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Pain Research and Treatment
Volume 2013, Article ID 143292, 12 pages
http://dx.doi.org/10.1155/2013/143292
Research Article

Validation and Clinical Application of a Biopsychosocial Model of Pain Intensity and Functional Disability in Patients with a Pediatric Chronic Pain Condition Referred to a Subspecialty Clinic

1Department of Anesthesiology, University of Alabama School of Medicine, JT862, 619 19th Street South, Birmingham, AL 35249-6810, USA
2Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1922 7th Avenue South, Suite 120, Birmingham, AL 35294-0022, USA
3Department of Nursing, Children’s Hospital of Alabama, 1600 7th Avenue South, Birmingham, AL 35233, USA
4Division of Pediatric Hematology-Oncology, Department of Pediatrics, University of Alabama School of Medicine, ACC 512, 1600 7th Avenue South, Birmingham, AL 35233, USA
5Division of Pediatric Psychiatry, Department of Psychiatry, University of Alabama School of Medicine, EFH H339, 1720 University Boulevard, Birmingham, AL 35294, USA

Received 16 July 2013; Accepted 1 September 2013

Academic Editor: S. Evers

Copyright © 2013 Thomas R. Vetter et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Pediatric chronic pain is considered to be a multidimensional construct that includes biological, psychological, and social components. Methods. The 99 enrolled study patients (mean age 13.2 years, 71% female, 81% Caucasian) and an accompanying parent completed a series of health-related questionnaires at the time of their initial appointment in a pediatric chronic pain medicine clinic. Results. Significant correlations ( , ) were observed between pediatric chronic pain intensity and patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, and parent functional disability. Pediatric chronic pain intensity was significantly associated with patient anxiety ( ). Significant correlations ( , ) were observed between pediatric functional disability and patient chronic pain intensity, patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, parent functional disability, parent anxiety, parent depression, and parent stress. Pediatric functional disability was significantly associated with patient chronic pain intensity ( ), patient anxiety ( ), patient pain coping ( ), and parent functional disability ( ). Conclusions. These findings provide empirical support of a multidimensional Biobehavioral Model of Pediatric Pain. However, the practical clinical application of the present findings and much of the similar previously published data may be tenuous.