Pain-Related Injustice Appraisals in Youth with Sickle Cell Disease: A Preliminary Investigation.

Pain-Related Injustice Appraisals in Youth with Sickle Cell Disease: A Preliminary Investigation.
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镰状细胞病青少年中与疼痛相关的不公正评估:初步调查。

DOI:
10.1093/pm/pnab001
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发表时间:
2021
期刊:
Pain medicine (Malden, Mass.)
影响因子:
--
通讯作者:
Trost,Zina
Trost,Zina
中科院分区:
--
文献类型:
--
作者:
Miller,MeganM;Rumble,DeannaD;Hirsh,AdamT;Vervoort,Tine;Crosby,LoriE;Madan-Swain,Avi;Lebensburger,Jeffrey;Hood,AnnaM;Trost,Zina

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镰状细胞病(SCD)是一种遗传性疾病,影响约10万美国人,其中大多数是非洲裔美国人。SCD相关疼痛通常对功能和生活质量产生有害影响。SCD的遗传性,SCD相关的耻辱,严重的身体和功能的影响SCD相关的疼痛创造了一个成熟的情况下,个人评价他们的SCD相关的疼痛是不公平或不公正的。本初步调查的目的是探讨在何种程度上与SCD儿童患者评价他们的痛苦不公正的,以及如何这些评价涉及到functioning.MethodsParticipants青年SCD(N = 30,平均年龄= 11.3,57%的男孩)谁出席了血液学诊所的访问。患者被邀请完成基于纸张的问卷评估疼痛相关的不公正评价,疼痛灾难化,疼痛和伤害,功能残疾,抑郁,焦虑,和peer relationships. ResultsResultsof hierarchical regressions表明,疼痛相关的不公正显着预测功能残疾,抑郁,在控制了患者的疼痛和灾难化后,焦虑。结论这些发现表明,疼痛-相关的不公正评价是一个重要的贡献者与SCD青年的痛苦经历。早期识别和纠正疼痛相关的不公正评价可能对SCD青少年有长期的功能性益处。
ObjectivesSickle cell disease (SCD) is a genetic disorder that affects approximately 100,000 Americans, the majority of whom are African American. SCD-related pain often has deleterious effects on functioning and quality of life. The inherited nature of SCD, SCD-related stigma, and serious physical and functional impact of SCD-related pain create a situation ripe for individuals to appraise their SCD-related pain as unfair or unjust. The aim of this preliminary investigation is to explore the extent to which pediatric patients with SCD appraise their pain as unjust and how these appraisals relate to functioning.MethodsParticipants were youth with SCD (N = 30, mean age = 11.3, 57% boys) who attended a hematology clinic visit. Patients were invited to complete paper-based questionnaires assessing pain-related injustice appraisals, pain catastrophizing, pain and hurt, functional disability, depression, anxiety, and peer relationships.ResultsResults of hierarchical regressions indicate that pain-related injustice significantly predicted functional disability, depression, and anxiety after controlling for patient pain and catastrophizing.ConclusionsThese findings suggest that pain-related injustice appraisals are an important contributor to the pain experience of youth with SCD. Early identification and remediation of pain-related injustice appraisals could have long-term functional benefits for youth with SCD.
DOI: 10.1002/pbc.27823
发表时间: 2019-09-01
影响因子: 3.2
作者:
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DOI: --
发表时间: 2015
影响因子: 2.7
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DOI: --
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影响因子: 4
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