儿童对疼痛的评估与应对：与母亲对家庭活动中担忧和限制的评分的关系。
Children's appraisal and coping with pain: relation to maternal ratings of worry and restriction in family activities.
作者信息
Lipani Tricia A, Walker Lynn S
机构信息
Vanderbilt University Medical Center, 436 Medical Center South, Nashville, TN 23732-3571, USA.
出版信息
J Pediatr Psychol. 2006 Aug;31(7):667-73. doi: 10.1093/jpepsy/jsj038. Epub 2005 May 19.
Abstract
OBJECTIVE
To examine the relation of children's pain severity, perceived pain threat, and passive coping to maternal worry and family activities.
METHODS
We assessed pain severity, perceived threat (conceptualized as beliefs about pain seriousness and coping ability), and coping strategies in 130 patients with chronic abdominal pain. Mothers rated the impact of the child's health on maternal worry and family activities.
RESULTS
Controlling for pain severity, higher pain threat was associated with maternal reports of greater worry and limitations in family activities due to the child's health. Children's use of passive-coping strategies was not related to maternal worry or family activity limitations.
CONCLUSIONS
Health care providers should assess patients' pain beliefs, correct misperceptions about pain seriousness, and help increase patients' perceived efficacy in coping with pain.
摘要
目的
探讨儿童疼痛严重程度、感知到的疼痛威胁及消极应对方式与母亲担忧和家庭活动之间的关系。
方法
我们评估了130例慢性腹痛患者的疼痛严重程度、感知到的威胁（被概念化为对疼痛严重性和应对能力的信念）以及应对策略。母亲们对孩子的健康状况对母亲担忧和家庭活动的影响进行了评分。
结果
在控制疼痛严重程度后，更高的疼痛威胁与母亲报告的更大担忧以及因孩子健康状况导致的家庭活动受限相关。儿童使用消极应对策略与母亲担忧或家庭活动受限无关。
结论
医疗服务提供者应评估患者对疼痛的信念，纠正对疼痛严重性的误解，并帮助提高患者应对疼痛的感知效能。
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