Gil K M, Edens J L, Wilson J J, Raezer L B, Kinney T R, Schultz W H, Daeschner C
Department of Psychology, University of North Carolina, Chapel Hill 27599-3270, USA.
Ann Behav Med. 1997 Winter;19(1):22-9. doi: 10.1007/BF02883423.
Studies have found that coping strategies are significant predictors of pain report, health care use, and psychosocial adjustment in children with sickle cell disease (SCD); however, the mechanisms of the relationship are not clear. In this study, 41 children with SCD completed a laboratory pain task to analyze their pain perception under standardized conditions. Sensory decision theory analyses were used to analyze the pain perception data. Children and their parents also completed measures of coping strategies and adjustment. Hierarchical regression analyses controlling for the child's age indicated that children who reported using active cognitive and behavioral coping strategies had a lower tendency to report pain during the laboratory pain task. Results are discussed in terms of the utility of using laboratory pain models with children and the need for future intervention studies to target coping strategies in children with SCD pain.
研究发现，应对策略是镰状细胞病（SCD）患儿疼痛报告、医疗保健利用和心理社会适应的重要预测因素；然而，这种关系的机制尚不清楚。在本研究中，41名SCD患儿完成了一项实验室疼痛任务，以分析他们在标准化条件下的疼痛感知。采用感觉决策理论分析来分析疼痛感知数据。患儿及其父母还完成了应对策略和适应情况的测量。控制患儿年龄的分层回归分析表明，报告使用积极认知和行为应对策略的患儿在实验室疼痛任务中报告疼痛的倾向较低。将根据对儿童使用实验室疼痛模型的效用以及未来针对SCD疼痛患儿应对策略的干预研究的必要性来讨论研究结果。
