青少年慢性疼痛：父母的反应、青少年的应对方式及其对青少年疼痛行为的影响。
Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent's pain behaviors.
作者信息
Simons Laura E, Claar Robyn Lewis, Logan Deirdre L
机构信息
Department of Psychiatry, Children's Hospital Boston, 333 Longwood Avenue, Boston, MA 02115, USA.
出版信息
J Pediatr Psychol. 2008 Sep;33(8):894-904. doi: 10.1093/jpepsy/jsn029. Epub 2008 Mar 28.
Abstract
OBJECTIVES
The aim of this study was to examine relations among parental responses, adolescent pain coping, and pain behaviors in adolescents with chronic pain.
METHODS
This study included 217 adolescents (12-17 years) evaluated at a multidisciplinary pain clinic and their parents. Adolescents completed measures assessing their pain, pain coping responses, functional disability, and somatic symptoms. Parents reported on their responses to their adolescent's pain.
RESULTS
Passive and active coping interacted with parental protective behavior to predict adolescents' pain behaviors. Contrary to expectations, among adolescents who reported infrequent use of passive or active coping strategies, higher levels of parental protective behavior were associated with higher levels of disability and somatic symptoms. Discussion Among adolescents who report infrequent use of passive and active coping responses, parental protective responses to pain may inadvertently promote greater disability and symptom complaints. Parental responses to pain may be an important target to treat adolescent chronic pain.
摘要
目的
本研究旨在探讨慢性疼痛青少年的父母反应、青少年疼痛应对方式与疼痛行为之间的关系。
方法
本研究纳入了在多学科疼痛诊所接受评估的217名青少年（12 - 17岁）及其父母。青少年完成了评估其疼痛、疼痛应对方式、功能障碍和躯体症状的测量。父母报告了他们对青少年疼痛的反应。
结果
被动应对和主动应对与父母的保护行为相互作用，以预测青少年的疼痛行为。与预期相反，在报告很少使用被动或主动应对策略的青少年中，较高水平的父母保护行为与较高水平的功能障碍和躯体症状相关。讨论 在报告很少使用被动和主动应对方式的青少年中，父母对疼痛的保护反应可能会无意中导致更大的功能障碍和症状主诉。父母对疼痛的反应可能是治疗青少年慢性疼痛的一个重要靶点。
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