Table 4 The broader impact of pain in the community
Domain | Impact |
|---|---|
Social life | Inability to pursue hobbies among children and adolescents [72] Reduces social functioning among children, their families and older adults [73–75] School absenteeism among children and adolescents [72] |
Physical function | Fear of movement and re-injury in chronic musculoskeletal pain [76] Reduced physical functioning among children, adolescents, adults and older people [9, 64, 77–81] |
Mental function | Sleep disturbances among children, adolescents and older people [72–74, 77] Mood disturbances among adolescents and older people [73, 77] Interpersonal strain due to behavioural changes among children and their families [75] Increases depressive symptoms, particularly if accompanied by self-blame [82–84] Increases severity of depressive symptoms [85] |
Overall impact | |
Health care | Increases prescription/consumption of analgesic drugs [80, 87, 90] Impairs recognition of depression [91] Impairs adherence to medication if coinciding with depression [93] |