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- Title
Fear of pain in pediatric headache.
- Authors
Simons, Laura E; Pielech, Melissa; Cappucci, Stefanie; Lebel, Alyssa
- Abstract
Objective: The current study provides the first measure of pain-related fear for pediatric headache patients.Methods: From a large pediatric headache clinic, a cross-sectional cohort of 206 children and adolescents completedmeasures of pain-related fear, anxiety sensitivity, catastrophizing, pain acceptance, functional disability, and schoolfunctioning.Results: The two-factor solution of the Fear of Pain Questionnaire (FOPQ) was confirmed from the originally derivedstructure with pediatric headache patients. Simultaneously regressing FOPQ subscales fear of pain and activity avoidanceon theorized construct validity measures demonstrated that fear of pain was more closely linked with anxiety sensitivityand pain catastrophizing while activity avoidance had a strong negative association with pain acceptance (activity engagementand pain willingness). Pain-related fear was not significantly associated with pain level. After controlling for demographicfactors and pain, fear of pain and activity avoidance accounted for an additional 26% of the variance in functionaldisability and school functioning outcomes, with activity avoidance accounting for much of this relationship.Conclusions: Although typically considered an influential construct among musculoskeletal patients, pain-related fear isalso an important factor influencing functioning among pediatric headache patients, with the dimension of activityavoidance particularly salient.
- Subjects
FEAR in children; HEADACHE in children; HEADACHE in adolescence; BEHAVIORAL assessment of children; QUESTIONNAIRES; HEADACHE clinics; PSYCHOLOGY
- Publication
Cephalalgia, 2015, Vol 35, Issue 1, p36
- ISSN
0333-1024
- Publication type
Article
- DOI
10.1177/0333102414534084