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. 2026 Jan 30;11(2):e1388. doi: 10.1097/PR9.0000000000001388

Table 2.

Adverse life experiences and symptom-based trajectories of pain, depression, anxiety, and comorbidities.

Coef SE T Pval R2 Adj R2 CI [2.5%] CI [97.5%] VIF Pval_corrected
ALEs and high-level symptom-based trajectories
 Pain
  Physical_illness_child FU1 0.029 0.009 3.402 0.001 0.143 0.094 0.012 0.046 5.640213 0.039
  Total ALE score FU2 0.022 0.007 3.024 0.003 0.025 0.02 0.008 0.036 5.111497 0.015
  Abuse and maltreatment—Factor1 0.023 0.006 3.570 0.000 0.025 0.021 0.010 0.036 1.860628 0.000
 Depression
  Sexual_abuse 0.023 0.006 4.120 0.000 0.097 0.055 0.012 0.034 1.209255 0.000
  BullyingBL 0.028 0.006 4.765 0.000 0.097 0.055 0.016 0.039 1.590381 0.000
  Total ALE score FU1 0.016 0.005 2.934 0.003 0.016 0.012 0.005 0.027 6.084844 0.015
 Anxiety
  BullyingBL 0.034 0.008 4.513 0.000 0.111 0.07 0.019 0.049 1.590381 0.000
  Total ALE score FU1 0.023 0.007 3.425 0.001 0.034 0.031 0.010 0.037 6.084844 0.005
  Total ALE score FU2 0.018 0.007 2.677 0.008 0.034 0.031 0.005 0.031 4.457266 0.040
ALEs and moderate-level symptom-based trajectories
 Pain
  BullyingFU1 0.060 0.014 4.300 0.000 0.111 0.059 0.033 0.087 1.419223 0.000
  Total ALE score FU1 0.048 0.014 3.348 0.001 0.047 0.043 0.020 0.076 8.055105 0.005
 Depression
  Parents_violentFU1 −0.035 0.010 −3.349 0.001 0.085 0.043 −0.056 −0.015 1.892365 0.039
  Total ALE score FU3 0.031 0.009 3.531 0.000 0.02 0.017 0.014 0.048 4.478934 0.000
 Factor 2 0.019 0.006 3.023 0.003 0.021 0.018 0.007 0.031 3.706052 0.015
 Anxiety
  BullyingFU3 0.041 0.012 3.485 0.001 0.09 0.048 0.018 0.063 1.198944 0.039
  Material, health, and emotional deprivation—Factor 2 0.041 0.010 4.192 0.000 0.019 0.016 0.022 0.061 3.706052 0.000
ALEs and symptom-based trajectories of pain comorbidities
 Pain–depression comorbidities
  Substance abuse in the household FU2 0.021 0.006 3.409 0.001 0.065 0.019 0.009 0.033 1.304255 0.039
  Abuse and maltreatment—Factor1 0.015 0.004 3.453 0.001 0.018 0.014 0.007 0.024 1.880138 0.005
 Pain–anxiety comorbidities
  Material, health, and emotional deprivation—Factor 2 0.015 0.006 2.662 0.008 0.019 0.015 −0.004 0.027 3.635520 0.040
 Pain–depression–anxiety comorbidities
  Material, health, and emotional deprivation—Factor 2 0.011 0.004 3.008 0.003 0.016 0.013 0.004 0.018 3.680576 0.015

The regression models for ALEs categories at all time points BL (Baseline), FU1 (Follow-up 1), FU2 (Follow-up 2), FU3 (Follow-up 3) and the high and moderate symptoms classes of pain, depression, and anxiety and comorbidities. The table reports only results that retained statistical significance after correction. For high symptom trajectories, physical illness, bullying, sexual abuse, total ALE scores, and specific factors emerged as significant for pain, depression, and anxiety. Moderate symptom trajectories revealed again that bullying, parental violence, total ALE scores, and abuse and maltreatment factor were also significant, with distinct patterns for each symptom. Pain–depression comorbidities were significantly associated with household substance abuse and abuse-maltreatment factor. Pain–anxiety comorbidities were linked to deprivation-related factors, as well as the combined pain–depression–anxiety comorbidity. These findings underscore the differentiated pathways through which ALEs contribute to comorbid symptom development. Full details and expanded analyses are provided in Supplement, http://links.lww.com/PR9/A380. In the corresponding order Coefficients, Standard Errors, T-values, P-values, R-squared, Adjusted R-squared, Confidence Intervals, VIF, and Bonferroni-corrected P-values. Age ranges for participants at each time point were 14 to 15 y (BL), with follow-ups at 16 to 17 (FU1), 18 to 19 (FU2), and 22 to 24 (FU3). Bold font indicates statistically significant P-values.

ALE, adverse life experiences; VIF, variance inflation factor.