TY - JOUR
T1 - Pain patterns during adolescence can be grouped into four pain classes with distinct profiles
T2 - A study on a population based cohort of 2953 adolescents
AU - Holden, Sinead
AU - Rathleff, Michael Skovdal
AU - Roos, E. M.
AU - Jensen, Martin Bach
AU - Pourbordbari, Negar
AU - Graven-Nielsen, Thomas
N1 - DNRF121
PY - 2018/4
Y1 - 2018/4
N2 - INTRODUCTION: Although multi-site pain is common in adolescents, pain conditions are frequently diagnosed and treated in isolation. Little is known about whether there are specific sites in which pain commonly co-occurs. This study examines the patterns of pain in adolescents, and whether these are associated with sports participation, health-related quality of life (HRQoL), and sex.METHODS: In previously collected cohort data ('Adolescent Pain in Aalborg-2011'), adolescents (aged 12-19) completed an online questionnaire, including demographic data, current pain sites, sports participation and HRQoL (assessed by Euro-QoL 5D-3L). Latent class analysis was used to classify spatial pain patterns, based on the pain sites. The analysis included 2953 adolescents.RESULTS: Four classes were identified as follows: (1) little or no pain (63% of adolescents), (2) majority lower extremity pain (10%), (3) multi-site bodily pain (22%) and (4) head and stomach pain (3%). The lower extremity multi-site pain group reported highest weekly sports participation (p < 0.001; mean: 2.9 days/week; 95% CI 2.7 to 3.2), while the multi-site bodily pain and the multi-site head and stomach pain groups had lowest EQ-5D scores (p < 0.001). Males were more likely to belong to the little or no pain class, whereas females were more likely to belong to the multi-site bodily pain class.CONCLUSIONS: Latent class analysis identified distinct classes of pain patterns in adolescents, characterized by sex, differences in HRQoL and sports participation. The class with multi-site bodily pain and reduced quality of life was the largest among adolescents reporting pain, and future research on treatment strategies should consider targeting this group.
AB - INTRODUCTION: Although multi-site pain is common in adolescents, pain conditions are frequently diagnosed and treated in isolation. Little is known about whether there are specific sites in which pain commonly co-occurs. This study examines the patterns of pain in adolescents, and whether these are associated with sports participation, health-related quality of life (HRQoL), and sex.METHODS: In previously collected cohort data ('Adolescent Pain in Aalborg-2011'), adolescents (aged 12-19) completed an online questionnaire, including demographic data, current pain sites, sports participation and HRQoL (assessed by Euro-QoL 5D-3L). Latent class analysis was used to classify spatial pain patterns, based on the pain sites. The analysis included 2953 adolescents.RESULTS: Four classes were identified as follows: (1) little or no pain (63% of adolescents), (2) majority lower extremity pain (10%), (3) multi-site bodily pain (22%) and (4) head and stomach pain (3%). The lower extremity multi-site pain group reported highest weekly sports participation (p < 0.001; mean: 2.9 days/week; 95% CI 2.7 to 3.2), while the multi-site bodily pain and the multi-site head and stomach pain groups had lowest EQ-5D scores (p < 0.001). Males were more likely to belong to the little or no pain class, whereas females were more likely to belong to the multi-site bodily pain class.CONCLUSIONS: Latent class analysis identified distinct classes of pain patterns in adolescents, characterized by sex, differences in HRQoL and sports participation. The class with multi-site bodily pain and reduced quality of life was the largest among adolescents reporting pain, and future research on treatment strategies should consider targeting this group.
KW - Journal Article
UR - http://www.scopus.com/inward/record.url?scp=85044055381&partnerID=8YFLogxK
U2 - 10.1002/ejp.1165
DO - 10.1002/ejp.1165
M3 - Journal article
C2 - 29280242
SN - 1090-3801
VL - 22
SP - 793
EP - 799
JO - European Journal of Pain
JF - European Journal of Pain
IS - 4
ER -