https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:51193 Thu 24 Aug 2023 14:37:55 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:53395 Thu 23 Nov 2023 13:36:24 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:37478 Thu 04 Mar 2021 12:42:13 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:20116 Sat 24 Mar 2018 07:51:46 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:45806 60=high distress). Life-time spinal pain, including low back, mid back, or neck/shoulder, was measured at age 17. We were interested in adolescent SP with impact (care seeking, medication use, school absenteeism, daily activity interference, leisure activity interference) and defined cases as SP with impact (one or more) or greater impact (two or more) impacts. We investigated the longitudinal associations between childhood psychological distress and adolescent SP using univariate and multivariable logistic regression models. Results: Psychological distress in childhood increased the odds of adolescent SP with impact by 33% (OR 1.33; 95% CI 1.01–1.76), but not spinal pain with greater impact (OR 1.22; 95% 0.83–1.80). Internalizing symptoms were associated with SP with greater impact and externalizing symptoms with SP with impact after adjusting for a range of potential child and family confounders. Conclusion: Psychological distress in childhood increases the risk of SP with impact in adolescence and may be a promising prevention target. Significance: Our findings provide evidence that psychological distress early in life is an independent risk factor for spinal pain with impact during adolescence. As psychological distress during childhood is potentially modifiable, it may be a promising target for research on the prevention of consequential spinal pain in adolescence. Identifying and addressing psychological distress in children may be an important component of best practice to reduce consequential spinal pain in adolescents.]]> Mon 07 Nov 2022 10:33:07 AEDT ]]>