Pain coping profiles in adolescents with chronic pain.

Pain coping profiles in adolescents with chronic pain.
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DOI:
10.1016/j.pain.2008.09.007
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发表时间:
2008-11-30
期刊:
影响因子:
7.4
通讯作者:
Walker LS
Walker LS
中科院分区:
医学1区
文献类型:
--
作者:
Claar RL;Baber KF;Simons LE;Logan DE;Walker LS

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这项研究试图评估沃克和同事在慢性腹痛患者样本中观察到的疼痛应对特征在多大程度上也适用于到三级保健诊所评估各种不同疼痛状况的青少年患者样本。此外,我们旨在评估这些疼痛应对档案与患者的情绪和身体功能的关系。参与者(n = 254)为12-17岁的青少年患者。患者完成疼痛反应量表(PRI)以及疼痛、躯体症状、焦虑和抑郁症状以及功能残疾的测量。使用Walker及其同事开发的PRI分类算法,我们成功地对样本中的所有患者进行了分类。我们还发现,不同程度的症状、残疾和情绪困扰的患者成功地区分了疼痛应对概况,进一步证明了这些概况的外部有效性。研究结果对针对患者的特殊应对情况进行疼痛治疗干预具有启示意义。
This study sought to evaluate the extent to which the pain coping profiles observed by Walker and colleagues in a sample of patients with chronic abdominal pain also were evident in a sample of adolescent patients who presented to a tertiary care clinic for evaluation of a variety of diverse pain conditions. In addition, we aimed to evaluate the relation of these pain coping profiles to patients’ emotional and physical functioning. Participants (n = 254) were adolescent patients aged 12–17 years. Patients completed the Pain Response Inventory (PRI) as well as measures of pain, somatic symptoms, anxiety and depressive symptoms, and functional disability. Using the PRI classification algorithm developed by Walker and colleagues, we successfully classified all the patients in our sample. We also found that the pain coping profiles successfully differentiated among patients with different levels of symptoms, disability, and emotional distress, further demonstrating the external validity of these profiles. Results have implications for tailoring pain treatment interventions to patients’ particular coping profiles.
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