Long Rob D, Walker Andrew, Pan Si Chen, Miller Jillian Vinall, Rayner Laura, Vallely Joanne, Rasic Nivez
Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
Children (Basel). 2023 Jul 15;10(7):1229. doi: 10.3390/children10071229.
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.
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。