Disordered eating among adolescents with chronic pain: the experience of a pediatric rheumatology subspecialty pain clinic

Pediatric Rheumatology

Lauren Pianucci¹  Maitry Sonagra²  Sabrina Gmuca³  Brooke A. Greenberg⁴  Diana R. Priestley⁵ 

[1] Arcadia University, Glenside, PA, USA;Division of Rheumatology, Department of Pediatrics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Wood Building First Floor, Philadelphia, PA, USA;Division of Rheumatology, Department of Pediatrics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Wood Building First Floor, Philadelphia, PA, USA;PolicyLab, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;Division of Rheumatology, Department of Pediatrics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Wood Building First Floor, Philadelphia, PA, USA;PolicyLab, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Muhlenberg College, Allentown, PA, USA;The Pennsylvania State University, State College, PA, USA;

关键词: Chronic pain;    Eating disorders;    Disordered eating;    Adolescent health;    Chronic musculoskeletal pain;    Rheumatology;   

DOI  :  10.1186/s12969-021-00506-4

来源: Springer

【 摘 要 】

BackgroundDisordered eating and chronic pain often co-occur in adolescents, but the relationship between these conditions is not well understood. We aimed to determine the prevalence of and to identify the clinical characteristics associated with the presence of disordered eating among adolescents with chronic musculoskeletal pain (CMP) presenting to a pediatric rheumatology subspecialty pain clinic.MethodsThis was a retrospective cohort study of pediatric patients presenting to a pediatric rheumatology subspecialty pain clinic for an initial consultation from March 2018 to March 2019. We complemented data from an existing patient registry with secondary chart review for patients identified with disordered eating. We compared patient characteristics based on the presence or absence of disordered eating among adolescents with CMP. Logistic regression modeling was used to determine factors associated with disordered eating.ResultsOf the 228 patients who were seen for an initial consultation in the pain clinic in 1 year, 51 (22.4%) had disordered eating. Only eight (15.7%) of the 51 patients identified with disordered eating had a previously documented formal eating disorder diagnosis. Through multivariate logistic regression modeling, we found that disordered eating was associated with older age, higher functional disability, presence of abdominal pain, presence of gastrointestinal comorbidities, and presence of anxiety (all p < 0.05).ConclusionsAdolescents with chronic pain, especially those who experience gastrointestinal issues, anxiety, and greater functional disability, should be evaluated for disordered eating by the treating clinician in order to ensure timely and appropriate treatment.

【 授权许可】

CC BY