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社会支持对脑瘫儿童和正常发育儿童疼痛敏感性的影响。

Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children.

机构信息

Institute of Health Sciences Research (IUNICS-IdISBa), University of Balearic Islands, Carretera de Valldemossa km 7.5, 07122 Palma de Mallorca, Spain.

Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma de Mallorca, Spain.

出版信息

Int J Environ Res Public Health. 2021 Apr 27;18(9):4661. doi: 10.3390/ijerph18094661.

DOI:10.3390/ijerph18094661
PMID:33925690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8125433/
Abstract

UNLABELLED

Pain and abnormal somatosensory processing are important associated conditions in children and adolescents with cerebral palsy (CP). Perceived social support is highly relevant for pain perception and coping.

AIM

The aim of the present study was to assess the influence of social support on pain sensitivity in children and adolescents with cerebral palsy and healthy peers.

DESIGN

Cross-sectional study.

METHODS

Pressure pain thresholds were assessed in 42 children and adolescents with CP and 190 healthy peers during three different conditions: alone, with their mother and with a stranger.

RESULTS

Children with CP reported lower pain sensitivity when they were with their mother than being alone or with a stranger, whereas healthy peers did not experience different pain sensitivity related to the social condition. Sex or clinical characteristics did not affect the relationship between pain perception and social support.

CONCLUSION

The present study shows how children with CP are highly affected by social and contextual influences for regulating pain sensitivity. Solicitous parental support may enhance pain perception in children with CP. Further research on the topic is warranted in order to attain well-founded conclusions for clinical practice.

摘要

目的

本研究旨在评估社会支持对脑瘫儿童和青少年疼痛敏感性的影响。

设计

横断面研究。

方法

在三种不同情况下评估了 42 名脑瘫儿童和青少年和 190 名健康对照者的压痛阈值:独处、与母亲和与陌生人在一起。

结果

与独处或与陌生人相比,脑瘫儿童在与母亲在一起时报告的疼痛敏感性较低,而健康对照组在社会条件下没有不同的疼痛敏感性。性别或临床特征并不影响疼痛感知与社会支持之间的关系。

结论

本研究表明,脑瘫儿童的疼痛敏感性受到社会和环境影响的高度调节。父母的关怀支持可能会增强脑瘫儿童的疼痛感知。为了得出更有根据的临床实践结论,需要进一步研究这一主题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7812/8125433/3924420b3bdd/ijerph-18-04661-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7812/8125433/1669334839ef/ijerph-18-04661-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7812/8125433/3924420b3bdd/ijerph-18-04661-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7812/8125433/1669334839ef/ijerph-18-04661-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7812/8125433/3924420b3bdd/ijerph-18-04661-g002.jpg

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Eur Arch Paediatr Dent. 2021 Aug;22(4):587-593. doi: 10.1007/s40368-020-00593-z. Epub 2021 Jan 2.
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Pain in children with dyskinetic and mixed dyskinetic/spastic cerebral palsy.运动障碍型及混合型运动障碍/痉挛型脑瘫患儿的疼痛
Dev Med Child Neurol. 2020 Nov;62(11):1294-1301. doi: 10.1111/dmcn.14615. Epub 2020 Jul 25.
3
Pain is frequent in children with cerebral palsy and negatively affects physical activity and participation.
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Acta Paediatr. 2021 Jan;110(1):301-306. doi: 10.1111/apa.15341. Epub 2020 May 26.
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Acute and Chronic Pain in Children and Adolescents With Cerebral Palsy: Prevalence, Interference, and Management.脑瘫儿童和青少年的急性和慢性疼痛:患病率、干扰和管理。
Arch Phys Med Rehabil. 2020 Feb;101(2):213-219. doi: 10.1016/j.apmr.2019.08.475. Epub 2019 Sep 12.
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Dispositional empathy is associated with experimental pain reduction during provision of social support by romantic partners.特质共情与恋爱伴侣提供社会支持时实验性疼痛减轻有关。
Scand J Pain. 2019 Dec 18;20(1):205-209. doi: 10.1515/sjpain-2019-0025.
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