Logan Deirdre E, Scharff Lisa
Pain Treatment Service, Children's Hospital Boston, 333 Longwood Avenue, Boston, MA 02115, USA.
J Pediatr Psychol. 2005 Dec;30(8):698-707. doi: 10.1093/jpepsy/jsj060. Epub 2005 Aug 10.
To identify family characteristics associated with children's ability to function with recurrent pain.
Seventy-eight children ages 7-17 years with recurrent pain syndromes [migraine headache or recurrent abdominal pain (RAP)] were recruited from clinic settings. Children completed pain diaries and the Functional Disability Inventory (FDI). Mothers and fathers completed self-report measures of psychological distress, and mothers reported on family environment.
Controlling for the influence of pain intensity, family environment and parental distress jointly predicted children's ability to function with pain. Among children with migraine, family environment moderated the relationship between pain and functional disability; in this group, greater pain associated with more functional disability in children from disruptive family environments, but not in children from more adaptive family environments.
For some pediatric recurrent pain sufferers, family characteristics associate with the extent of pain-related disability and may help identify children likely to experience more impaired functioning in response to recurrent pain.
确定与儿童复发性疼痛功能状况相关的家庭特征。
从诊所环境中招募了78名7至17岁患有复发性疼痛综合征[偏头痛或复发性腹痛（RAP）]的儿童。儿童完成疼痛日记和功能残疾量表（FDI）。父母完成心理困扰的自我报告测量，母亲报告家庭环境情况。
在控制疼痛强度的影响后，家庭环境和父母困扰共同预测了儿童应对疼痛的功能状况。在偏头痛儿童中，家庭环境调节了疼痛与功能残疾之间的关系；在这组儿童中，对于来自混乱家庭环境的孩子，疼痛越严重，功能残疾越明显，但在来自适应性更强家庭环境的孩子中并非如此。
对于一些患有儿科复发性疼痛的患者，家庭特征与疼痛相关残疾的程度有关，可能有助于识别那些因复发性疼痛而功能受损更严重的儿童。
