儿童癌症幸存者的疼痛频率和疼痛相关担忧与健康相关生活质量的独特关联

IF 3.4 Q2 NEUROSCIENCES Pain Reports Pub Date : 2022-04-05 DOI:10.1097/PR9.0000000000001000
L. Heathcote, Sarah J. Cunningham, M. Patton, F. Schulte
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引用次数: 2

摘要

超过三分之一的儿童癌症幸存者担心疼痛是疾病复发的迹象;与疼痛相关的担忧解释了与健康相关的生活质量的独特差异。摘要简介:疼痛在儿童癌症治疗过程中很常见,可以持续到生存期,并且可以对儿童癌症幸存者(SCCs)的健康相关生活质量产生负面影响。目的:本简短报告的目的是评估SCCs的疼痛频率、疼痛相关担忧及其与健康相关生活质量的(独特)关联。方法:111名SCCs(52%为女性,年龄17.67岁,范围8-25岁)完成了疼痛频率、疼痛相关担忧和健康相关生活质量的自我报告测量。结果:超过三分之二(70%)的SCCs报告上个月疼痛(M = 1.39, SD = 1.17), 15%的SCCs报告经常或几乎总是感到疼痛。超过三分之一(39%)的人表示担心疼痛是癌症复发的征兆(M = 0.73, SD = 1.07), 9%的人表示非常或非常担心疼痛。在控制性别、诊断年龄和治疗时间的多变量回归模型中,疼痛频率和疼痛相关担忧都与身体健康相关的生活质量显著相关,表明它们对儿童癌症后健康相关的生活质量有独特的影响。对于情绪健康相关的生活质量,一旦将疼痛相关的担忧添加到模型中,疼痛频率不再是一个显著的预测因子,这表明疼痛相关的担忧可能对理解情绪健康相关的生活质量特别重要。结论:癌症后疼痛可能通过多种机制影响健康相关的生活质量,包括引发复发的担忧。需要针对疼痛频率(如行为干预)和与疼痛相关的担忧(如心理教育和认知干预)进行临床干预,以改善儿童癌症后与健康相关的生活质量。
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Unique associations of pain frequency and pain-related worry with health-related quality of life in survivors of childhood cancer
More than one-third of childhood cancer survivors are worried about pain as a sign of disease recurrence; pain-related worry explained unique variance in health-related quality of life. Abstract Introduction: Pain is common during childhood cancer treatment, can persist into survivorship, and can negatively affect health-related quality of life in survivors of childhood cancers (SCCs). Objective: The objective of this brief report was to assess pain frequency, pain-related worry, and their (unique) associations with health-related quality of life in SCCs. Methods: One hundred eleven SCCs (52% female individuals, M age: 17.67 years, range 8–25 years) completed self-report measures of pain frequency, pain-related worry, and health-related quality of life. Results: More than two-thirds (70%) of SCCs reported pain in the previous month (M = 1.39, SD = 1.17), and 15% reported experiencing pain often or almost always. More than one-third (39%) reported worrying about pain as a sign of cancer recurrence (M = 0.73, SD = 1.07), and 9% reported worrying about pain a lot or a whole lot. In multivariate regression models that controlled for sex, age at diagnosis, and time off treatment, both pain frequency and pain-related worry were significantly associated with physical health-related quality of life, indicating that they contribute unique variance to health-related quality of life after childhood cancer. For emotional health-related quality of life, pain frequency was no longer a significant predictor once pain-related worry was added to the model, indicating that pain-related worry may be particularly important for understanding emotional health-related quality of life. Conclusion: Postcancer pain may contribute to health-related quality of life through multiple mechanisms, including by triggering concerns of recurrence. There is a need for clinical interventions that target both the frequency of pain (eg, behavioral interventions) and pain-related worry (eg, psychoeducation and cognitive interventions) to improve health-related quality of life after childhood cancer.
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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
期刊最新文献
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