Chronic pain in parents appears associated with chronic pain

November 19, 2012

CHICAGO - Chronic pain in parents appears to be associated with chronic nonspecific pain and chronic multisite pain in adolescents and young adults, according to a study published Online First by Archives of Pediatrics & Adolescent Medicine, a JAMA Network publication.

Chronic nonspecific pain among children and adolescents is common and young people with chronic pain can experience disabilities and difficulties in life. However, the causes of chronic nonspecific pain are poorly understood, according to the study background.

Gry B. Hoftun, M.D., of the Norwegian University of Science and Technology, Trondheim, Norway, and colleagues examined a possible association of parental chronic pain with chronic pain in adolescents and young adults. They also investigated whether socioeconomic and psychosocial factors could explain any relationship or whether it would be affected by differences in the family structure. The cross-sectional study in a county in Norway included a final study population of 5,370 adolescents or young adults (ages 13 to 18 years) for whom one or both parents participated in an adult survey.

"This study showed that both maternal chronic pain and paternal chronic pain are associated with chronic nonspecific pain and especially with chronic multisite pain in adolescents and young adults. Moreover, we found a substantial increase in pain among offspring for whom both parents reported chronic pain," the authors note.

Maternal chronic pain was associated with chronic nonspecific pain and chronic multisite pain in adolescents in adolescents and young adults (odds ratio, 1.5), while paternal chronic pain was associated with increased odds of pain in adolescents and young adults. The odds of chronic nonspecific pain and chronic multisite pain in adolescents and young adults increased when both parents reported pain, according to the study results.

While adjusting for socioeconomic and psychosocial factors did not change the results, differences in family structure did. Among adolescents and young adults living primarily with their mothers, maternal chronic pain was associated with increased odds of chronic nonspecific pain and chronic multisite pain in children, but no clear association was found with paternal pain, according to the study results.

"In summary, parental chronic pain is associated with adolescent and young adult chronic nonspecific pain and especially chronic multisite pain and suggests a strong relationship between chronic pain in the parent and offspring living together, indicating that family pain models and shared environmental factors are important in the origin of chronic pain," the authors conclude.

(Arch Pediatr Adolesc Med. Published online November 19, 2012. doi:10.1001/jamapediatrics.2013.422.)

Editor's Note: This research was funded by the Norwegian Women's Public Health Association. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Editorial: Importance of Family Environment in Pediatric Chronic Pain

In an editorial, Tonya M. Palermo, Ph.D., and Amy Lewandowski Holley, Ph.D., of the University of Washington and Seattle Children's Hospital Research Institute, Washington, write: "A key question pertinent to the study by Hoftun and colleagues concerns the level of pain-related functional impairment experienced by adolescents (and parents) in the sample. Pain and disability can vary considerably among children with pain, and, therefore, the assessment of functional impairment is important in order to define the severity and impact of pediatric chronic pain."

"A focus on the development of family and parent interventions for youths with chronic pain should be a research priority. To date, there has been limited development of intervention content directed at other aspects of the family environment, such as parent modeling or family conflict," the authors continue.

"Based on the findings of Hoftun and colleagues, the development and testing of interventions that provide instruction to parents in modifying their own response to their chronic pain (e.g., modeling) will be an important next step," they conclude.

(Arch Pediatr Adolesc Med. Published online November 19, 2012. doi:10.1001/jamapediatrics.2013.428.)

Editor's Note: Preparation of this article was supported by grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
To contact Gry B. Hoftun, M.D., email To contact editorial corresponding author Tonya M. Palermo, Ph.D., call Liz Hunter at 206-616-3192 or email

The JAMA Network Journals

Related Chronic Pain Articles from Brightsurf:

Researchers are developing potential treatment for chronic pain
Researchers from the University of Copenhagen have developed a new way to treat chronic pain which has been tested in mice.

Molecular link between chronic pain and depression revealed
Researchers at Hokkaido University have identified the brain mechanism linking chronic pain and depression in rats.

How chikungunya virus may cause chronic joint pain
A new method for permanently marking cells infected with chikungunya virus could reveal how the virus continues to cause joint pain for months to years after the initial infection, according to a study published Aug.

Gastroesophageal reflux associated with chronic pain in temporomandibular joint
Gastroesophageal reflux (GERD) is associated with chronic, painful temporomandibular disorder -- pain in the temporomandibular joint -- and anxiety and poor sleep contribute to this association, according to a study in CMAJ.

One step closer to chronic pain relief
While effective drugs against chronic pain are not just around the corner, researchers from Aarhus University, Denmark, have succeeded in identifying a protein as a future potential target for medicinal drugs.

Gut bacteria associated with chronic pain for first time
In a paper published today in the journal Pain, a Montreal-based research team has shown, for the first time, that there are alterations in the bacteria in the gastrointestinal tracts of people with fibromyalgia.

Nearly 5.4 million cancer survivors suffer chronic pain
A new report finds about one in three cancer survivors (34.6%) reported having chronic pain, representing nearly 5.4 million cancer survivors in the United States.

New opioid speeds up recovery without increasing pain sensitivity or risk of chronic pain
A new type of non-addictive opioid developed by researchers at Tulane University and the Southeast Louisiana Veterans Health Care System accelerates recovery time from pain compared to morphine without increasing pain sensitivity, according to a new study published in the Journal of Neuroinflammation.

New target for chronic pain relief confirmed by scientists
A research group at Hiroshima University observed a potential new target for chronic pain treatment.

Menopause symptoms nearly double the risk of chronic pain
In addition to the other health conditions affected by estrogen, it has also been shown to affect pain sensitivity.

Read More: Chronic Pain News and Chronic Pain Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to