Yamaguchi Rio, Nicholson Perry Kathryn, Hines Monique
Centre for Health Research/School of Social Sciences and Psychology, University of Western Sydney , New South Wales, Sydney , Australia and.
Disabil Rehabil. 2014;36(2):125-30. doi: 10.3109/09638288.2013.782356. Epub 2013 Apr 18.
Pain is commonly experienced in those with cerebral palsy (CP), and previous research suggests an increase in behavioural and emotional problems in children experiencing pain and pain anxiety. Therefore, it was hypothesised that pain intensity and pain anxiety would predict behavioural and emotional problems in children with CP.
Parents or guardians of 61 children (38 boys, 23 girls) with CP, aged 5-15 years completed an online questionnaire on pain intensity, pain anxiety and behavioural and emotional problems. Correlation and a multiple linear regression analyses were conducted to examine whether pain intensity and/or pain anxiety predicts behavioural and emotional problems.
A total of 59% of participants reported that their children with CP currently experiences pain. Multiple regression analyses revealed that pain intensity (p = 0.038) and pain anxiety (p < 0.001) both made a significant and independent contributions in predicting anxiety in children, however, pain anxiety was the only predictor that made a significant and independent contribution to the depression (p = 0.001) and the behavioural and emotional problems measure (p = 0.004).
Whilst pain intensity appears to be associated with behavioural and emotional problems in children, pain anxiety may be more strongly associated still.
脑瘫（CP）患者常经历疼痛，先前研究表明，经历疼痛和疼痛焦虑的儿童行为和情绪问题会增加。因此，研究假设疼痛强度和疼痛焦虑会预测脑瘫儿童的行为和情绪问题。
61名年龄在5至15岁的脑瘫儿童（38名男孩，23名女孩）的父母或监护人完成了一份关于疼痛强度、疼痛焦虑以及行为和情绪问题的在线问卷。进行相关性分析和多元线性回归分析，以检验疼痛强度和/或疼痛焦虑是否能预测行为和情绪问题。
共有59%的参与者报告称他们患有脑瘫的孩子目前正在经历疼痛。多元回归分析显示，疼痛强度（p = 0.038）和疼痛焦虑（p < 0.001）在预测儿童焦虑方面均做出了显著且独立的贡献，然而，疼痛焦虑是对抑郁（p = 0.001）以及行为和情绪问题测量（p = 0.004）做出显著且独立贡献的唯一预测因素。
虽然疼痛强度似乎与儿童的行为和情绪问题有关，但疼痛焦虑可能与之关联更强。
