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本文引用的文献

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The neurobiology of social stress resulting from Racism: Implications for pain disparities among racialized minorities.种族主义导致的社会压力的神经生物学:对种族化少数群体疼痛差异的影响。
Neurobiol Pain. 2022 Aug 20;12:100101. doi: 10.1016/j.ynpai.2022.100101. eCollection 2022 Aug-Dec.
2
What about parents? A systematic review of paediatric intensive interdisciplinary pain treatment on parent outcomes.家长怎么办?儿科强化跨学科疼痛治疗对家长结局影响的系统评价。
Eur J Pain. 2022 Aug;26(7):1424-1436. doi: 10.1002/ejp.1986. Epub 2022 Jun 16.
3
Using collaborative logic analysis evaluation to test the program theory of an intensive interdisciplinary pain treatment for youth with pain-related disability.运用协作逻辑分析评估来检验针对患有疼痛相关残疾的青少年的强化跨学科疼痛治疗的项目理论。
Paediatr Neonatal Pain. 2020 Apr 23;2(4):113-130. doi: 10.1002/pne2.12018. eCollection 2020 Dec.
4
Intensive interdisciplinary pain treatment for children and adolescents with chronic noncancer pain: a preregistered systematic review and individual patient data meta-analysis.儿童和青少年慢性非癌性疼痛的强化跨学科疼痛治疗:预先注册的系统评价和个体患者数据荟萃分析。
Pain. 2022 Dec 1;163(12):2281-2301. doi: 10.1097/j.pain.0000000000002636. Epub 2022 Mar 31.
5
Exploring the Outcomes That Matter Most to Young People Treated for Chronic Pain: A Qualitative Study.探索对接受慢性疼痛治疗的年轻人最重要的结果:一项定性研究。
Children (Basel). 2021 Dec 10;8(12):1170. doi: 10.3390/children8121170.
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The prevalence of chronic pain in young adults: a systematic review and meta-analysis.年轻人慢性疼痛的患病率:系统评价和荟萃分析。
Pain. 2022 Sep 1;163(9):e972-e984. doi: 10.1097/j.pain.0000000000002541. Epub 2021 Nov 22.
7
Economic long-term effects of intensive interdisciplinary pain treatment in paediatric patients with severe chronic pain: Analysis of claims data.儿科重度慢性疼痛患者强化跨学科疼痛治疗的经济长期影响:索赔数据分析。
Eur J Pain. 2021 Nov;25(10):2129-2139. doi: 10.1002/ejp.1825. Epub 2021 Jul 12.
8
Youth and parent perceptions on participating in specialized multidisciplinary pain rehabilitation options: A qualitative timeline effect analysis.青少年和家长对参与专业多学科疼痛康复方案的看法:一项定性时间线效应分析。
Can J Pain. 2021 Feb 3;5(1):1-21. doi: 10.1080/24740527.2020.1858709.
9
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Clin J Pain. 2021 Jun 1;37(6):443-453. doi: 10.1097/AJP.0000000000000936.
10
Long-term outcomes of children with severe chronic pain: Comparison of former patients with a community sample.儿童严重慢性疼痛的长期结局:前患者与社区样本的比较。
Eur J Pain. 2021 Jul;25(6):1329-1341. doi: 10.1002/ejp.1754. Epub 2021 Mar 10.

青少年强化跨学科疼痛治疗中与疼痛强度、疼痛灾难化及疼痛干扰相关的基线因素

Baseline Factors Associated with Pain Intensity, Pain Catastrophizing, and Pain Interference in Intensive Interdisciplinary Pain Treatment for Youth.

作者信息

Long Rob D, Walker Andrew, Pan Si Chen, Miller Jillian Vinall, Rayner Laura, Vallely Joanne, Rasic Nivez

机构信息

Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.

Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.

出版信息

Children (Basel). 2023 Jul 15;10(7):1229. doi: 10.3390/children10071229.

DOI:10.3390/children10071229
PMID:37508726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10378082/
Abstract

More could be known about baseline factors related to desirable Intensive Interdisciplinary Pain Treatment (IIPT) outcomes. This study examined how baseline characteristics (age, gender, child pain catastrophizing (PCS-C), pain interference, pain intensity, anxiety, depression, paediatric health-related quality of life (PedsQL), and parent catastrophizing (PCS-P)) were associated with discharge and 3-month follow-up scores of PCS-C, pain intensity, and pain interference. PCS-C, pain intensity, and pain interference T-scores were acquired in 45 IIPT patients aged 12-18 at intake (baseline), discharge, and 3-month follow-up. Using available and imputed data, linear mixed models were developed to explore associations between PCS-C, pain intensity, and pain interference aggregated scores at discharge and follow-up with baseline demographics and a priori selected baseline measures of pain, depression, anxiety, and PCS-C/P. PCS-C and pain interference scores decreased over time compared to baseline. Pain intensity did not change significantly. Baseline PCS-C, pain interference, anxiety, depression, and PedsQL were associated with discharge/follow-up PCS-C (available and imputed data) and pain interference scores (available data). Only baseline pain intensity was significantly associated with itself at discharge/follow-up. : Participants who completed the IIPT program presented with reduced PCS-C and pain interference over time. Interventions that target pre-treatment anxiety and depression may optimize IIPT outcomes.

摘要

关于与理想的强化跨学科疼痛治疗(IIPT)结果相关的基线因素,我们可以了解到更多信息。本研究考察了基线特征(年龄、性别、儿童疼痛灾难化(PCS-C)、疼痛干扰、疼痛强度、焦虑、抑郁、儿童健康相关生活质量(PedsQL)以及父母灾难化(PCS-P))与PCS-C、疼痛强度和疼痛干扰在出院时及3个月随访时的得分之间的关联。对45名年龄在12至18岁的IIPT患者在入组时(基线)、出院时及3个月随访时获取了PCS-C、疼痛强度和疼痛干扰的T分数。利用现有数据和插补数据,建立了线性混合模型,以探索出院时及随访时PCS-C、疼痛强度和疼痛干扰的综合得分与基线人口统计学特征以及预先选定的疼痛、抑郁、焦虑和PCS-C/P的基线测量指标之间的关联。与基线相比,PCS-C和疼痛干扰得分随时间下降。疼痛强度没有显著变化。基线时的PCS-C、疼痛干扰、焦虑、抑郁和PedsQL与出院/随访时的PCS-C(现有数据和插补数据)以及疼痛干扰得分(现有数据)相关。只有基线疼痛强度在出院/随访时与自身显著相关。:完成IIPT项目的参与者随着时间推移PCS-C和疼痛干扰有所降低。针对治疗前焦虑和抑郁的干预措施可能会优化IIPT结果。