Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history

Abstract. Introduction:. Adolescence is a period of profound cognitive and affective development, making it a critical period for studying pain memory and its role in chronic pain. Objective:. As this issue is underexplored in adolescents, we aimed to quantify the long-term back pain recall and asse...

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Main Authors: Nare Navasardyan, Ana Henriques, Sónia Bernardes, Elsa Mateus, Makram Talih, Raquel Lucas
Format: Article
Language:English
Published: Wolters Kluwer 2025-06-01
Series:PAIN Reports
Online Access:http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001272
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author Nare Navasardyan
Ana Henriques
Sónia Bernardes
Elsa Mateus
Makram Talih
Raquel Lucas
author_facet Nare Navasardyan
Ana Henriques
Sónia Bernardes
Elsa Mateus
Makram Talih
Raquel Lucas
author_sort Nare Navasardyan
collection DOAJ
description Abstract. Introduction:. Adolescence is a period of profound cognitive and affective development, making it a critical period for studying pain memory and its role in chronic pain. Objective:. As this issue is underexplored in adolescents, we aimed to quantify the long-term back pain recall and assess its association with other pain-related factors and experiences. Methods:. We analyzed data of 1,089 participants from the Generation XXI birth cohort (Portugal), comparing back pain reported at age 13 (Lübeck Pain-Screening Questionnaire) to recalled back pain at 18 (explicit pain memory), investigating instances of forgetting/under-recalling, over-recalling, concordantly recalling presence/absence of back pain. We combined concordant recalls into a single category and under-recalling and over-recalling of any back pain as instances of discordant recall. Parameters such as current pain, family members with recurrent pain, health-related quality of life, environmental sensitivity, and self-perceived pain sensitivity were analyzed. Results:. At age 18, a small percentage of participants recalled experiencing back pain at age 13, while 12% under-recalled it. Concordant recall was significantly higher in boys (OR: 1.62; 95% confidence interval [CI]: 1.20–2.19) and individuals with higher environmental sensitivity (OR: 1.74; CI: 1.07–2.85). Those experiencing current pain were less likely to under-recall compared with those without current pain (OR: 0.21; CI: 0.05–0.91). A good health-related quality of life increased the likelihood of under-recall (OR: 2.91; CI: 1.11–7.67) but did not significantly affect over-recall. Conclusion:. Our results suggest that pain history and sensitivity significantly influence recall, which could contribute to pain experiences later in life.
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spelling doaj-art-d51d55f82b744f4f89fbe3a787dfab9c2025-08-20T03:12:22ZengWolters KluwerPAIN Reports2471-25312025-06-01103e127210.1097/PR9.0000000000001272PR90000000000001272Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain historyNare Navasardyan0Ana Henriques1Sónia Bernardes2Elsa Mateus3Makram Talih4Raquel Lucas5a EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugala EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugald Department of Social and Organizational Psychology, Iscte - Lisbon University Institute/Centro de Investigação e Intervenção Social (CIS)e Liga Portuguesa Contra as Doenças Reumáticas, Lisboa, Portugala EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugala EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, PortugalAbstract. Introduction:. Adolescence is a period of profound cognitive and affective development, making it a critical period for studying pain memory and its role in chronic pain. Objective:. As this issue is underexplored in adolescents, we aimed to quantify the long-term back pain recall and assess its association with other pain-related factors and experiences. Methods:. We analyzed data of 1,089 participants from the Generation XXI birth cohort (Portugal), comparing back pain reported at age 13 (Lübeck Pain-Screening Questionnaire) to recalled back pain at 18 (explicit pain memory), investigating instances of forgetting/under-recalling, over-recalling, concordantly recalling presence/absence of back pain. We combined concordant recalls into a single category and under-recalling and over-recalling of any back pain as instances of discordant recall. Parameters such as current pain, family members with recurrent pain, health-related quality of life, environmental sensitivity, and self-perceived pain sensitivity were analyzed. Results:. At age 18, a small percentage of participants recalled experiencing back pain at age 13, while 12% under-recalled it. Concordant recall was significantly higher in boys (OR: 1.62; 95% confidence interval [CI]: 1.20–2.19) and individuals with higher environmental sensitivity (OR: 1.74; CI: 1.07–2.85). Those experiencing current pain were less likely to under-recall compared with those without current pain (OR: 0.21; CI: 0.05–0.91). A good health-related quality of life increased the likelihood of under-recall (OR: 2.91; CI: 1.11–7.67) but did not significantly affect over-recall. Conclusion:. Our results suggest that pain history and sensitivity significantly influence recall, which could contribute to pain experiences later in life.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001272
spellingShingle Nare Navasardyan
Ana Henriques
Sónia Bernardes
Elsa Mateus
Makram Talih
Raquel Lucas
Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history
PAIN Reports
title Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history
title_full Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history
title_fullStr Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history
title_full_unstemmed Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history
title_short Long-term back pain recall in Generation XXI adolescents: the role of sensitivity and pain history
title_sort long term back pain recall in generation xxi adolescents the role of sensitivity and pain history
url http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001272
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