeling less at ease), physical status (a greater incidence of other somatic complaints), and functional status (more impediments to leisure and daily activities). Chronic pain also had a negative impact on family life. The mothers reported restrictions, particularly in social life, and problems dealing with the stress of the adolescent's pain. CONCLUSIONS: Chronic pain, not caused by somatic disease, was present to a higher degree in girls; the pain increased during the day and had a negative impact on quality of life of the adolescents and the family. There is a need for future research aimed at identifying risk factors for chronic pain and pain-associated quality of life in children and adolescents.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Parents of children with chronic pain experience emotional difficulties (anxiety, depression, adjustment challenges, parenting stress) and social difficulties (poorer family functioning, restrictions in social life), as well as physical symptoms, financial difficulties, and poor overall quality of life.
“Studies indicate that parents of children with chronic pain experience emotional difficulties, including anxiety, depression, adjustment challenges, and parenting stress, and social difficulties, including poorer family functioning and restrictions in social life, as well as physical symptoms, financial difficulties, and poor overall quality of life (Campo et al., 2007;Eccleston et al., 2004;Hunf”
From Psychosocial Functioning of Parents of Youth Receiving Intensive Interdisciplinary Pain Treatment (2024) · cites this paper as Hunfeld et al., 2001
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredCurrent parent interventions do not address the unique needs and challenges of parents of youth with pain, including their own emotional distress, changes in day-to-day schedule and roles, limitations in personal lives, poorer overall quality of life, and potentially their own history of chronic pain.
“Unfortunately, this does not address the unique needs and challenges of parents of youth with pain, including their own emotional distress, changes in their day-to-day schedule and roles, limitations in personal lives, poorer overall quality of life (Hunfeld et al., 2001), and potentially their own history of chronic pain.”
From Psychosocial Functioning of Parents of Youth Receiving Intensive Interdisciplinary Pain Treatment (2024) · cites this paper as Hunfeld et al., 2001
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms
Merskey, H. (1994) · Medical Entomology and Zoology · Cited by 3,362 · see citing works
The measurement of clinical pain intensity: a comparison of six methods
Jensen, M. P., Karoly, P., & Braver, S. (1986) · Pain · doi:10.1016/0304-3959(86)90228-9 · Cited by 3,275 · see citing works
Designing Experiments and Analyzing Data: A Model Comparison Perspective
Maxwell, S., & Delaney, H. D. (1990) · Journal of the American Statistical Association · doi:10.2307/2289744 · Cited by 2,593 · see citing works
Quality of life and pharmacoeconomics in clinical trials
Pater, J. L. (1996) · Controlled Clinical Trials · doi:10.1016/s0197-2456(97)82191-5 · Cited by 2,412 · see citing works
Williams, A. C. D. C. (1995) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(95)90016-0 · Cited by 1,475 · see citing works
Designing Experiments and Analysing Data: A Model Comparison Perspective.
Freeman, G. H., Maxwell, S. E., & Delaney, H. D. (1991) · Biometrics · doi:10.2307/2532173 · Cited by 1,229 · see citing works
Berkley, K. J. (1997) · Behavioral and Brain Sciences · doi:10.1017/s0140525x97221485 · Cited by 1,125 · see citing works
Pain in children and adolescents: a common experience
Perquin, C. W., Hazebroek-Kampschreur, A. A. J. M., Hunfeld, J. A. M., Bohnen, A. M., van Suijlekom-Smit, L. W. A., Passchier, J., & van der Wouden, J. C. (2000) · Pain · doi:10.1016/s0304-3959(00)00269-4 · Cited by 1,114 · see citing works
Self-citationDesigning Experiments and Analyzing Data: A Model Comparison Perspective, Third Edition
Maxwell, S. E., & Delaney, H. D. (1999) · Medical Entomology and Zoology · Cited by 975 · see citing works
Loeser, J. D., & Melzack, R. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01311-2 · Cited by 700 · see citing works
