Walker Lynn S, Smith Craig A, Garber Judy, Claar Robyn Lewis
Division of Adolescent Medicine and Behavioral Science, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-9060, USA.
J Pediatr Psychol. 2007 Mar;32(2):206-16. doi: 10.1093/jpepsy/jsj124. Epub 2006 May 22.
To test the hypothesis that pain patients differ from well children in their appraisal and coping with daily stressors and to test a model of the relation of stress appraisal and coping to symptoms and disability.
Pediatric patients with chronic abdominal pain (n = 143) and well children (n = 104) completed a 5-day diary study regarding their appraisal and coping with daily stressors. Somatic symptoms, depressive symptoms, and functional disability were assessed 2 months later.
Compared to well children, pain patients were less confident of their ability either to change or to adapt to stress and were less likely to use accommodative coping strategies. Different patterns of stress appraisal were associated with active, passive, and accommodative coping. Both appraisals and coping were significantly related to symptoms and disability.
The relation between stress and symptoms in pediatric pain patients may be explained in part by their appraisal and coping with stressors. The relation between appraisal and coping was consistent with Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.
检验疼痛患者在评估和应对日常压力源方面与健康儿童不同的假设，并检验压力评估和应对与症状及残疾之间关系的模型。
慢性腹痛儿科患者（n = 143）和健康儿童（n = 104）完成了一项为期5天的关于他们对日常压力源的评估和应对的日记研究。两个月后评估躯体症状、抑郁症状和功能残疾情况。
与健康儿童相比，疼痛患者对自己改变或适应压力的能力信心较低，且较少使用适应性应对策略。不同的压力评估模式与积极、消极和适应性应对方式相关。评估和应对都与症状及残疾显著相关。
儿科疼痛患者中压力与症状之间的关系部分可通过他们对压力源的评估和应对来解释。评估和应对之间的关系与拉扎勒斯，R.S.和福克曼，S.（1984年）的《压力、评估和应对》（纽约：施普林格出版社）一致。
