☆ 4.6 Article

A typology of pain coping strategies in pediatric patients with chronic abdominal pain

PAIN (2008)

期刊

PAIN

卷 137, 期 2, 页码 266-275

出版社

LIPPINCOTT WILLIAMS & WILKINS

DOI: 10.1016/j.pain.2007.08.038

关键词

coping; chronic abdominal pain; typology; pain beliefs; catastrophizing; attachment

类别

Anesthesiology Clinical Neurology Neurosciences

资金

NICHD NIH HHS [P30 HD015052, R01 HD023264-18, R01 HD023264, P30 HD015052-23, HD23264, HD15052] Funding Source: Medline
NIDDK NIH HHS [P30 DK058404-06, DK058404, P30 DK058404] Funding Source: Medline

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Protocol

Reagent

摘要

This study aimed to identify clinically meaningful profiles of pain coping strategies used by youth with chronic abdominal pain (CAP). Participants (n = 699) were pediatric patients (ages 8-18 years) and their parents. Patients completed the Pain Response Inventory (PRI) and measures of somatic and depressive symptoms, disability, pain severity and pain efficacy, and perceived competence. Parents rated their children's pain severity and coping efficacy. Hierarchical cluster analysis based on the 13 PRI subscales identified pain coping profiles in Sample 1 (n = 311) that replicated in Sample 2 (n = 388). Evidence was found of external validity and distinctiveness of the profiles. The findings support a typology of pain coping that reflects the quality of patients' pain mastery efforts and interpersonal relationships associated with pain coping. Results are discussed in relation to developmental processes, attachment styles, and treatment implications. (c) 2007 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

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