Cited by 159Pediatric Pain Management TechniquesAnesthesia and Pain ManagementPain Management and Treatment

Identification of pain-related psychological risk factors for the development and maintenance of pediatric chronic postsurgical pain

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Pagé, Gabrielle, Stinson, Campbell, Isaac, Katz, Joel·2013·Journal of Pain Research

Abstract

BACKGROUND: The goals of this study were to examine the trajectory of pediatric chronic postsurgical pain (CPSP) over the first year after surgery and to identify acute postsurgical predictors of CPSP. METHODS: Eighty-three children aged 8-18 years (mean 13.8, standard deviation 2.4) who underwent major orthopedic or general surgery completed pain and pain-related psychological measures at 48-72 hours, 2 weeks (pain anxiety and pain measures only), and 6 and 12 months after surgery. RESULTS: Results showed that 1 year after surgery, 22% of children developed moderate to severe CPSP with minimal functional disability. Children who reported a Numeric Rating Scale pain-intensity score ≥ 3 out of 10 two weeks after discharge were more than three times as likely to develop moderate/severe CPSP at 6 months and more than twice as likely to develop moderate/severe CPSP at 12 months than those who reported a Numeric Rating Scale pain score < 3 (6-month relative risk 3.3, 95% confidence interval 1.2-9.0 and 12-month relative risk 2.5, 95% confidence interval 0.9-7.5). Pain unpleasantness predicted the transition from acute to moderate/severe CPSP, whereas anxiety sensitivity predicted the maintenance of moderate/severe CPSP from 6 to 12 months after surgery. CONCLUSIONS: This study highlights the prevalence of pediatric CPSP and the role played by psychological variables in its development/maintenance. Risk factors that are associated with the development of CPSP are different from those that maintain it.

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Research works printed but not linked: 4

  1. [40]McCracken LM Dhingra L A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity Pain Res Manag 2002 7 1 45 50 16231066
  2. [45]Crombez G Eccleston C Baeyens F Eelen P When somatic information threatens, pain catastrophizing enhances attentional interference Pain 1998 75 2–3 187 198 9583754
  3. [58]Katz J Seltzer Z Transition from acute to chronic postsurgical pain: risk factors and protective factors Expert Rev Neurother 2009 9 5 723 744 19402781
  4. [66]Katz J Seltzer Z Transition from acute to chronic postsurgical pain: risk factors and protective factors Expert Rev Neurother 2009 9 5 723 744 19402781

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Authors
Pagé, G., Stinson, Campbell, Isaac, & Katz, J.
Affiliations
University of Toronto (CA)
Corresponding author
Katz, Joel
Venue
Journal of Pain Research
Published
2013-03
Volume
6
Pages
167
ISSN
1178-7090 (ISSN-L)
OpenAlex
W2116534858
Cited by
159
References
64
Citations by year
2026: 6 · 2025: 14 · 2024: 11 · 2023: 10 · 2022: 16 · 2021: 14 · 2020: 14 · 2019: 12 · 2018: 10 · 2017: 21 · 2016: 6 · 2015: 14 · 2014: 4 · 2013: 7
FWCI
9.65
Type
journal article
Language
en
Open access
Locations
  • Journal of Pain Research (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
  • YorkSpace (York University) (submittedVersion)
Funders
  • York University
  • Ontario Ministry of Health and Long-Term Care
  • Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
  • Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
chronic postoperative pain, pain-related anxiety, anxiety sensitivity, pain unpleasantness, pain intensity, orthopedic surgery, general surgery, pain trajectories

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