Perceived Injustice Is Associated With Pain-related Function and Mood in Youth With Acute Musculoskeletal Pain.
Perceived Injustice Is Associated With Pain-related Function and Mood in Youth With Acute Musculoskeletal Pain.
复制标题
DOI：
10.1097/ajp.0000000000000947
复制
发表时间：
2021-08-01
期刊：
影响因子：
--
通讯作者：
Holley AL
中科院分区：
文献类型：
--
作者：
Battison EAJ;Wilson AC;Holley AL
感知不公正（PI）是一个人对疼痛经历的正义或公平的评价，是儿科疼痛研究的一个新兴领域。之前没有研究调查患有急性疼痛的青少年的 PI。为了填补这一空白，本研究探讨了 1) 患有急性肌肉骨骼 (MSK) 疼痛的寻求治疗的青少年的 PI、疼痛相关功能和心理功能之间的关联，以及 2) 亲子 PI 不一致对儿童疼痛和心理社会功能的影响。参与者是从急诊科或门诊招募的患有急性疼痛（发病<1个月）的青少年（11-17岁，55%男性）和参与的家长（102名亲子二人组）。两人在孩子疼痛发作后一个月内完成了研究问卷。青少年报告的 PI 与较差的身体和心理社会生活质量、更高的疼痛灾难性、更高的对疼痛的恐惧、与疼痛相关的残疾增加以及更严重的抑郁和焦虑显着相关。此外，PI 与身体生活质量、社会心理生活质量和疼痛相关残疾显着相关。此外，青少年和家长对 PI 评分的不一致与儿童的心理和疼痛相关功能有关。具体来说，与一致二人组相比，不一致二人组（青少年高 PI/父母低 PI）中的青少年报告说，他们的身体生活质量、社会心理生活质量明显较差，与疼痛相关的残疾、抑郁、焦虑和疼痛灾难化程度更高。这些发现表明，患有急性 MSK 疼痛的青少年的 PI 与生活质量和疼痛相关的残疾有关。此外，结果强调了青少年和家长关于疼痛相关功能的 PI 报告之间不一致的重要性。
Perceived injustice (PI), which is one’s appraisal of justice or fairness regarding the pain experience, is an emerging area of interest in pediatric pain research. No previous studies have investigated PI in youth with acute pain. To fill this gap, this study examined 1) associations among PI, pain-related function and psychological function in treatment-seeking youth with acute musculoskeletal (MSK) pain, and 2) the impact of parent-child PI discordance on children’s pain and psychosocial function. Participants were youth (aged 11–17, 55% male) with acute pain (onset < 1 month) recruited from emergency departments or outpatient clinics and participating parents (102 parent-child dyads). Dyads completed study questionnaires within one month of child’s pain onset. Youth-reported PI was significantly correlated with poorer physical- and psychosocial quality of life, higher pain catastrophizing, higher fear of pain, increased pain-related disability, and greater depression and anxiety. Furthermore, PI was significantly associated with physical quality of life, psychosocial quality of life, and pain-related disability. Moreover, discordance in youth and parent ratings of PI was associated with children’s psychological and pain-related function. Specifically, compared to Concordant dyads, youth in the Discordant dyads (youth high PI/Parent low PI) reported significantly poorer physical quality of life, psychosocial quality of life, higher pain-related disability, depression, anxiety and pain catastrophizing. These findings reveal that PI in youth with acute MSK pain is associated with quality of life and pain-related disability. Furthermore, results highlight the importance of discordance between youth and parent reports of PI on pain-related functioning.