Jastrowski Mano K E
Department of Psychology, University of Cincinnati, Cincinnati, OH, USA.
Pain Res Manag. 2017;2017:8328174. doi: 10.1155/2017/8328174. Epub 2017 Sep 26.
Anxiety is highly prevalent in pediatric chronic pain. This comorbidity has been explained by the presence of shared mechanisms underlying the development and maintenance of chronic pain and anxiety. Accumulating evidence demonstrates that school is a significant source of anxiety among youth with chronic pain and that anxiety contributes to school-related functional impairment in this population. This article reviews the cooccurrence of pediatric chronic pain and anxiety, identifies unique sources of heightened school anxiety among youth with chronic pain, and describes current approaches for assessing anxiety in pediatric pain settings. Highlighted by this review is the absence of a comprehensive evidence-based approach for assessing school anxiety in pediatric chronic pain. Given the psychometric limitations inherent to gathering data from a single source, recommendations for advancing measurement methods are provided. Novel approaches may be needed to shed more light on the way in which school anxiety is experienced in pediatric chronic pain.
焦虑在儿童慢性疼痛中极为普遍。这种共病现象可通过慢性疼痛和焦虑的发生及维持背后存在的共同机制来解释。越来越多的证据表明，学校是慢性疼痛青少年焦虑的重要来源，且焦虑会导致该人群出现与学校相关的功能障碍。本文回顾了儿童慢性疼痛与焦虑的共现情况，确定了慢性疼痛青少年学校焦虑加剧的独特来源，并描述了目前在儿童疼痛环境中评估焦虑的方法。本次综述强调，在评估儿童慢性疼痛中的学校焦虑方面，缺乏一种全面的循证方法。鉴于从单一来源收集数据存在固有的心理测量局限性，本文提供了改进测量方法的建议。可能需要新的方法来更深入地了解儿童慢性疼痛中学校焦虑的体验方式。
