Sex and age differences in coping styles among children with chronic pain
Sex and age differences in coping styles among children with chronic pain
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DOI：
10.1016/j.jpainsymman.2006.07.014
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发表时间：
2007-02-01
影响因子：
4.7
通讯作者：
Jones, Benjamin A.
中科院分区：
文献类型：
--
作者：
Lynch, Anne M.;Kashikar-Zuck, Susmita;Jones, Benjamin A.
本研究的目的是检查慢性疼痛儿科患者应对策略的性别和年龄差异。关于成人疼痛和应对方式的文献报道了性别差异，但很少有人关注儿童慢性疼痛人群应对方式可能存在的差异。在早期研究疼痛应对技能可以使临床医生更好地了解特征应对方式的演变并确定干预领域。对儿童（8-12 岁）和青少年（13-18 岁）的疼痛强度（视觉模拟量表）、疼痛应对策略（疼痛应对问卷）和应对功效进行评估，并向儿科慢性疼痛诊所就诊（n = 272）。研究发现，应对策略存在显着的性别差异。在控制疼痛强度后，女孩比男孩更多地寻求社会支持，而男孩则更多地使用行为分散注意力的技巧。青少年比儿童更积极地自我陈述（一种认知策略）。男孩和女孩都表现出疼痛应对功效与平均疼痛强度呈负相关的趋势。对于女孩来说，疼痛应对功效也与内化/灾难化显着负相关。然而，没有发现应对功效的性别或年龄差异。这项研究表明，患有慢性疼痛的儿童和青少年的应对策略中很早就出现了基于性别和年龄的偏好。这些发现为进一步研究早期社会对男性和女性疼痛应对方式发展的影响奠定了基础。讨论了该领域进一步临床研究的意义。
The purpose of this study was to examine sex and age differences in coping strategies among pediatric patients with chronic Pain. Sex differences are reported in the adult pain and coping literatures, but little attention has been given to possible distinctions in coping styles in the pediatric chronic pain population. Investigating pain coping skills at an early age may provide clinicians with a better understanding of the evolution of characteristic coping styles and identify areas for intervention. Pain intensity (Visual Analog Scale), pain coping strategies (Pain Coping Questionnaire), and coping efficacy were assessed in children (ages 8-12 years) and adolescents (ages 13-18 years), presenting to a pediatric chronic pain clinic (n = 272). Significant sex differences in coping strategies were found. After controlling for pain intensity,,girls used social support seeking more than boys, while boys used more behavioral distraction techniques. Adolescents engaged in more positive self-stalements (a cognitive strategy) than children. Both boys and girls showed a trend toward pain coping efficacy being negatively correlated with average pain intensity. For girls, pain coping efficacy was also significantly negatively correlated with internalizing/catastrophizing. However, no sex or age differences in coping efficacy were found. This study demonstrates the early emergence of sex- and aged-based Preferences in coping strategies among children and adolescents with chronic pain. The findings establish a basis for further research on early social influences in the development of pain coping styles in males and females. Implications for further clinical research in this area are discussed.