Gauntlett-Gilbert Jeremy, Eccleston Christopher
Pain Management Unit, Royal National Hospital for Rheumatic Diseases and The University of Bath, BA1 1RL, UK.
Pain. 2007 Sep;131(1-2):132-41. doi: 10.1016/j.pain.2006.12.021. Epub 2007 Jan 30.
Many children and adolescents experience recurrent pain, but only a few become disabled by it. Research has established that higher pain intensity and worse depression seem to predict poorer functioning in this population. Parent and family variables have been minimally researched. This study investigated functional disability, social/adaptive functioning and school attendance in a population of highly disabled adolescents and their parents seeking help for chronic pain. Adolescents (N=110) were assessed using the Bath Adolescent Pain Questionnaire [BAPQ; Eccleston C, Jordan A, McCracken LM, Sleed M, Connell H, Clinch J. The Bath Adolescent Pain Questionnaire (BAPQ): Development and preliminary psychometric evaluation of an instrument to assess the impact of chronic pain on adolescents. Pain 2005;118:263-70], a multidimensional instrument designed for a pain population. Pain intensity and depression predicted functional disability. However, social/adaptive functioning was associated with different variables, including parent factors, and school attendance showed no association with pain intensity or anxiety. The results emphasise the need to measure multiple domains of functioning, and show that the connections between pain, physical disability and adaptive functioning are looser than might be predicted.
许多儿童和青少年会经历反复疼痛，但只有少数人会因此致残。研究表明，较高的疼痛强度和更严重的抑郁似乎预示着这一人群的功能较差。对父母和家庭变量的研究极少。本研究调查了一群因慢性疼痛寻求帮助的高度致残青少年及其父母的功能残疾、社会/适应功能和学校出勤率。使用巴斯青少年疼痛问卷[BAPQ；埃克莱斯顿C、乔丹A、麦克拉肯LM、斯利德M、康奈尔H、克林奇J。巴斯青少年疼痛问卷（BAPQ）：一种评估慢性疼痛对青少年影响的工具的开发及初步心理测量学评估。疼痛2005；118：263 - 70]对110名青少年进行了评估，这是一种为疼痛人群设计的多维工具。疼痛强度和抑郁可预测功能残疾。然而，社会/适应功能与不同变量相关，包括父母因素，且学校出勤率与疼痛强度或焦虑无关。研究结果强调了测量多个功能领域的必要性，并表明疼痛、身体残疾和适应功能之间的联系比预期的更为松散。
