+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The association of adverse childhood experiences and of resilience with chronic noncancer pain in the German adult population - A cross-sectional survey

The association of adverse childhood experiences and of resilience with chronic noncancer pain in the German adult population - A cross-sectional survey

European Journal of Pain 2018

Adverse childhood experiences (ACE) might predispose to and resilience might protect against chronic noncancer pain (CNCP). We studied whether ACE are positively associated with CNCP, whether resilience was negatively associated with CNCP and whether resilience buffered a potential association of ACE with CNCP. A cross-sectional survey (N = 2,425) representative for the adult German general population was conducted in 2013. The following questionnaires were used: Chronic Pain Grade Questionnaire for CNCP stages; Childhood Trauma Screener for ACE; Brief Resilient Coping Scale for resilience; Patient Health Questionnaire 4 for psychological symptom burden; Giessen Subjective Complaints List for somatic symptom burden. To test the association of ACE and resilience with CNCP stages, logistic regression analyses including sociodemographic variables and psychological and somatic symptom burden as possible confounders were calculated. No statistically significant associations between any CNCP and disabling CNCP respectively with physical, emotional, and sexual abuse; emotional and physical neglect if compared to no chronic pain were found in uni- and multivariate analyses. There was a small effect of combined ACE and a small attenuating effect of resilience on any and disabling CNCP in univariate, but not in multivariate analysis. Large associations were found between age > 65 years with any CNCP (OR 6.51 [95% confidence interval 3.38 to 12.51)] and disabling CNCP (OR 9.33 [95% confidence interval 2.39 to 36.41]), respectively, if compared to no pain. There was no pain-proneness by single and combined ACE for and no protection by resilience for any and for disabling CNCP in the general adult German population. There is no pain-proneness due to adverse childhood experiences for any and disabling chronic noncancer pain. Resilience does not protect against any and disabling chronic noncancer pain. Older age is the strongest predictor of any and disabling chronic noncancer pain.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 065936041

Download citation: RISBibTeXText

PMID: 30318676

DOI: 10.1002/ejp.1329

Related references

Prevalence of Chronic Disabling Noncancer Pain and Associated Demographic and Medical Variables: A Cross-Sectional Survey in the General German Population. Clinical Journal of Pain 31(10): 886-892, 2016

Association of adverse childhood experiences with functional identity and impulsivity among adults: a cross-sectional study. F1000research 6: 1978, 2018

How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis. Bmc Public Health 18(1): 1005, 2018

Does continuous trusted adult support in childhood impart life-course resilience against adverse childhood experiences - a retrospective study on adult health-harming behaviours and mental well-being. Bmc Psychiatry 17(1): 110, 2017

The Incidence of Adverse Childhood Experiences (ACEs) and Their Association With Pain-related and Psychosocial Impairment in Youth With Chronic Pain. Clinical Journal of Pain 34(5): 402-408, 2017

Untying chronic pain: prevalence and societal burden of chronic pain stages in the general population - a cross-sectional survey. Bmc Public Health 14: 352, 2015

Vitamin D and chronic widespread pain in a white middle-aged British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases 68(6): 817-822, 2008

Differential association of general and health self-efficacy with disability, health-related quality of life and psychological distress from musculoskeletal pain in a cross-sectional general adult population survey. Pain 125(3): 225-232, 2006

Resilience Resources Moderate the Association of Adverse Childhood Experiences with Adulthood Inflammation. Annals of Behavioral Medicine 51(5): 782-786, 2017

The Association Between Chronic Pain and Cardiac Disease: A Cross-sectional Population Study. Clinical Journal of Pain 32(12): 1062-1068, 2016

Adult Cancer Risk Behaviors Associated with Adverse Childhood Experiences in a Low Income Population in the Southeastern United States. Journal of Health Care for the Poor and Underserved 27(1): 68-83, 2016

General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey. Annals of Internal Medicine 160(1): 11-17, 2014

Problems of meaning and measurement in cross sectional interview surveys of chronic pain in the adult population. Chapman, C R And J D Loeser (Ed ) Advances in Pain Research And Therapy, Vol 12 Issues in Pain Measurement; Workshop, Seattle, Washington, Usa, April 11-14, 1988 Xix+570p Raven Press: New York, New York, Usa Illus 489-518, 1989

National household survey of adverse childhood experiences and their relationship with resilience to health-harming behaviors in England. Bmc Medicine 12: 72, 2015

Fibromyalgia and chronic widespread pain in patients with inflammatory bowel disease: a cross sectional population survey. Journal of Rheumatology 28(3): 590-594, 2001