Percepción de los padres del la expresión de dolor de los adolescentes: cuestionario para adolescentes sobre comportamiento doloroso
Parent perceptions of adolescent pain expression: the adolescent pain behavior questionnaire.
Lynch-Jordan AM, Kashikar-Zuck S, Goldschneider KR.
Pain. 2010 Dec;151(3):834-42. doi: 10.1016/j.pain.2010.09.025. Epub 2010 Oct 18.
Abstract
Pain behaviors provide meaningful information about adolescents in chronic pain, enhancing their verbal report of pain intensity with information about the global pain experience. Caregivers likely consider these expressions when making judgments about their adolescents' medical or emotional needs. Current validated measures of pain behavior target acute or procedural pain and young or non-verbal children, while observation systems may be too cumbersome for clinical practice. The objective of this research was to design and evaluate the Adolescent Pain Behavior Questionnaire (APBQ), a parent-report measure of adolescent (11-19 years) pain expressions. This paper provides preliminary results on reliability and validity of the APBQ. Parent-adolescent dyads (N=138) seen in a multidisciplinary pain management clinic completed the APBQ and questionnaires assessingpain characteristics, quality of life, functional disability, depressive symptoms, and pain catastrophizing. Principal components analysis of the APBQ supported a single component structure. The final APBQ scale contained 23 items with high internal consistency (α=0.93). No relationship was found between parent-reported pain behaviors and adolescent-reported pain intensity. However, significant correlations were found between parent-reportedpain behaviors and parent- and adolescent-reported functional disability, pain catastrophizing, depressive symptoms, and poorer quality of life. The assessment of pain behaviors provides qualitatively different information than solely recording pain intensity and disability. It has clinical utility for use in behavioral treatments seeking to reduce disability, poor coping, and distress.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711141/pdf/nihms482664.pdf
La interacción de los padres y el catastrofismo de los adolescentes y su impacto en el dolor de los adolescentes, el funcionamiento y el comportamiento del dolor.
The interplay of parent and adolescent catastrophizing and its impact on adolescents' pain, functioning, and pain behavior.
Lynch-Jordan AM, Kashikar-Zuck S, Szabova A, Goldschneider KR.
Clin J Pain. 2013 Aug;29(8):681-8. doi: 10.1097/AJP.0b013e3182757720.
Abstract
OBJECTIVES: Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as a shared coping style. The purpose of this study was to: (1) examine the effects of adolescent and parent pain catastrophizing on adolescent functioning and (2) explore concordance in catastrophizing in parent-adolescent dyads, with equal interest in outcomes of dyads with discordant coping styles.
METHODS: Pain intensity, catastrophizing, depressive symptoms, quality of life, and pain behaviors were assessed in adolescents (ages 11 to 17) presenting to a pediatric chronic pain clinic (N=240). RESULTS: Significant correlations between (1) parent and adolescent catastrophizing; (2) catastrophizing and pain behaviors; and (3) catastrophizing and adolescent outcomes were found. Parents and adolescents were classified into concordant or discordant dyads based on catastrophizing with a majority of dyads (>70%) showing concordant coping styles. Among discordant dyads, functional disability and depressive symptoms were significantly higher in a dyad with a high catastrophizing adolescent and low catastrophizing parent. DISCUSSION: Results provide further support for catastrophizing being a maladaptive coping strategy for adolescents with pain and their parents. Greater adolescent catastrophizing was related to increased pain behaviors and poorer adolescent functioning. Parent catastrophizing also seems related to poorer adolescent outcomes, and most parent-adolescent dyads showed concordance in use of catastrophizing, which may suggest a shared tendency for adaptive or maladaptive styles of coping with pain. Future research should investigate pain coping at a dyadic or family level to explore how family coping styles magnify distress and disability or buffer adolescents from such problems.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3730260/pdf/nihms-488645.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Parent perceptions of adolescent pain expression: the adolescent pain behavior questionnaire.
Lynch-Jordan AM, Kashikar-Zuck S, Goldschneider KR.
Pain. 2010 Dec;151(3):834-42. doi: 10.1016/j.pain.2010.09.025. Epub 2010 Oct 18.
Abstract
Pain behaviors provide meaningful information about adolescents in chronic pain, enhancing their verbal report of pain intensity with information about the global pain experience. Caregivers likely consider these expressions when making judgments about their adolescents' medical or emotional needs. Current validated measures of pain behavior target acute or procedural pain and young or non-verbal children, while observation systems may be too cumbersome for clinical practice. The objective of this research was to design and evaluate the Adolescent Pain Behavior Questionnaire (APBQ), a parent-report measure of adolescent (11-19 years) pain expressions. This paper provides preliminary results on reliability and validity of the APBQ. Parent-adolescent dyads (N=138) seen in a multidisciplinary pain management clinic completed the APBQ and questionnaires assessingpain characteristics, quality of life, functional disability, depressive symptoms, and pain catastrophizing. Principal components analysis of the APBQ supported a single component structure. The final APBQ scale contained 23 items with high internal consistency (α=0.93). No relationship was found between parent-reported pain behaviors and adolescent-reported pain intensity. However, significant correlations were found between parent-reportedpain behaviors and parent- and adolescent-reported functional disability, pain catastrophizing, depressive symptoms, and poorer quality of life. The assessment of pain behaviors provides qualitatively different information than solely recording pain intensity and disability. It has clinical utility for use in behavioral treatments seeking to reduce disability, poor coping, and distress.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711141/pdf/nihms482664.pdf
La interacción de los padres y el catastrofismo de los adolescentes y su impacto en el dolor de los adolescentes, el funcionamiento y el comportamiento del dolor.
The interplay of parent and adolescent catastrophizing and its impact on adolescents' pain, functioning, and pain behavior.
Lynch-Jordan AM, Kashikar-Zuck S, Szabova A, Goldschneider KR.
Clin J Pain. 2013 Aug;29(8):681-8. doi: 10.1097/AJP.0b013e3182757720.
Abstract
OBJECTIVES: Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as a shared coping style. The purpose of this study was to: (1) examine the effects of adolescent and parent pain catastrophizing on adolescent functioning and (2) explore concordance in catastrophizing in parent-adolescent dyads, with equal interest in outcomes of dyads with discordant coping styles.
METHODS: Pain intensity, catastrophizing, depressive symptoms, quality of life, and pain behaviors were assessed in adolescents (ages 11 to 17) presenting to a pediatric chronic pain clinic (N=240). RESULTS: Significant correlations between (1) parent and adolescent catastrophizing; (2) catastrophizing and pain behaviors; and (3) catastrophizing and adolescent outcomes were found. Parents and adolescents were classified into concordant or discordant dyads based on catastrophizing with a majority of dyads (>70%) showing concordant coping styles. Among discordant dyads, functional disability and depressive symptoms were significantly higher in a dyad with a high catastrophizing adolescent and low catastrophizing parent. DISCUSSION: Results provide further support for catastrophizing being a maladaptive coping strategy for adolescents with pain and their parents. Greater adolescent catastrophizing was related to increased pain behaviors and poorer adolescent functioning. Parent catastrophizing also seems related to poorer adolescent outcomes, and most parent-adolescent dyads showed concordance in use of catastrophizing, which may suggest a shared tendency for adaptive or maladaptive styles of coping with pain. Future research should investigate pain coping at a dyadic or family level to explore how family coping styles magnify distress and disability or buffer adolescents from such problems.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3730260/pdf/nihms-488645.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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