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Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis.
Bussières, André; Hancock, Mark J; Elklit, Ask; Ferreira, Manuela L; Ferreira, Paulo H; Stone, Laura S; Wideman, Timothy H; Boruff, Jill T; Al Zoubi, Fadi; Chaudhry, Fauzia; Tolentino, Raymond; Hartvigsen, Jan.
Afiliación
  • Bussières A; School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
  • Hancock MJ; Département Chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
  • Elklit A; Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
  • Ferreira ML; National Centre for Psychotraumatology, Department of Psychology, University of Southern Denmark Odense, Denmark.
  • Ferreira PH; Sydney Musculoskeletal Health, The Kolling Institute, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
  • Stone LS; Musculoskeletal Health, Faculty of Health Sciences, Charles Perkins Centre, The University of Sydney, Sydney, Australia.
  • Wideman TH; Faculty of Dentistry, McGill University, Montreal, Canada.
  • Boruff JT; Alan Edwards Centre for Research on Pain, McGill University, Montreal, Canada.
  • Al Zoubi F; Department of Anesthesiology, Faculty of Medicine, University of Minnesota, Minneapolis, MN, USA.
  • Chaudhry F; School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
  • Tolentino R; Alan Edwards Centre for Research on Pain, McGill University, Montreal, Canada.
  • Hartvigsen J; Schulich Library of Physical Sciences, Life Sciences, and Engineering, McGill University, Montreal, Canada.
Eur J Psychotraumatol ; 14(2): 2284025, 2023.
Article en En | MEDLINE | ID: mdl-38111090
ABSTRACT

Background:

Adverse childhood experiences (ACEs) have been shown to negatively affect health in adulthood. Estimates of associations between ACEs and chronic painful conditions are lacking.

Objectives:

This systematic review and meta-analysis aimed to evaluate associations between exposure to ACEs and chronic pain and pain-related disability in adults.

Methods:

We searched 10 electronic databases from inception to February 2023. We included observational studies assessing associations between direct ACEs (childhood sexual, physical, emotional abuse, or neglect) alone or in combination with indirect ACEs (witnessing domestic violence, household mental illness), and adult chronic pain (≥3 months duration) and pain-related disability (daily activities limited by chronic pain). Pairs of reviewers independently extracted data and assessed study risks of bias. Random-effect models were used to calculate pooled adjusted odds ratios [aOR]. Tau square [T2], 95% prediction intervals [95%PI] and I2 expressed the amount of heterogeneity, and meta-regressions and subgroup meta-analyses investigated sources of heterogeneity (PROSPERO CRD42020150230).

Results:

We identified 85 studies including 826,452 adults of which 57 studies were included in meta-analyses. Study quality was generally good or fair (n = 70). The odds of reporting chronic pain in adulthood were significantly higher among individuals exposed to a direct ACE (aOR, 1.45, 95%CI, 1.38-1.53). Individuals reporting childhood physical abuse were significantly more likely to report both chronic pain (aOR, 1.50, 95CI, 1.39-1.64) and pain-related disability (1.46, 95CI, 1.03-2.08) during adulthood. Exposure to any ACEs alone or combined with indirect ACEs significantly increase the odds of adult chronic painful conditions (aOR, 1.53, 95%CI, 1.42-1.65) and pain-related disability (aOR, 1.29; 95%CI, 1.01-1.66). The risk of chronic pain in adulthood significantly increased from one ACE (aOR, 1.29, 95%CI, 1.22-1.37) to four or more ACEs (1.95, 95%CI, 1.73-2.19).

Conclusions:

Single and cumulative ACEs are significantly associated with reporting of chronic pain and pain-related disability as an adult.
Previous meta-analyses highlighted the negative impact of adverse childhood experiences on physical, psychological, and behavioural health across the lifespan.We found exposure to any direct adverse childhood experience, i.e. childhood sexual, physical, emotional abuse, or neglect alone or combined, increased the risk of reporting chronic pain and pain-related disability in adulthood.The risk of reporting chronic painful disorders increased with increasing numbers of adverse childhood experiences.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Delitos Sexuales / Dolor Crónico / Experiencias Adversas de la Infancia / Trastornos Mentales Tipo de estudio: Systematic_reviews Límite: Adult / Humans Idioma: En Revista: Eur J Psychotraumatol Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Delitos Sexuales / Dolor Crónico / Experiencias Adversas de la Infancia / Trastornos Mentales Tipo de estudio: Systematic_reviews Límite: Adult / Humans Idioma: En Revista: Eur J Psychotraumatol Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos