Coping with chronic pain associated with cerebral palsy.
Coping with chronic pain associated with cerebral palsy.
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DOI：
10.1002/oti.219
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发表时间：
2006-01-01
影响因子：
1.5
通讯作者：
Schwartz, Lauren
中科院分区：
文献类型：
--
作者：
Engel, Joyce M;Jensen, Mark P;Schwartz, Lauren
59名患有脑瘫(CP)的成年人通过面对面访谈，除了疼痛应对措施(Waldron/Varni儿科疼痛应对问卷；PPCI)外，还接受了疼痛强度、疼痛相关残疾和心理功能的测量。回归分析表明，PPCI量表对疼痛强度的预测没有显著贡献，但在控制疼痛强度时对心理功能的预测有显著贡献。只有PPCI量表对心理功能的预测有显著的独立贡献，只有PPCI寻求社会支持子量表对疼痛相关残疾的预测有显著的独立贡献。这些发现支持成人CP患者的应对和功能之间的联系，并表明灾难性反应和寻求支持的某些方面可能不适应应对CP相关的疼痛。这项研究的局限性包括相关性设计、对自我报告数据的依赖以及受试者人数较少。需要进行实验研究，以确定应对方式的变化是否会导致心理和身体功能的变化。
Fifty-nine adults with cerebral palsy (CP) were administered, via in-person interviews, measures of pain intensity, pain-related disability, and psychological functioning, in addition to a measure of pain coping (Waldron/Varni Pediatric Pain Coping Inventory; PPCI). Regression analyses indicated that the PPCI scales made a nonsignificant contribution to the prediction of pain intensity, but did make a significant contribution to the prediction of psychological functioning when controlling for pain intensity. Only the PPCI Catastrophizing subscale made a significant independent contribution to the prediction of psychological functioning, and only the PPCI Seek Social Support subscale made a significant independent contribution to the prediction of pain-related disability. These findings support a link between coping and functioning among adults with CP, and suggest that catastrophizing responses and some aspects of support seeking may be maladaptive for coping with CP-related pain. Limitations of the study include a correlational design, a reliance on self-report data, and a small subject population. Experimental research is needed to determine if changes in coping lead to changes in psychological and physical functioning.