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首页> 外文期刊>Pain Research and Treatment >Validation and Clinical Application of a Biopsychosocial Model of Pain Intensity and Functional Disability in Patients with a Pediatric Chronic Pain Condition Referred to a Subspecialty Clinic
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Validation and Clinical Application of a Biopsychosocial Model of Pain Intensity and Functional Disability in Patients with a Pediatric Chronic Pain Condition Referred to a Subspecialty Clinic

机译：小儿慢性疼痛病情转诊至专科门诊的疼痛强度和功能障碍生物心理社会模型的验证和临床应用

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Background. Pediatric chronic pain is considered to be a multidimensional construct that includes biological, psychological, and social components.Methods. The 99 enrolled study patients (mean age 13.2 years, 71% female, 81% Caucasian) and an accompanying parent completed a series of health-related questionnaires at the time of their initial appointment in a pediatric chronic pain medicine clinic.Results. Significant correlations (r≥0.30,P<0.05) were observed between pediatric chronic pain intensity and patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, and parent functional disability. Pediatric chronic pain intensity was significantly associated with patient anxiety (P=0.002). Significant correlations (r≥0.30,P<0.05) were observed between pediatric functional disability and patient chronic pain intensity, patient anxiety, patient depression, patient pain coping, parent chronic pain intensity, parent functional disability, parent anxiety, parent depression, and parent stress. Pediatric functional disability was significantly associated with patient chronic pain intensity (P=0.025), patient anxiety (P=0.021), patient pain coping (P=0.009), and parent functional disability (P=0.027).Conclusions. These findings provide empirical support of a multidimensional Biobehavioral Model of Pediatric Pain. However, the practical clinical application of the present findings and much of the similar previously published data may be tenuous.
机译：背景。小儿慢性疼痛被认为是包括生物学，心理和社会因素的多维结构。纳入研究的99名患者（平均年龄13.2岁，女性71％，白人81％）和其随行父母在初次就诊时在儿科慢性疼痛医学诊所完成了一系列与健康相关的问卷调查。患儿慢性疼痛强度与患者焦虑，患者抑郁，患者疼痛应对，父母慢性疼痛强度和父母功能障碍之间存在显着相关性（r≥0.30，P <0.05）。小儿慢性疼痛强度与患者焦虑显着相关（P = 0.002）。儿科功能障碍与患者慢性疼痛强度，患者焦虑，患者抑郁，患者疼痛应对，父母慢性疼痛强度，父母功能障碍，父母焦虑，父母抑郁和父母之间存在显着相关性（r≥0.30，P <0.05）强调。小儿功能障碍与患者慢性疼痛强度（P = 0.025），患者焦虑症（P = 0.021），患者疼痛应对（P = 0.009）和父母功能障碍（P = 0.027）显着相关。这些发现为多维的儿科疼痛生物行为模型提供了经验支持。但是，本发现和许多类似的先前公开数据的实际临床应用可能是微不足道的。

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