Despite being a common childhood complaint there is little research on growing pains. Existing research is inconsistent with regard to sample selection and prevalence rates. There are only two English language intervention studies, and with the exception of associations noted in prevalence research, there has been no systematic research on the potential impact of growing pains on daily activities. Lack of a universal definition of growing pains poses difficulty for both diagnosis and research. The purposes of the current investigation were to propose a definition of growing pains grounded in literature and clinical practice, to develop a conceptual model of growing pains, and to understand childrens experiences with growing pains. A mixed-method research program involved four phases. In phase I, a survey of physicians indicated the following definition of growing pains: Intermittent pain of unknown etiology, occurring nocturnally in the lower limbs. Features that may occur in some cases, but not part of the definition, include arm pain and daytime pain. In phase II, non-parametric statistical analyses of child, familial, and environmental variables in a rheumatology clinic database were conducted to determine potential risk factors for growing pains. Logistic regression modeling indicated an association between growing pains and maternal illness or rash during the pregnancy, maternal smoking during the pregnancy, delayed pull to standing (i.e., greater than age 10 months), and family histories of back pain and arthritis. Potential mechanisms for these empirical associations are explored. In phase III, qualitative interviews with children were conducted to develop a grounded theory of how children process their experiences. Children engaged in a process of evaluating their current and past experiences of growing pains to determine how to manage specific pain episodes. Their evaluation was influenced by how they understood their pain which in turn was influenced by their intrapersonal and interpersonal experiences. Phase IV integrated results and existing literature to develop a conceptual model of growing pains which outlines characteristic features, predisposing factors, triggers, alleviating actions, and associated psychosocial features. Implications of the process theory and the conceptual model of growing pains with regard to clinical practice and future research are discussed.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:SSU.etd-05012009-231257 |
| Date | 06 August 2009 |
| Creators | Visram, Faizah |
| Contributors | von Baeyer, Carl, McMullen, Linda, Marche, Tammy, Rosenberg, Alan M, Walco, Gary A |
| Publisher | University of Saskatchewan |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://library.usask.ca/theses/available/etd-05012009-231257/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Saskatchewan or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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