Assessment of Pain Anxiety, Pain Catastrophizing, and Fear of Pain in Children and Adolescents With Chronic Pain: A Systematic Review and Meta-Analysis

Emma Fisher, Lauren C. Heathcote, Christopher Eccleston, Laura E. Simons, Tonya M Palermo

Research output: Contribution to journalArticle

Abstract

Objective To conduct a systematic review of pain anxiety, pain catastrophizing, and fear of pain measures psychometrically established in youth with chronic pain. The review addresses three specific aims: (1) to identify measures used in youth with chronic pain, summarizing their content, psychometric properties, and use; (2) to use evidence-based assessment criteria to rate each measure according to the Society of Pediatric Psychology (SPP) guidelines; (3) to pool data across studies for meta-analysis of shared variance in psychometric performance in relation to the primary outcomes of pain intensity, disability, generalized anxiety, and depression.

Methods We searched Medline, Embase, PsycINFO, and relevant literature for possible studies to include. We identified measures studied in youth with chronic pain that assessed pain anxiety, pain catastrophizing, or fear of pain and extracted the item-level content. Study and participant characteristics, and correlation data were extracted for summary and meta-analysis, and measures were rated using the SPP evidence-based assessment criteria.

Results Fifty-four studies (84 papers) met the inclusion criteria, including seven relevant measures: one assessed pain anxiety, three pain catastrophizing, and three fear of pain. Overall, five measures were rated as “well established.” We conducted meta-analyses on four measures with available data. We found significant positive correlations with the variables pain intensity, disability, generalized anxiety, and depression.

Conclusion Seven measures are available to assess pain anxiety, pain catastrophizing, and fear of pain in young people with chronic pain, and most are well established. We present implications for practice and directions for future research.

LanguageEnglish
Article numberjsx103
Pages314-325
JournalJournal of Pediatric Psychology
Volume43
Issue number3
Early online date25 Jul 2017
DOIs
StatusPublished - 1 Apr 2018

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Catastrophization
Pain Measurement
Chronic Pain
Fear
Meta-Analysis
Anxiety
Pain
Child Psychology
Psychometrics
Depression
Analysis of Variance

Cite this

Assessment of Pain Anxiety, Pain Catastrophizing, and Fear of Pain in Children and Adolescents With Chronic Pain: A Systematic Review and Meta-Analysis. / Fisher, Emma; Heathcote, Lauren C.; Eccleston, Christopher; Simons, Laura E.; Palermo, Tonya M.

In: Journal of Pediatric Psychology, Vol. 43, No. 3, jsx103, 01.04.2018, p. 314-325.

Research output: Contribution to journalArticle

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