Pain Treatment Service, Children's Hospital, Boston, MA 02115, USA.
J Pediatr Psychol. 2009 Aug;34(7):738-48. doi: 10.1093/jpepsy/jsn113. Epub 2008 Oct 29.
To evaluate gender as a moderator of associations between psychosocial variables and functional disability in children and adolescents with chronic pain.
Participants included 266 patients (177 girls; mean age = 13.3 years) with chronic or recurrent headache or abdominal pain who were evaluated at a pediatric chronic pain clinic. Patients completed measures of pain intensity, anxiety, depression, pain coping, and functional disability. Parents completed a measure of protective behavior.
Girls and boys reported similar levels of pain intensity. Girls were more likely to endorse depressive symptoms, and internalizing symptoms were associated with disability in girls, not in boys. No gender differences were found in links between coping and protective parenting and disability.
In general, psychosocial factors influenced functional disability similarly in girls and boys, although some gender differences were found. Findings highlight the importance of considering child gender when evaluating factors that contribute to functional disability.
评估性别是否为儿童和青少年慢性疼痛患者的心理社会变量与功能障碍之间关联的调节因素。
参与者包括 266 名患有慢性或复发性头痛或腹痛的患者（177 名女孩；平均年龄=13.3 岁），他们在儿科慢性疼痛诊所接受了评估。患者完成了疼痛强度、焦虑、抑郁、疼痛应对和功能障碍的测量。父母完成了保护行为的测量。
女孩和男孩报告的疼痛强度相似。女孩更有可能出现抑郁症状，而内在症状与女孩的残疾有关，与男孩无关。在应对和保护养育方式与残疾之间的联系中，没有发现性别差异。
一般来说，心理社会因素对女孩和男孩的功能障碍有相似的影响，尽管存在一些性别差异。研究结果强调了在评估导致功能障碍的因素时，考虑儿童性别重要性。
