Autistic Traits and Attention-Deficit Hyperactivity Disorder Symptoms Associated With Greater Pain Interference and Depression, and Reduced Health-Related Quality of Life in Children With Chronic Pain

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Lipsker, Camilla Wiwe (author)

Autistic Traits and Attention-Deficit Hyperactivity Disorder Symptoms Associated With Greater Pain Interference and Depression, and Reduced Health-Related Quality of Life in Children With Chronic Pain

Article/chapterEnglish2021

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2021-11-01
Frontiers Media SA,2021
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LIBRIS-ID:oai:DiVA.org:su-199551
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-199551URI
https://doi.org/10.3389/fnins.2021.716887DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:148094502URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Previous research indicates elevated levels of clinically significant traits and symptoms of autism spectrum disorder and attention-deficit hyperactivity disorder (ADHD) in children with chronic pain, but associations with functioning and depression are yet unclear. The current study examined the relationships of autistic traits and ADHD symptoms with pain interference, depression, and health-related quality of life, as well as the mediating roles of insomnia and psychological inflexibility, in children with chronic pain (n = 146, 8-17 years, 102 girls) presenting at a tertiary pain clinic. Children completed measures of pain intensity, depression, pain interference, health-related quality of life, insomnia, and psychological inflexibility. Parents (n = 146, 111 mothers) completed measures to assess autistic traits and ADHD symptoms in their children. Children with clinically significant autistic traits and ADHD symptoms presented with significantly higher levels of depressive symptoms and pain interference, and significantly lower health-related quality of life, than did the other children. Autistic traits and ADHD symptoms contributed significantly to the prediction of pain interference and depressive symptoms, as well as health-related quality of life. Psychological inflexibility mediated the relationships between ADHD symptoms and autistic traits on the one hand and depression, pain interference, and health-related quality of life on the other, while insomnia mediated the relationships between ADHD symptoms and depression, pain interference, and health-related quality of life. All analyses were adjusted for demographics and pain intensity. Results suggest the utility of screening for neurodevelopmental disorders in children with chronic pain. Furthermore, the findings may indicate insomnia and skills related to psychological flexibility as potential treatment targets in interventions aiming at improving functioning and health-related quality of life in children with chronic pain and co-occurring symptoms of neurodevelopmental disorders.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
autism spectrum disorder
attention-deficit hyperactivity disorder
chronic pediatric pain
functioning
depression
health-related quality of life
resilience
risk

Added entries (persons, corporate bodies, meetings, titles ...)

Hirvikoski, TatjaKarolinska Institutet (author)
Balter, Leonie J. T.Stockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden(Swepub:su)leba6942 (author)
Bölte, SvenKarolinska Institutet (author)
Lekander, MatsStockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden(Swepub:su)mleka (author)
Holmström, LindaKarolinska Institutet (author)
Wicksell, Rikard K.Karolinska Institutet (author)
Karolinska InstitutetStressforskningsinstitutet (creator_code:org_t)

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In:Frontiers in Neuroscience: Frontiers Media SA151662-45481662-453X

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

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