The Prevalence of Low Back Pain Among Children and Adolescents
TAIMELA, S. P., Kujala, U. M., Salminen, J. J., & Viljanen, T. (1997) · Spine · doi:10.1097/00007632-199705150-00013 · Cited by 403 · see citing works
Low Back Pain in Schoolchildren A Study of Familial and Psychological Factors
Balagué, F., Skovron, M.-L., Nordin, M. C., Dutoit, G., & Waldburger, M. (1995) · Spine · doi:10.1097/00007632-199506000-00012 · Cited by 265 · see citing works
Quality of life assessments in dermatology
Finlay, A. Y. (1998) · Seminars in Cutaneous Medicine and Surgery · doi:10.1016/s1085-5629(98)80026-6 · Cited by 175 · see citing works
The incidence of back pain and headache among Swedish school children
Brattberg, G. (1994) · Quality of Life Research · doi:10.1007/bf00433372 · Cited by 172 · see citing works
Experimental Pain in Healthy Human Subjects
Walker, J. S., & CARMODY, J. J. (1998) · Anesthesia & Analgesia · doi:10.1097/00000539-199806000-00023 · Cited by 167 · see citing works
Clinical Features of Chronic Daily Headache
Solomon, S., Lipton, R. B., & Newman, L. C. (1992) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1992.hed3207325.x · Cited by 126 · see citing works
Psychological functioning of children who have recurrent migraine
Andrasik, F., Kabela, E., Quinn, S., Attanasio, V., Blanchard, E. B., & Rosenblum, E. L. (1988) · Pain · doi:10.1016/0304-3959(88)90180-7 · Cited by 115 · see citing works
A Quality of Life Instrument for Adolescents with Chronic Headache
Langeveld, J., Koot, H. M., Loonen, M., Hazebroek-Kampschreur, A. A. J. M., & Passchier, J. (1996) · Cephalalgia · doi:10.1046/j.1468-2982.1996.1603183.x · Cited by 101 · see citing works
Prevalence of self-reported back pain in school children: A study of sociodemographic differences
Kristjánsdóttir, G. (1996) · European Journal of Pediatrics · doi:10.1007/bf02282892 · Cited by 101 · see citing works
Psychological Bases of Symptom Reporting: Perceptual and Emotional Aspects of Chemical Sensitivity
Pennebaker, J. W. (1994) · Toxicology and Industrial Health · doi:10.1177/074823379401000519 · Cited by 95 · see citing works
Chronic Daily Headache in Children and Adolescents
Holden, E. W., Gladstein, J., Trulsen, M., & Wall, B. A. (1994) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1994.hed3409508.x · Cited by 93 · see citing works
THE ROLE OF PSYCHOLOGICAL, HEALTH‐BEHAVIOUR AND MEDICAL FACTORS IN ADOLESCENT HEADACHE
Larsson, B. (1988) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1988.tb04799.x · Cited by 87 · see citing works
Hunfeld, J., Tempels, A., Passchier, J., Hazebroek, F., & Tibboel, D. (1999) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/24.6.515 · Cited by 86 · see citing works
Self-citationAccuracy of childrenʼs pain memories
Zonneveld, L. N. L., McGrath, P. J., Reid, G. J., & Sorbi, M. J. (1997) · Pain · doi:10.1016/s0304-3959(97)03379-4 · Cited by 82 · see citing works
Langeveld, J., Koot, H. M., & Passchier, J. (1997) · Headache The Journal of Head and Face Pain · doi:10.1046/j.1526-4610.1997.3701037.x · Cited by 80 · see citing works
Personality and Behavioural Characteristics in Pediatric Migraine
Cunningham, S. J., McGrath, P. J., McGrath, P. J., McGrath, P. J., McGrath, P. J., Ferguson, H. B., Humphreys, R., D'Astous, J. L., Latter, J., Goodman, J. T., et al. (1987) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1987.hed2701016.x · Cited by 74 · see citing works
Walker, J. S., & CARMODY, J. J. (1999) · Survey of Anesthesiology · doi:10.1097/00132586-199908000-00058 · Cited by 55 · see citing works
Chronic Daily Headache in Children and Adolescents
Gladstein, J., & Holden, E. W. (1995) · Cephalalgia · doi:10.1177/0333102495015s1671 · Cited by 46 · see citing works
Measuring Chronic Pain in Children, an Exploration
Hunfeld, J. A. M., den Deurwaarder, E. S. G., van der Wouden, J. C., et al. (1997) · Perceptual and Motor Skills · doi:10.2466/pms.1997.84.3c.1176 · Cited by 27 · see citing works
Self-citationThe Optimal Length of Headache Recording in Juvenile Migraine Patients
Osterhaus, S., & Passchier, J. (1992) · Cephalalgia · doi:10.1046/j.1468-2982.1992.1205297.x · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Cohen, J. (1987). Statistical power for the behavioral sci- ences. New York: Academic Press.
