The distinct longitudinal impact of pain catastrophizing on pain interference among youth living with sickle cell disease and chronic pain.
The distinct longitudinal impact of pain catastrophizing on pain interference among youth living with sickle cell disease and chronic pain.
复制标题
DOI：
10.1007/s10865-021-00280-4
复制
发表时间：
2022-08
影响因子：
3.1
通讯作者：
Sil, Soumitri
中科院分区：
文献类型：
--
作者：
Schneider, Mallory B;Manikowski, Alison;Cohen, Lindsey;Dampier, Carlton;Sil, Soumitri
患有慢性镰状细胞病(SCD)疼痛的青年面临心理社会痛苦和高度疼痛灾难的风险，这些都会导致功能障碍。本研究旨在确定疼痛灾变对患有SCD的青少年疼痛损害的独特长期影响。慢性SCD疼痛青年(N=63，10-18岁，女性58.3%，黑人或非裔美国人95.1%)被招募到综合性SCD诊所，并在基线和4个月的随访时完成了一系列措施。线性分层回归分析了基线人口学和临床特征(儿童SCD基因、年龄和平均疼痛强度)、心理社会功能(焦虑、抑郁)和疼痛灾变作为4个月随访时疼痛干预的预测因素。疼痛灾变是4个月随访时疼痛干扰的唯一预测因子。在患有慢性SCD疼痛的年轻人中，疼痛灾害化值得更多地考虑，因为它是影响疼痛管理和整体功能的重要预测因子。
Youth living with chronic sickle cell disease (SCD) pain are at risk for psychosocial distress and high levels of pain catastrophizing that contribute to functional impairment. This study aimed to identify the unique long-term impact of pain catastrophizing on pain impairment among youth with SCD. Youth with chronic SCD pain (N = 63, 10–18 years old, 58.3% female, 95.1% Black or African American) were recruited within comprehensive SCD clinics and completed a battery of measures at baseline and 4-months follow-up. A linear hierarchical regression examined baseline demographic and clinical characteristics (child SCD genotype, age, and average pain intensity), psychosocial functioning (anxiety, depression), and pain catastrophizing as predictors of pain interference at 4-months follow-up. Pain catastrophizing was the only unique predictor of pain interference at 4-months follow-up. Among youth with chronic SCD pain, pain catastrophizing warrants greater consideration as an important predictor that influences pain management and overall functioning.