Murray C B, Zebracki K, Chlan K M, Moss A C, Vogel L C
Department of Psychology, Loyola University, Chicago, IL, USA.
Department of Psychology, Shriners Hospitals for Children, Chicago, IL, USA.
Spinal Cord. 2017 Apr;55(4):405-410. doi: 10.1038/sc.2016.137. Epub 2016 Sep 27.
A cross-sectional study.
The aim of this study is to determine medical and psychological correlates of pain in individuals with pediatric-onset spinal cord injury (SCI).
Shriners Hospitals for Children-Chicago, Philadelphia and Northern California (USA).
A total of 187 adults who had sustained an injury before 19 years of age completed interviews that included medical information, standardized measures of psychological functioning (Beck Anxiety Inventory and Patient Health Questionnaire) and a comprehensive pain questionnaire to assess the location, frequency, intensity and duration of pain and distress and disability related to pain.
The findings identified the medical and psychological correlates of pain. Greater symptoms of depression and anxiety were strong and consistent predictors of several aspects of pain, above and beyond the impact of gender, injury-related characteristics and secondary medical complications.
The findings support a biopsychosocial model of the development and persistence of pain in individuals with pediatric-onset SCI. Interdisciplinary rehabilitation may incorporate psychological treatment such as cognitive-behavioral therapy to reduce the pain and improve functioning. The assessment and treatment of pain in pediatric-onset SCI is a clinical and research priority.
This study is supported by funding from Shriners Hospitals for Children and the Craig H. Neilsen Foundation, grant #324671.
横断面研究。
本研究旨在确定儿童期脊髓损伤（SCI）患者疼痛的医学和心理相关因素。
美国芝加哥、费城和北加利福尼亚的施莱宁儿童医院。
共有187名19岁之前受伤的成年人完成了访谈，内容包括医学信息、心理功能的标准化测量（贝克焦虑量表和患者健康问卷）以及一份全面的疼痛问卷，以评估疼痛的部位、频率、强度和持续时间，以及与疼痛相关的痛苦和残疾情况。
研究结果确定了疼痛的医学和心理相关因素。抑郁和焦虑症状更严重是疼痛多个方面的强有力且一致的预测因素，超越了性别、损伤相关特征和继发性医学并发症的影响。
研究结果支持儿童期SCI患者疼痛发生和持续的生物心理社会模型。跨学科康复可能纳入认知行为疗法等心理治疗，以减轻疼痛并改善功能。儿童期SCI疼痛的评估和治疗是临床和研究的重点。
本研究由施莱宁儿童医院和克雷格·H·尼尔森基金会提供资金支持，资助编号#324671。