- DeGood, D. E., & Shutty, M. S. (1992). Assessment of pain beliefs, coping and self-efficacy. In: D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 214-234). New York: Guilford.
Cited by
Sorted by citations
The child version of the pain catastrophizing scale (PCS-C): a preliminary validation
Crombez, G., Bijttebier, P., Eccleston, C., Mascagni, T., Mertens, G., Goubert, L., & Verstraeten, K. (2003) · Pain · doi:10.1016/s0304-3959(03)00121-0 · Cited by 652 · see citing works
The severity of chronic pediatric pain: an epidemiological study
Huguet, A., & Miró, J. (2008) · The Journal of Pain · doi:10.1016/j.jpain.2007.10.015 · Cited by 600 · see citing works
Eccleston, C., Crombez, G., Scotford, A., Clinch, J., & Connell, H. (2004) · Pain · doi:10.1016/j.pain.2003.11.008 · Cited by 418 · see citing works
The Impact of Pain Management on Quality of Life
Katz, N. (2002) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(02)00411-6 · Cited by 418 · see citing works
Forgeron, P. A., King, S., Stinson, J. N., McGrath, P. J., MacDonald, A. J., & Chambers, C. T. (2010) · Pain Research and Management · doi:10.1155/2010/820407 · Cited by 381 · see citing works
Systematic review of family functioning in families of children and adolescents with chronic pain
Lewandowski, A. S., Palermo, T. M., Stinson, J., Handley, S., & Chambers, C. T. (2010) · The Journal of Pain · doi:10.1016/j.jpain.2010.04.005 · Cited by 374 · see citing works
Palermo, T. M., Wilson, A. C., Peters, M., Lewandowski, A., & Somhegyi, H. (2009) · Pain · doi:10.1016/j.pain.2009.07.034 · Cited by 368 · see citing works
Chronic idiopathic pain in adolescence—High prevalence and disability: The young hunt study 2008
Hoftun, G. B., Romundstad, P. R., Zwart, J.-A., & Rygg, M. (2011) · Pain · doi:10.1016/j.pain.2011.05.007 · Cited by 206 · see citing works
Jordan, A. L., Eccleston, C., & Osborn, M. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2005.12.012 · Cited by 201 · see citing works
Pain, fatigue, and health-related quality of life in children and adolescents with chronic pain
Gold, J. I., Mahrer, N. E., Yee, J., & Palermo, T. M. (2009) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e318192bfb1 · Cited by 179 · see citing works
“Among adolescents with chronic pain, the greater the intensity and frequency of pain, the lower the self-reported quality of life.(7) Studies examining children with the specific conditions of spina bifida and juvenile arthritis have also found that pain is an important predictor of quality of life.”
