疼痛的接受程度：在跨学科慢性疼痛康复计划中，儿童和青少年的抑郁、灾难化和功能障碍的关联。
Acceptance of pain: associations with depression, catastrophizing, and functional disability among children and adolescents in an interdisciplinary chronic pain rehabilitation program.
机构信息
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
出版信息
J Pediatr Psychol. 2013 Aug;38(7):756-65. doi: 10.1093/jpepsy/jst028. Epub 2013 May 17.
OBJECTIVES
The aims of this study were: (1) investigate relations between pain acceptance, depressive symptoms, catastrophizing, and functional disability in pediatric patients in an interdisciplinary chronic pain rehabilitation program, (2) examine changes in acceptance from pre- to posttreatment, and (3) test if changes in acceptance predict changes in depressive symptoms, catastrophizing, and functional disability from pre- to posttreatment.
METHODS
112 participants, ages 11-18 years, completed the Chronic Pain Acceptance Questionnaire, Adolescent Version, Center for Epidemiological Studies-Depression-Children's Scale, Pain Catastrophizing Scale for Children, and Functional Disability Inventory on admission to and completion of the program.
RESULTS
Significant and strong relations between acceptance, depression, catastrophizing, and functional disability were demonstrated. Participants demonstrated significant increases in acceptance and decreases in depression, catastrophizing, and functional disability. Finally, changes in acceptance significantly predicted changes in depressive symptoms, catastrophizing, and functional disability.
CONCLUSIONS
Pain acceptance is an important variable in the treatment of pediatric chronic pain.
目的
本研究旨在：(1)调查接受疼痛、抑郁症状、灾难化和功能障碍之间的关系，这些关系存在于跨学科慢性疼痛康复项目中的儿科患者中；(2)考察从治疗前到治疗后的接受情况的变化；(3)检验从治疗前到治疗后，接受情况的变化是否可以预测抑郁症状、灾难化和功能障碍的变化。
方法
112 名年龄在 11-18 岁的参与者，在进入项目和完成项目时，完成了慢性疼痛接受问卷（青少年版）、流行病学研究中心抑郁量表-儿童版、儿童疼痛灾难化量表和功能障碍量表。
结果
接受、抑郁、灾难化和功能障碍之间表现出显著和强烈的关系。参与者的接受程度显著提高，抑郁、灾难化和功能障碍显著降低。最后，接受情况的变化可以显著预测抑郁症状、灾难化和功能障碍的变化。
结论
疼痛接受是治疗儿科慢性疼痛的一个重要变量。
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