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慢性疼痛儿童和青少年的认知和学校功能:批判性综述。

Cognitive and school functioning in children and adolescents with chronic pain: a critical review.

机构信息

Departments of Anesthesiology and Pain Medicine & Psychiatry, University of Alberta, and Stollery Children's Hospital, Edmonton, Alberta, Canada.

出版信息

Pain Res Manag. 2010 Jul-Aug;15(4):238-44. doi: 10.1155/2010/354812.

Abstract

Cognitive function is a critical factor related to a child's overall developmental trajectory. There is increasing evidence that chronic pain disrupts cognitive function in adults. Little is known about the nature or impact of cognitive disruption in children and adolescents with chronic pain. The present review examines the current literature related to cognitive function in children and adolescents with chronic pain, implications of these findings and future research directions. Nine studies on this topic were found, with a relatively recent increase in publications related to school attendance and subjective studies of school performance. The studies that were found on this topic suggested that chronic pain affects cognitive function in children but the scope of these effects on children's function and developmental trajectories is not yet clear. While methodological issues surely make it difficult to study cognitive function in children with chronic pain, the potential gains from such research warrant a pursuit of such work. Much remains to be studied on this important topic.

摘要

认知功能是与儿童整体发展轨迹相关的关键因素。越来越多的证据表明,慢性疼痛会干扰成年人的认知功能。对于患有慢性疼痛的儿童和青少年的认知障碍的性质或影响知之甚少。本综述探讨了目前关于患有慢性疼痛的儿童和青少年认知功能的文献,这些发现的意义和未来的研究方向。关于这个主题发现了九项研究,与与上学出勤率和主观学习成绩相关的研究相比,最近的出版物有所增加。关于这个主题的研究表明,慢性疼痛会影响儿童的认知功能,但这些影响对儿童功能和发展轨迹的范围尚不清楚。虽然方法学问题肯定使研究患有慢性疼痛的儿童的认知功能变得困难,但这种研究的潜在收益证明了进行此类工作的合理性。在这个重要的主题上,还有很多需要研究的。

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