Article

Adolescents with physical disabilities may have co-occurring chronic pain,
but the prevalence and specific associated factors are unknown. The aims of this
study were to determine
(1) the prevalence of chronic pain in adolescents with
physical disabilities and
(2) whether known correlates of chronic pain in the
general population are also present in young people both with physical disability
and with chronic pain relative to peers. METHOD:
We conducted a secondary
analysis of cross-sectional nationally representative data from the National
Longitudinal Study of Adolescent to Adult Health. Multivariate linear regression
analysis was used to identify demographic and psychosocial factors associated
with chronic pain. RESULTS: A total of 989 (4.3%) adolescents reported physical
disabilities. They had a significantly higher rate of pain (27.2%) compared with
able-bodied peers (15.6%, chi(2) =86.3550, p<0.001). There was no significant
interaction between physical disability status and chronic pain in relation to
depressive symptoms, anxiety, or insomnia. INTERPRETATION: Adolescents with
physical disabilities experience chronic pain at a significantly higher rate than
able-bodied peers, but the comorbidity of physical disability and chronic pain is
not related to depression, anxiety, or insomnia. Evaluation of chronic pain and
tailored pain interventions need to be developed for this population. WHAT THIS
PAPER ADDS: Chronic pain and its correlates are important problems for
adolescents with physical disabilities. These adolescents present with higher
rates of chronic pain than other young people. Chronic pain is associated with
increased levels of depressive symptoms, anxiety, and insomnia regardless of
disability status.
CI - (c) 2018 Mac Keith Press.

Langue : ANGLAIS