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Journal of Pediatric Psychology Advance Access originally published online on September 8, 2005
Journal of Pediatric Psychology 2006 31(10):1046-1056; doi:10.1093/jpepsy/jsj076
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Longitudinal Relationships of Depressive Symptoms to Pain Intensity and Functional Disability Among Children with Disease-Related Pain

Ahna L. Hoff, PhD1, Tonya M. Palermo, PhD2, Mark Schluchter, PhD1, Kathy Zebracki, MA1 and Dennis Drotar, PhD1

1 Rainbow Babies and Children’s Hospital, Case Western Reserve University, and, 2 Oregon Health and Science University

All correspondence concerning this article should be addressed to Ahna L. Hoff, PhD, The children’s Hospital of Philadelphia, Division of Oncology, 34th Street and Civic Center Boulevard, Room 1487, CHOP, North Philadelphia, PA 19109. E-mail: pai{at}email.chop.edu

Objective To examine the longitudinal relationship between depressive symptoms at study entry (T1) on pain intensity (PI) and functional disability over a 1-year period among children with either sickle cell disease (SCD) or juvenile idiopathic arthritis (JIA). Methods 119 children, ages 8–17 years, completed measures of depression at T1 as well as pain and functional disability at T1, 6-month (T2), and 12-month (T3) follow-ups. Caregivers also rated their child’s pain and disability at each time point. General linear mixed modeling was employed to examine longitudinal relationships between study variables. Results For children with JIA, T1 pain significantly moderated the effects of T1-depressive symptoms on T2 and T3 pain where T1-depressive symptoms predicted future child-reported pain only when T1 pain was relatively mild. Similarly, T1-depressive symptoms predicted future child-reported disability only when initial reports of disability were relatively low. Only family income significantly predicted T2 and T3 pain in children with SCD. Conclusions Study findings suggest that T1-depressive symptoms play a role in the longitudinal course of pain symptoms in children with JIA but not in children with SCD.

Key words: chronic pain; depression; functional disability; juvenile idiopathic arthritis; sickle cell disease.


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D. E. Logan, L. E. Simons, and K. J. Kaczynski
School Functioning in Adolescents With Chronic Pain: The Role of Depressive Symptoms in School Impairment
J. Pediatr. Psychol., September 1, 2009; 34(8): 882 - 892.
[Abstract] [Full Text] [PDF]


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