The Pediatric Pain Screening Tool (PPST) can Rapidly Identify Elevated Pain and Psychosocial Symptomatology in Treatment-Seeking Youth with Acute Musculoskeletal Pain.
The Pediatric Pain Screening Tool (PPST) can Rapidly Identify Elevated Pain and Psychosocial Symptomatology in Treatment-Seeking Youth with Acute Musculoskeletal Pain.
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DOI：
10.1016/j.jpain.2021.06.012
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Wilson AC
中科院分区：
文献类型：
--
作者：
Holley AL;Gaultney W;Turner H;Wilson AC
这项横断面研究探讨了儿科疼痛筛查工具（PPST）的实用性，用于快速评估急性肌肉骨骼疼痛寻求治疗的青少年的疼痛和社会心理学。参与者是166名青年（10-18岁，53.6%女性），他们参加了两项针对急性肌肉骨骼疼痛青年的大型队列研究之一。青少年完成了PPST和疼痛，疼痛相关的恐惧，疼痛灾难化，疼痛相关的残疾和睡眠质量的措施。使用已公布的截止值将参与者分类为PPST风险组。方差分析和卡方检验PPST风险组和自我报告措施之间的关联;受试者工作特征（ROC）分析检验PPST评分和临床参考截止值之间的关联。PPST将28.3%的年轻人归类为高风险，23.5%为中度，48.2%为低风险。女性更有可能是高风险。方差分析显示PPST风险组的临床因素的差异，特别是在青年标记的高风险与低风险之间的差异。ROC分析表明，PPST是有效的区分“案件”与“非案件”的疼痛相关的残疾，疼痛恐惧和灾难化。结果表明，PPST是有效的快速筛查青年急性疼痛的疼痛和心理社会学。下一步的重要工作是检查PPST在预测急性疼痛样本恢复结果方面的有效性。本文介绍了儿科疼痛筛查工具（PPST）作为一种措施，快速筛查青年急性疼痛的疼痛和心理社会学。该工具将青年分为低、中或高风险群体，并区分有无临床上显著程度的残疾、与疼痛有关的恐惧和灾难感的青年。
This cross-sectional study examines the utility of the Pediatric Pain Screening Tool (PPST) for rapidly assessing pain and psychosocial symptomatology in treatment-seeking youth with acute musculoskeletal pain. Participants were 166 youth (10-18 years, 53.6% female) participating in one of two larger cohort studies of youth with acute musculoskeletal pain. Youth completed the PPST and measures of pain, pain-related fear, pain catastrophizing, pain-related disability, and sleep quality. Participants were categorized into PPST risk groups using published cut-offs. ANOVA and chi-square examined associations between PPST risk groups and self-report measures; receiver operating characteristic (ROC) analyses examined associations among PPST scores and clinical reference cut-offs. The PPST classified 28.3% of youth as high, 23.5% as moderate, and 48.2% as low-risk. Females were more likely to be high-risk. ANOVAs revealed differences in clinical factors by PPST risk group particularly differences among youth labeled high versus low-risk. ROC analyses showed the PPST is effective in discriminating “cases” versus “non-cases” on pain-related disability, pain-fear and catastrophizing. Results reveal the PPST is effective for rapidly screening youth with acute pain for pain and psychosocial symptomatology. An important next step will be to examine the validity of the PPST in predicting recovery outcomes of acute pain samples. This article presents the Pediatric Pain Screening Tool (PPST) as a measure for rapidly screening youth with acute pain for pain and psychosocial symptomatology. The tool categorizes youth into low, moderate or high-risk groups and discriminates among those with versus without clinically significant levels of disability, pain-related fear and catastrophizing.
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3.1
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