Vervoort Tine, Goubert Liesbet, Eccleston Christopher, Bijttebier Patricia, Crombez Geert
Department of Experimental-Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, B-9000, Ghent, Belgium.
J Pediatr Psychol. 2006 Aug;31(7):674-83. doi: 10.1093/jpepsy/jsj059. Epub 2005 Aug 10.
To investigate the value of pain catastrophizing in explaining pain, disability, and somatic complaints, beyond negative affectivity (NA).
Two cross-sectional studies, one in a sample of school children (n = 193) and a second in a clinical sample of children with recurrent or chronic pain (n = 43), were conducted. In both studies, measures of pain catastrophizing and NA were examined for their ability to explain pain, disability, and somatic complaints.
In both studies, pain catastrophizing significantly accounted for the variance of pain, disability, and somatic complaints, beyond the effects of age, sex, and NA. Furthermore, pain catastrophizing significantly mediated the relationship between NA and somatic complaints in both studies and between NA and functional disability in study 1.
Results suggest the importance of assessing for pain catastrophizing in children. Pain catastrophizing is further discussed in terms of communicating distress to significant others.
探讨灾难化思维在解释疼痛、残疾和躯体不适方面的价值，超越消极情感（NA）的影响。
进行了两项横断面研究，一项以学童为样本（n = 193），另一项以患有复发性或慢性疼痛的儿童为临床样本（n = 43）。在两项研究中，均考察了灾难化思维和消极情感在解释疼痛、残疾和躯体不适方面的能力。
在两项研究中，除年龄、性别和消极情感的影响外，灾难化思维显著解释了疼痛、残疾和躯体不适的变异。此外，在两项研究中，灾难化思维均显著介导了消极情感与躯体不适之间的关系，在研究1中还介导了消极情感与功能残疾之间的关系。
结果表明评估儿童灾难化思维的重要性。从向重要他人传达痛苦的角度对灾难化思维进行了进一步讨论。
