青少年疼痛应对模式：对治疗的期望、功能结果以及对心理治疗建议的依从性。
Adolescents' pain coping profiles: expectations for treatment, functional outcomes and adherence to psychological treatment recommendations.
机构信息
Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA, USA.
出版信息
Pain Res Manag. 2011 May-Jun;16(3):192-6. doi: 10.1155/2011/652853.
OBJECTIVES
To explore how adolescents' pain coping profiles relate to their expectations regarding psychological treatment recommendations, and to examine patients' functioning and engagement in psychological treatment three months following a multidisciplinary pain clinic evaluation.
METHODS
Adolescents and their parents completed measures of pain coping strategies, treatment expectations, pain ratings, somatic symptoms, school absences and functional disability. Parents also reported whether patients followed through with psychological treatment recommendations.
RESULTS
Adaptive copers and their parents were more likely to expect psychological treatments to be helpful; however, at follow-up, there were no significant group differences in patients' participation in psychological treatment. Patients in both groups experienced significantly lower levels of somatic symptoms and functional disability, and had fewer school absences from the initial evaluation to the follow-up.
DISCUSSION
The results of the present study identify preliminary clinical implications for the way in which practitioners in multidisciplinary pain clinics present recommendations for psychological treatment to patients and their families.
目的
探讨青少年的疼痛应对模式如何与其对心理治疗建议的期望相关，并考察患者在多学科疼痛诊所评估后的三个月内的功能和心理治疗参与情况。
方法
青少年及其父母完成了疼痛应对策略、治疗期望、疼痛评分、躯体症状、缺课和功能障碍的评估。父母还报告了患者是否遵循了心理治疗建议。
结果
适应性应对者及其父母更有可能期望心理治疗有所帮助；然而，在随访时，两组患者在心理治疗的参与方面没有显著的组间差异。两组患者的躯体症状和功能障碍水平显著降低，从初始评估到随访期间的缺课次数也减少。
讨论
本研究的结果为多学科疼痛诊所的从业者向患者及其家属提出心理治疗建议的方式提供了初步的临床意义。
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