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Coping in children with headache as predictors of adjustment and the relationships between parent and child coping styles.

机译:应对头痛的孩子作为适应的预测指标,以及父母与孩子的应付方式之间的关系。

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摘要

The effectiveness of children's mechanisms for coping with painful experiences will moderate the impact of these stressful circumstances in areas such as school, social relationships, level of disability, and in dealing with various medical procedures (Holden, Rawlins, & Gladstein, 1998; McGrath, 1990). The literature on coping has mainly focused on adults or healthy school-aged children (Ross & Ross, 1984). This study investigated the relationships between pain coping strategies and level of adjustment (e.g., low pain severity, depression, anxiety, and functional disability) in 35 children with headache and 34 "pain-free" children. The similarities between child and parent coping styles were also examined. Each child and parent completed a questionnaire consisting of items relating to pain coping strategies, depression, anxiety, functional disability, self-esteem, and family history of pain. For children with headache it was found that: approach coping was significantly related to pain severity and perceived pain controllability scores, problem-focused avoidance coping was significantly related to functional disability scores, and emotion-focused avoidance coping was significantly related to anxiety and depression scores. For the "pain-free" group it was found that: emotion-focused coping was significantly related to anxiety scores, and approach, problem-focused avoidance, and emotion-focused avoidance coping were significantly related to perceived pain controllability scores. There were no significant relationships found between parent and child coping scores for behavioral and cognitive coping strategies for both the headache and "pain-free" groups. Implications for pediatric pain management are discussed.
机译:儿童应对痛苦经历的机制的有效性将减轻这些压力环境在学校,社会关系,残疾水平以及处理各种医疗程序方面的影响(Holden,Rawlins和Gladstein,1998; McGrath, 1990)。有关应对的文献主要集中于成年人或健康的学龄儿童(Ross&Ross,1984)。这项研究调查了35例头痛儿童和34例“无痛”儿童的疼痛应对策略与调整水平(例如,低疼痛严重度,抑郁,焦虑和功能障碍)之间的关系。还研究了儿童和父母应对方式之间的相似性。每个孩子和父母都填写了一份调查表,其中包括与疼痛应对策略,抑郁,焦虑,功能障碍,自尊和疼痛家族史有关的项目。对于头痛儿童,发现:应对方式与疼痛严重程度和感知的疼痛可控性评分显着相关,针对问题的回避应对与功能障碍评分显着相关,针对情绪的回避应对与焦虑和抑郁评分显着相关。对于“无痛”组,发现:以情绪为中心的应对与焦虑评分显着相关,而以方法,以问题为中心的回避和以情绪为中心的避免应对与感知的疼痛可控性得分显着相关。在头痛和“无痛”组的行为和认知应对策略的父母和孩子应对得分之间没有发现显着的关系。讨论了对小儿疼痛治疗的意义。

著录项

  • 作者

    Konyk, Debra L.;

  • 作者单位

    University of Manitoba (Canada).;

  • 授予单位 University of Manitoba (Canada).;
  • 学科 Psychology Clinical.
  • 学位 M.A.
  • 年度 2002
  • 页码 167 p.
  • 总页数 167
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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