CONTRIBUTING FACTORS TO THE PERSISTENCE OF MUSCULOSKELETAL PAIN IN PREADOLESCENTS - A PROSPECTIVE 1-YEAR FOLLOW-UP-STUDY

A 1-year follow-up of two preadolescent age cohorts with musculoskelet al pain at least once a week was conducted to analyze predictive facto rs for the persistence of musculoskeletal pain. Of the 564 children wi th pain at baseline, representing one third of the sample studied, 515 (91.3%) could be followed and 452 (80.1%) children with complete data were included for the logistic regression analysis. A structured ques tionnaire included questions on pain and also on several psychosomatic symptoms and amount of exercise. Joint hypermobility together with th e questionnaire data were included in the logistic regression analysis . One half of subjects with pain at baseline still reported pain at fo llow-up, indicating persistent pain. Boys had a lower risk for the per sistence of pain than girls and the risk for the persistence of pain i ncreased 1.2 times per age year. When further adjusted for all the oth er studied risk determinants, high subjective disability index due to pain (OR 3.2, 95% CI 1.5-6.6) and day tiredness (OR 1.9, 95% CI 1.2-3. 0) were the most significant predictors. This might indicate that psyc hological distress contributes to the persistence of non specific musc uloskeletal pain of different locations in preadolescents. In clinical work not only pain but its interference with daily activities should be noticed. (C) 1998 International Association for the Study of Pain. Published by Elsevier Science B.V.