To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Prevalence and risk factors for pain-specific school absenteeism in adolescents with recurrent pain: A prospective population-based design
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology, Subject of Psychology)ORCID iD: 0000-0002-1630-4418
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology, Subject of Psychology)ORCID iD: 0000-0003-2718-7402
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology, Subject of Psychology)ORCID iD: 0000-0001-9429-9012
2023 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 27, no 3, p. 390-400Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Adolescents with recurrent pain miss out from school more often than pain-free peers. Research has so far used cross-sectional designs, focusing on non-specific absenteeism in clinical samples. Hence, it is unknown whether estimates of absenteeism are specifically linked to the pain itself or reflects the characteristics of clinical samples. This study aimed to prospectively explore pain-related school absenteeism in a non-clinical sample, its variance and potential risk factors.

METHODS: This prospective study followed a cohort of 1300 Sweden-based adolescents (mean age =16.9; 17.2% immigrants; 62.7% girls) with recurrent pain (headache, abdominal and/or musculoskeletal pain) through self-reports at two assessment points 12 months apart. RESULTS: Overall, 64.2% reported any absenteeism at follow-up and about half of these (26.2%) reported frequent absenteeism. Adolescents who indicated missing school were more often girls, slightly older, and had a higher overall pain burden and stressor levels. Yet, after adjusting for previous absenteeism, independent predictors were age, pain intensity, medication use, and stress associated with school attendance. Further to this, immigrant status predicted frequent absenteeism.

CONCLUSIONS: Many adolescents with pain frequently miss out from school due to pain. Identified risk factors points at pain characteristics and coping, stressors associated with participation and advancing age. Taken together, the burden of pain and its correlates emerge earlier and escalate with increasing age hence, early interventions targeting broader domains are needed.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 27, no 3, p. 390-400
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-102656DOI: 10.1002/ejp.2065ISI: 000898707600001PubMedID: 36478020Scopus ID: 2-s2.0-85144193898OAI: oai:DiVA.org:oru-102656DiVA, id: diva2:1718323
Available from: 2022-12-12 Created: 2022-12-12 Last updated: 2024-10-23Bibliographically approved
In thesis
1. Understanding Chronic Pain from a Life Course Perspective: An exploration of the psychosocial predictors, correlates, and consequences of pain onset early in Life
Open this publication in new window or tab >>Understanding Chronic Pain from a Life Course Perspective: An exploration of the psychosocial predictors, correlates, and consequences of pain onset early in Life
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Chronic pain conditions can debut at any point in a person’s lifespan, although prevalence estimates peak in late adulthood. However, many adults report living with chronic pain for several decades, with some tracing this back to the early years of life. Given its impact, early life exposure to pain may be a risk factor for further health comorbid-ities and socioeconomic disadvantages. The studies in this dissertation examined differences in psychosocial outcomes between persons with early and later chronic pain onset. They also explored school absen-teeism due to pain in adolescents with recurrent pain as a pathway to accumulating risk over time. Data were gathered from a registry data-base and longitudinal surveys.

Study I (a retrospective design) found that those with an early life pain onset had a higher burden in terms of overall pain characteris-tics and psychosocial outcomes. Studies II and III (prospective longi-tudinal designs) showed that having at least one absenteeism due to pain was quite common (64%) among adolescents with recurrent pain, while about a quarter reported a more frequent rate. The risk factors for school absenteeism due to pain were sociodemographic factors, pain characteristics, stressors in the school context, and a his-tory of absenteeism due to pain at baseline (Study II). Further, about 1 in 5 adolescents with recurrent pain had persistently high absentee-ism due to pain throughout their high school education, and these in-dividuals perceived a poorer future work ability and overall future ex-pectancy compared to those with low to no absenteeism trajectory over time (Study III). These findings indicate that individuals with early life onset pain have a higher psychosocial burden of pain, with risk accumulation already noted in the early years of life.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2024. p. 98
Series
Örebro Studies in Psychology, ISSN 1651-1328 ; 50
Keywords
chronic pain, adolescents, early onset pain, school absenteeism, work ability, future expectancy, Psychosocial outcomes, pain characteristics, aging, participation, life course, disadvantages
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:oru:diva-116659 (URN)9789175295985 (ISBN)9789175295992 (ISBN)
Public defence
2024-11-22, Örebro universitet, Långhuset, Hörsal L2, Fakultetsgatan 1, Örebro, 13:15 (English)
Opponent
Supervisors
Available from: 2024-10-10 Created: 2024-10-10 Last updated: 2024-11-01Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Owiredua, ChristianaFlink, IdaBoersma, Katja

Search in DiVA

By author/editor
Owiredua, ChristianaFlink, IdaBoersma, Katja
By organisation
School of Law, Psychology and Social Work
In the same journal
European Journal of Pain
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 94 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf