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疼痛感知是通过母亲传递的吗?母亲的疼痛灾难化评分与儿童包皮环切术后疼痛相关。

Is Pain Perception Communicated through Mothers? Maternal Pain Catastrophizing Scores Are Associated with Children's Postoperative Circumcision Pain.

作者信息

Akdeniz Sevda, Pece Ahmet Haydar, Kusderci Hatice Selcuk, Dogru Serkan, Tulgar Serkan, Suren Mustafa, Okan Ismail

机构信息

Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University, 55090 Samsun, Turkey.

Department of Anesthesiology and Reanimation, Mersin City Hospital, 33240 Mersin, Turkey.

出版信息

J Clin Med. 2023 Sep 25;12(19):6187. doi: 10.3390/jcm12196187.

Abstract

The aim of this study was to evaluate the relation of maternal pain catastrophizing score with children who underwent circumcision postoperative pain. This prospective cohort study was performed between March 2022 and March 2023 at Samsun University, Turkey. Demographic characteristics of mothers and children, mothers' education level, presence of chronic pain, and Beck Depression Inventory scores were recorded preoperatively. Pain catastrophizing was assessed by applying the pain catastrophizing scale (PCS) to the mothers of children who experienced postoperative circumcision pain. The mothers were divided into low-pain catastrophizing (Group 1) and high-pain catastrophizing (Group 2) group. A total of 197 mothers and sons participated in the study, with 86 (43.6%) in Group 1 and 111 (56.4%) in Group 2. Significant differences were found between the two groups in terms of the mothers' PCS scores ( < 0.001), education levels ( = 0.004), chronic pain scores ( = 0.022), and Beck Depression Inventory scores ( < 0.001). Our findings showed that children with high pain catastrophizing mothers experience greater postoperative pain than those with low pain catastrophizing mothers. This may be attributable to a mother's specific cognitive style for coping with pain, which is associated with the child's responses to painful experiences.

摘要

本研究的目的是评估母亲的疼痛灾难化评分与接受包皮环切术后疼痛儿童之间的关系。这项前瞻性队列研究于2022年3月至2023年3月在土耳其萨姆松大学进行。术前记录母亲和儿童的人口统计学特征、母亲的教育水平、慢性疼痛情况以及贝克抑郁量表评分。通过对经历包皮环切术后疼痛儿童的母亲应用疼痛灾难化量表(PCS)来评估疼痛灾难化情况。母亲们被分为低疼痛灾难化组(第1组)和高疼痛灾难化组(第2组)。共有197对母子参与了该研究,其中第1组有86对(43.6%),第2组有111对(56.4%)。两组母亲在PCS评分(<0.001)、教育水平(=0.004)、慢性疼痛评分(=0.022)和贝克抑郁量表评分(<0.001)方面存在显著差异。我们的研究结果表明,母亲疼痛灾难化程度高的儿童术后疼痛比母亲疼痛灾难化程度低的儿童更严重。这可能归因于母亲应对疼痛的特定认知方式,这与孩子对疼痛经历的反应有关。

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