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Cited by 123Pediatric Pain Management TechniquesYouth Substance Use and School AttendanceMusculoskeletal pain and rehabilitation

School Functioning in Adolescents With Chronic Pain: The Role of Depressive Symptoms in School Impairment

Logan, D. E., Simons, L. E., Kaczynski, K. J.·2009·Journal of Pediatric Psychology
DOI 10.1093/jpepsy/jsn143
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Abstract

OBJECTIVE: To explore associations between depressive symptoms and school functioning, including school attendance, academic performance, self-perceived academic competence, and teacher-rated school adjustment among predominantly Caucasian and female adolescent chronic pain patients. METHODS: A total of 217 clinically referred adolescents (aged 12-17 years) and their parents completed measures of pain characteristics, depression, and school functioning. Additional data were collected from school records and teacher reports. RESULTS: Depressive symptoms strongly correlated with school functioning indicators. In linear regression analyses, higher levels of depressive symptoms predicted more school impairment. A model testing whether depressive symptoms mediated the association between current pain intensity and parent perceptions of the interference of pain on school functioning was supported by the data. CONCLUSIONS: Depressive symptoms play a key role in influencing the extent of school impairment in adolescents with chronic pain. Interventions to alleviate depressive symptoms may enhance treatments designed to improve school functioning in this population.

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Crossref · 10.1093/jpepsy/jsn143

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  • Family, school and the peer network each shape the pain experience of the individual child or adolescent, and each also represents a domain of functioning that is often impaired by chronic pain.

    “Family, school and the peer network each shape the pain experience of the individual child or adolescent, and each also represents a domain of functioning that is often impaired by chronic pain.”

    From Ecological system influences in the treatment of pediatric chronic pain (2012) · cites this paper as [5]

    The discussion and introductory passages describe school impairment in adolescents with chronic pain, while the introductory discussion of the biopsychosocial model identifies family pain history and parental responses as factors associated with disability. The paper does not establish that the peer network shapes pain or is often impaired by it, nor does it address family functioning as an impaired domain. No page number was provided for the decisive passages. (LLM, conf=0.86)

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  • Existing research shows that many children with chronic pain miss extensive amounts of school, with several studies indicating that many miss 50% or more of school days.

    “Existing research shows that many children with chronic pain miss extensive amounts of school, with several studies indicating that many of these children miss 50% or more of their school days (5,6).”

    From Ecological system influences in the treatment of pediatric chronic pain (2012) · cites this paper as [5]

    The introductory passage says frequent school absence is well documented among adolescents with chronic pain. Table I in Descriptive and Preliminary Analyses reports a mean of 33.5% of full or partial school days missed in this study, but does not establish that many children missed at least 50% of their school days or that several studies found that threshold. Page numbers were not available in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Beyond school absence, chronic pain also appears to affect school performance and children's sense of academic competence.

    “Beyond school absence, chronic pain also appears to affect school performance (5) and children's sense of academic competence (7).”

    From Ecological system influences in the treatment of pediatric chronic pain (2012) · cites this paper as [5]

  • School functioning, particularly school attendance, is well known to be impaired among many pediatric chronic pain sufferers.

    “School functioning, particularly school attendance, is well known to be impaired among many pediatric chronic pain sufferers.”

    From Ecological system influences in the treatment of pediatric chronic pain (2012) · cites this paper as [5]

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Authors
Logan, D. E., Simons, L. E., & Kaczynski, K. J.
Affiliations
Boston Children's Hospital (US)
ORCID
Venue
Journal of Pediatric Psychology
Publisher
Oxford University Press (OUP)
Published
2009-01-30
Volume
34
Issue
8
Pages
882-892
ISSN
  • 0146-8693 (ISSN-L)
  • 1465-735X
DOI
10.1093/jpepsy/jsn143
OpenAlex
W2159045358
Cited by
123
References
46
Citations by year
2026: 2 · 2025: 8 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 2 · 2020: 43 · 2019: 12 · 2018: 5 · 2017: 2 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 5 · 2012: 10
FWCI
5.34
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Pediatric Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
  • Social Sciences › Education › Youth Substance Use and School Attendance
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
chronic pain, adolescents, depressive symptoms, school functioning, school attendance, academic performance, pain intensity, mediation, pain interference
MeSH terms
Absenteeism, Achievement, Adaptation, Psychological, Adolescent, Child, Depression, Empathy, Female, Humans, Internal-External Control, Male, Pain, Peer Group, Personality Assessment, Regression Analysis, Social Adjustment, Students

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