Children of chronic pain patients: risk factors for maladjustment.

Recent research has documented negative effects of chronic pain problems on patients' spouses and children. This study examined the adjustment of children of 35 chronic pain patients, compared with children of 29 healthy controls, and the relationship of specific parental characteristics to child adjustment. Pain group children had significantly more teacher-rated behavior problems and significantly lower teacher-rated social competence than did control group children. Children of male patients were rated by parents as significantly less socially competent than children of female patients. Compared with controls, pain patients and their spouses reported significantly more depression, and pain patients were significantly more disabled. Patient functional disability was significantly associated with parent-rated child behavior problems, but group membership, patient gender, patient depression, and patient marital satisfaction were not. Child social competence was predicted by patient gender, but was not predicted by patient depression or disability, group membership, or by patient marital satisfaction. The results suggest that children of chronic pain patients may be at risk for adjustment problems.

Growth of native Hawaiian school children: II. Body mass index and skinfold measurements.

Annual measurements of skinfold thicknesses at six sites (triceps, biceps, medial calf, subscapular, abdominal, and suprailiac) and the body mass index have been obtained from a sample of native Hawaiian school children and their non-Hawaiian classmates in a four year semilongitudinal study. Four cohorts were measured, with the children beginning the study in grades one, four, seven and ten, respectively. Information on percentage of Polynesian ancestry, identity with Hawaiian culture, social class, and income were obtained from family interviews for the native Hawaiian children. Hawaiian boys at most ages surveyed are significantly fatter than their classmates on trunk sites, and are also fatter than National Health and Nutrition Examination Survey II (NHANES-II) medians. Native Hawaiian girls have significantly greater trunk skinfold measures than classmates in only one surveyed age group. The percentage of Polynesian ancestry in this admixed sample of Hawaiian children is significantly related to fatness and body mass among children aged 9-12 years, but is not clearly related to fatness in other age groups. Socioeconomic measures are also not related to fatness in a simple manner. Intensive study of specific sex-age groups may be required to identify factors that influence the amount of fatness of native Hawaiian school children. © 1992 Wiley-Liss, Inc.