The course of chronic pain with and without psychiatric disorders: a 6-year follow-up study from childhood to adolescence and young adulthood.

摘要: OBJECTIVE Psychiatric disorders are common in children with chronic pain, but their course and impact when grow up unknown. This study examines the 6-year clinical outcome of referred for pain without comorbid psychiatric disorders. METHOD In 91 adolescents (aged 8 to 17 years) a university outpatient clinic child were assessed using Diagnostic Interview Schedule Children-parent version (DISC-P) between 2000 2002. Participants 13 24 reassessed on average 6-years later. Outcome measures Children-children (DISC-C) or Composite International (CIDI) IV (DIS). RESULTS After 6 years, 75% participants still experienced 15% complete remission both disorder. The prevalence (both persistent new onset disorders) at follow-up was 32%. Baseline disorder predictor (OR = 2.6, 95% CI 1.1-6.5, P .04; adjusted OR 2.8, 1.1-7.1, .03) did not predict persistence pain. CONCLUSIONS Children frequently continue suffer from adolescence young adulthood. this population, entry disorder,