Hunfeld Joke A M, Perquin Christel W, Hazebroek-Kampschreur Alice A J M, Passchier Jan, van Suijlekom-Smit Lisette W A, van der Wouden Johannes C
Department of Medical Psychology and Psychotherapy, Netherland Institute of Health Sciences (NIHES), Department of General Practice, Erasmus University, The Netherlands.
Psychol Psychother. 2002 Sep;75(Pt 3):251-60. doi: 10.1348/147608302320365172.
Because children with physically unexplained chronic pain may become the adult chronic pain patients of the future and because little is known about this pain and its impact on children and their families, a sample of 77 children (aged 5-11 years) with this type of pain was investigated. The hypothesis was tested that a greater intensity and frequency of pain would diminish the child's functional status and increase the impact of pain on the family. All mothers completed questionnaires on their perception of the child's functional status and the impact of pain on the family, and kept a diary on the child's pain for three successive weeks, three times daily, by means of a visual analogue scale (VAS) and a behavioural list. The study was conducted in the general population in the Rotterdam area. Children with physically unexplained chronic pain were sampled from those participating in a prevalence study on chronic pain. The average pain was mild (30 mm on a 0-100 mm VAS), moderately frequent (34% of the diary registration time), increased during the day, and did not result in large school absence or problems with functional status. Pain showed a relatively negative impact on family life, especially restrictions in social life and personal strain were reported, based on behavioural changes. In particular, abdominal pain, headache and limb pain are already present in considerable numbers at a young age. Longitudinal research should determine whether shifts occur in pain experience and locations from childhood and adulthood and in different dimensions of functional status and, more broadly, in quality of life resulting from pain.
由于患有身体原因不明的慢性疼痛的儿童可能会成为未来的成人慢性疼痛患者，而且对于这种疼痛及其对儿童及其家庭的影响知之甚少，因此对77名患有此类疼痛的儿童（5至11岁）进行了抽样调查。研究人员检验了这样一个假设：疼痛强度和频率的增加会降低儿童的功能状态，并增加疼痛对家庭的影响。所有母亲都填写了关于她们对孩子功能状态的看法以及疼痛对家庭影响的问卷，并通过视觉模拟量表（VAS）和行为清单，连续三周每天三次记录孩子的疼痛情况。该研究在鹿特丹地区的普通人群中进行。患有身体原因不明的慢性疼痛的儿童是从参与慢性疼痛患病率研究的人群中抽取的。平均疼痛程度较轻（在0至100毫米的VAS上为30毫米），频率适中（占日记记录时间的34%），白天会加重，且不会导致大量缺课或功能状态出现问题。疼痛对家庭生活显示出相对负面的影响，特别是基于行为变化报告了社交生活受限和个人压力。尤其是腹痛、头痛和肢体疼痛在幼年时就已大量存在。纵向研究应确定从童年到成年，疼痛体验和部位以及功能状态的不同维度，更广泛地说，疼痛对生活质量的影响是否会发生变化。