BackgroundPalermo, T. M., & Kiska, R. (2005) · The Journal of Pain · doi:10.1016/j.jpain.2004.12.005 · Cited by 173 · see citing works
Anderson, B. J., Laffel, L. M., Domenger, C., Danne, T., Phillip, M., Mazza, C., Hanas, R., Waldron, S., Beck, R. W., Calvi-Gries, F., et al. (2017) · Diabetes Care · doi:10.2337/dc16-1990 · Cited by 170 · see citing works
Recurrent pain in children, socio-economic factors and accumulation in families
Grøholt, E.-K., Stigum, H., Nordhagen, R., & Köhler, L. (2003) · European Journal of Epidemiology · doi:10.1023/a:1025889912964 · Cited by 164 · see citing works
Chidambaran, V., Ding, L., Moore, D. L., Spruance, K., Cudilo, E. M., Pilipenko, V., Hossain, M., Sturm, P., Kashikar‐Zuck, S., Martin, L. J., et al. (2017) · European Journal of Pain · doi:10.1002/ejp.1025 · Cited by 130 · see citing works
Logan, D. E., Simons, L. E., & Kaczynski, K. J. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn143 · Cited by 123 · see citing works
Tran, S. T., Jastrowski Mano, K. E., Hainsworth, K. R., Medrano, G. R., Anderson Khan, K., Weisman, S. J., & Davies, W. H. (2015) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsv029 · Cited by 119 · see citing works
Vervoort, T., Logan, D. E., Goubert, L., De Clercq, B., & Hublet, A. (2014) · Pain · doi:10.1016/j.pain.2014.02.021 · Cited by 116 · see citing works
Hoftun, G. B., Romundstad, P. R., & Rygg, M. (2013) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2013.422 · Cited by 110 · see citing works
Pediatric chronic pain and health-related quality of life
Gold, J. I., Yetwin, A. K., Mahrer, N. E., Carson, M. C., Griffin, A. T., Palmer, S. N., & Joseph, M. H. (2009) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2008.07.003 · Cited by 106 · see citing works
Guite, J. W., McCue, R. L., Sherker, J. L., Sherry, D. D., & Rose, J. B. (2011) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31821d8fb4 · Cited by 96 · see citing works
School functioning and chronic pain: a review of methods and measures
Gorodzinsky, A. Y., Hainsworth, K. R., & Weisman, S. J. (2011) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsr038 · Cited by 84 · see citing works
School attendance in children with functional abdominal pain and inflammatory bowel diseases
Assa, A., Ish‐Tov, A., Rinawi, F., & Shamir, R. (2015) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000000850 · Cited by 85 · see citing works
Brain systems at the intersection of chronic pain and self-regulation
Reddan, M. C., & Wager, T. D. (2019) · Neuroscience Letters · doi:10.1016/j.neulet.2018.11.047 · Cited by 46 · see citing works
Cognitive fusion and pain experience in young people
Solé, E., Tomé-Pires, C., de la Vega, R., Racine, M., Castarlenas, E., Jensen, M. P., & Miró, J. (2016) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000227 · Cited by 47 · see citing works
Bruce, B. K., Ale, C. M., Harrison, T. E., Bee, S., Luedtke, C., Geske, J., & Weiss, K. E. (2017) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000433 · Cited by 34 · see citing works
Cognitive behavioral therapy for pediatric chronic pain: The problem, research, and practice
Noel, M., Petter, M., Parker, J. A., & Chambers, C. T. (2012) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.26.2.143 · Cited by 30 · see citing works
Connecting parents of children with chronic pain through art therapy
Pielech, M., Sieberg, C. B., & Simons, L. E. (2013) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000026 · Cited by 21 · see citing works
Caes, L., Orchard, A., & Christie, D. (2017) · Healthcare · doi:10.3390/healthcare5040093 · Cited by 20 · see citing works
Weiss, K. E., Junghans-Rutelonis, A. N., Aaron, R. V., Harbeck-Weber, C., McTate, E., Luedtke, C., & Bruce, B. K. (2019) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000737 · Cited by 14 · see citing works
Psychosocial Functioning of Parents of Youth Receiving Intensive Interdisciplinary Pain Treatment
Christofferson, J., Scheurich, J. A., Black, W. R., Hoffart, C. M., & Wallace, D. P. (2024) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsad092 · Cited by 3 · see citing works
- Authors
- Hunfeld, J. A. M.
- Affiliations
- Erasmus MC (NL)
- Corresponding author
- Hunfeld, J. A. M.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-04-01
- Volume
- 26
- Issue
- 3
- Pages
- 145-153
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2096565249
- Cited by
- 421
- References
- 30
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 6 · 2023: 10 · 2022: 15 · 2021: 20 · 2020: 28 · 2019: 21 · 2018: 21 · 2017: 24 · 2016: 18 · 2015: 19 · 2014: 16 · 2013: 29 · 2012: 23
- FWCI
- 7.32
- Type
- journal article
- Language
- en
- Open access
- green
- pure.eur.nl
- Licence
- other-oa
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Erasmus Universiteit Rotterdam
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- chronic pain, adolescents, quality of life, family impact, pain diary, sex differences, limb pain, headache, back pain, abdominal pain, functional status, psychological functioning, maternal stress
- MeSH terms
- Adolescent, Analysis of Variance, Child, Chronic Disease, Female, Humans, Male, Netherlands, Nuclear Family, Pain, Quality of Life, Linear Models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review