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Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment

The bidirectional relationship between anxiety and chronic pain in youth is well-known, but how anxiety contributes to the maintenance of pediatric chronic pain needs to be elucidated. Sensitivity to pain traumatization (SPT), an individual’s propensity to develop responses to pain that resemble a t...

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Autores principales: Maunder, Larah, Pavlova, Maria, Beveridge, Jaimie K., Katz, Joel, Salomons, Tim V., Noel, Melanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032504/
https://www.ncbi.nlm.nih.gov/pubmed/35455573
http://dx.doi.org/10.3390/children9040529
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author Maunder, Larah
Pavlova, Maria
Beveridge, Jaimie K.
Katz, Joel
Salomons, Tim V.
Noel, Melanie
author_facet Maunder, Larah
Pavlova, Maria
Beveridge, Jaimie K.
Katz, Joel
Salomons, Tim V.
Noel, Melanie
author_sort Maunder, Larah
collection PubMed
description The bidirectional relationship between anxiety and chronic pain in youth is well-known, but how anxiety contributes to the maintenance of pediatric chronic pain needs to be elucidated. Sensitivity to pain traumatization (SPT), an individual’s propensity to develop responses to pain that resemble a traumatic stress response, may contribute to the mutual maintenance of anxiety and pediatric chronic pain. A clinical sample of youth (aged 10–18 years) with chronic pain completed a measure of SPT at baseline and rated their anxiety and pain characteristics for seven consecutive days at baseline and at three-month follow-up. Multiple linear regression analyses were conducted to model whether SPT moderated the relationship between baseline anxiety and pain intensity, unpleasantness, and interference three months later. SPT significantly moderated the relationship between anxiety and pain intensity. High anxiety youth with high SPT reported increased pain intensity three months later, while high anxiety youth with low SPT did not. High anxiety youth who experience pain as potentially traumatizing are more likely to report higher pain intensity three months later than high-anxiety youth who do not. Future research should examine whether children’s propensity to become traumatized by their pain predicts the development of chronic pain and response to intervention.
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spelling pubmed-90325042022-04-23 Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment Maunder, Larah Pavlova, Maria Beveridge, Jaimie K. Katz, Joel Salomons, Tim V. Noel, Melanie Children (Basel) Article The bidirectional relationship between anxiety and chronic pain in youth is well-known, but how anxiety contributes to the maintenance of pediatric chronic pain needs to be elucidated. Sensitivity to pain traumatization (SPT), an individual’s propensity to develop responses to pain that resemble a traumatic stress response, may contribute to the mutual maintenance of anxiety and pediatric chronic pain. A clinical sample of youth (aged 10–18 years) with chronic pain completed a measure of SPT at baseline and rated their anxiety and pain characteristics for seven consecutive days at baseline and at three-month follow-up. Multiple linear regression analyses were conducted to model whether SPT moderated the relationship between baseline anxiety and pain intensity, unpleasantness, and interference three months later. SPT significantly moderated the relationship between anxiety and pain intensity. High anxiety youth with high SPT reported increased pain intensity three months later, while high anxiety youth with low SPT did not. High anxiety youth who experience pain as potentially traumatizing are more likely to report higher pain intensity three months later than high-anxiety youth who do not. Future research should examine whether children’s propensity to become traumatized by their pain predicts the development of chronic pain and response to intervention. MDPI 2022-04-08 /pmc/articles/PMC9032504/ /pubmed/35455573 http://dx.doi.org/10.3390/children9040529 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Maunder, Larah
Pavlova, Maria
Beveridge, Jaimie K.
Katz, Joel
Salomons, Tim V.
Noel, Melanie
Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment
title Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment
title_full Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment
title_fullStr Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment
title_full_unstemmed Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment
title_short Sensitivity to Pain Traumatization and Its Relationship to the Anxiety–Pain Connection in Youth with Chronic Pain: Implications for Treatment
title_sort sensitivity to pain traumatization and its relationship to the anxiety–pain connection in youth with chronic pain: implications for treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032504/
https://www.ncbi.nlm.nih.gov/pubmed/35455573
http://dx.doi.org/10.3390/children9040529
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