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Pain management
Beyond association: strengthening causal evidence between childhood trauma and chronic widespread pain
  1. Jiale Hu1,
  2. Jiamin Kang2
  1. 1Virginia Commonwealth University, Richmond, Virginia, USA
  2. 2School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu, China
  1. Correspondence to Professor Jiale Hu; jhu4{at}vcu.edu; Ms Jiamin Kang; jmKang128{at}163.com

https://doi.org/10.1136/ebnurs-2025-104279

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    Commentary on: Timmins KA, Hales TG, Macfarlane GJ, et al. Childhood maltreatment and chronic ‘all over’ body pain in adulthood: a counterfactual analysis using UK Biobank. Pain. Published Online First: 15 November 2024. doi: 10.1097/j.pain.0000000000003457

    Implications for practice and research

    • Healthcare providers should routinely screen for childhood maltreatment in patients with chronic pain and integrate targeted mental health interventions.

    • Future research should prioritise longitudinal studies to establish clearer interactions between childhood maltreatment, mental health, adult stressors and chronic pain development.

    Context

    Adverse childhood experiences (ACEs), including maltreatment (abuse, neglect) and household challenges, have been identified as risk factors for various health conditions in adulthood.1 Chronic pain, particularly chronic widespread pain, is increasingly linked to ACEs.2 Theoretical frameworks propose that ACEs contribute to chronic pain through interconnected biological, psychological and social pathways, …

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    Footnotes

    • X @garyhu11

    • Contributors We used AI technology (ie, University Licensed Microsoft Copilot) to check grammar and proofreading.

    • Provenance and peer review Commissioned; internally peer reviewed.