École de Réadaptation, Faculté de Médecine et des Sciences de la Santé, Centre de Recherche Charles-Le Moyne, Centre d'Action en Prévention et en Réadaptation de l'Incapacité au Travail, Université de Sherbrooke, Quebec J4K 0A8, Canada.
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, United States.
Pain Med. 2024 Oct 1;25(10):637-646. doi: 10.1093/pm/pnae048.
Research indicates that perceived injustice significantly influences pain-related outcomes and is associated with delayed recovery in adults. This systematic review examines the relationship between perceived injustice and pain-related outcomes in children with pain conditions.
A search of published studies in English in PubMed, PsychInfo, and Cochrane Database of Systematic Reviews from database inception through December 2022 were performed. The search criteria focused on studies that measured perceived injustice and pain-related outcomes in children with pain conditions. Out of 56 articles screened, 8 met the inclusion criteria, providing data on 1240 children with pain conditions.
The average age of participants across all studies was 14.12 years (SD = 2.25), with 68.2% being female. There was strong evidence that higher perceived injustice is associated with worse pain intensity, functional disability, mental health outcomes, and emotional, social, and school functioning.
The results of this study underscore how perceptions of injustice are associated various pain-related outcomes across different domains of children's lives. The findings highlight the need for screening and treatments targeting injustice appraisals in pediatric populations with pain conditions. The discussion addresses possible determinants and mechanisms of perceived injustice, along with implications for research and clinical practice.
研究表明，感知到的不公正会显著影响与疼痛相关的结果，并与成年人的康复延迟有关。本系统评价考察了疼痛儿童感知不公正与疼痛相关结果之间的关系。
在 PubMed、PsychInfo 和 Cochrane 系统评价数据库中，对从数据库建立到 2022 年 12 月发表的英文研究进行了检索。检索标准侧重于测量疼痛儿童感知不公正和与疼痛相关结果的研究。在筛选出的 56 篇文章中，有 8 篇符合纳入标准，为 1240 名患有疼痛疾病的儿童提供了数据。
所有研究中参与者的平均年龄为 14.12 岁（SD=2.25），其中 68.2%为女性。有强有力的证据表明，感知到的不公正程度越高，疼痛强度、功能障碍、心理健康结果以及情绪、社会和学校功能越差。
本研究结果强调了儿童生活不同领域中，不公正感与各种疼痛相关结果的关联。研究结果突出了在患有疼痛疾病的儿科人群中筛查和治疗不公正评估的必要性。讨论涉及感知不公正的可能决定因素和机制，以及对研究和临床实践的影响。
