儿科疼痛项目参与者身体功能表现的心理预测因素。

IF 0.8 Q4 PEDIATRICS Journal of pediatric rehabilitation medicine Pub Date : 2024-02-27 DOI:10.3233/PRM-220132
Elizaveta Bourchtein, Alix McLaughlin, Kimberly Walainis, Amanda Hughes, Eric L Scott, Emily Foxen-Craft
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引用次数: 0

摘要

目的:本研究旨在评估完成跨学科康复强化门诊项目(IOP)的慢性疼痛儿科患者随着时间推移在基于表现的身体功能方面的变化,并调查身体功能的心理预测因素:参与者(人数=55;平均年龄=14.92岁;12.7%为男性,87.3%为女性;83.6%为白人,5.6%为非裔美国人/黑人;9.1%为拉丁裔)完成了基线测量,评估疼痛强度和可改变的心理因素(即疼痛灾难化、运动恐惧、焦虑和抑郁症状)。在完成 IOP 之前和之后,对参与者的身体功能(即身体耐力、高级运动能力)进行了基于表现的评估:结果:在任何一个时间点,疼痛强度与身体功能的关系都不明显。在控制了性别、种族和民族的影响后,完成 IOP 后身体功能的测量结果有了明显改善。抑郁症状与基线身体耐力相关,β = - .28,p = .047,而疼痛灾难化与基线粗大运动能力相关,β = - .28,p = .032:结论:参加 IOP 能显著提高身体耐力和高级运动能力。抑郁症状和疼痛灾难化与基线时的身体功能有关,但与计划完成后无关。在 IOP 中整合疼痛心理学和物理疗法有助于解决影响身体功能的相互关联的心理和生理因素,从而改善慢性疼痛儿童的治疗效果。
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Psychological predictors of performance-based physical functioning among pediatric pain program participants.

Purpose: The purpose of the present study was to evaluate changes in performance-based physical functioning and investigate psychological predictors of physical functioning over time in pediatric patients with chronic pain who completed an interdisciplinary rehabilitation intensive outpatient program (IOP).

Methods: Participants (N = 55; mean age = 14.92 years; 12.7% male, 87.3% female; 83.6% White, 5.6% African-American/Black; 9.1% Latinx) completed baseline measures assessing pain intensity and modifiable psychological factors (i.e., pain catastrophizing, kinesiophobia, anxiety and depressive symptoms). Participants were administered performance-based assessments of physical functioning (i.e., physical endurance, high-level motor abilities) before and after IOP completion.

Results: Pain intensity was not significantly associated with physical functioning at either timepoint. There was significant improvement on measures of physical functioning after completion of the IOP when controlling for the effects of sex, race, and ethnicity. Depressive symptoms were associated with baseline physical endurance, β = - .28, p = .047, while pain catastrophizing was associated with baseline gross motor abilities, β = - .28, p = .032.

Conclusion: Participation in an IOP led to significant improvement in physical endurance and high-level motor ability. Depressive symptoms and pain catastrophizing were associated with physical functioning at baseline but not post-program completion. Integration of pain psychology and physical therapy in an IOP can help address the interrelated psychological and physical factors impacting physical functioning to improve outcomes for children with chronic pain.

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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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