Changes in Pain and Psychosocial Functioning and Transition to Chronic Pain in Pediatric Sickle Cell Disease
| Autor: | Nitya Bakshi, Amanda Watt, Carlton Dampier, Morgan Hathaway, Lindsey L. Cohen, Soumitri Sil, Farida Abudulai |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Adolescent Analgesic Anemia Sickle Cell Disease Asymptomatic Article 03 medical and health sciences 0302 clinical medicine Quality of life 030202 anesthesiology Internal medicine Humans Medicine Child Pain Measurement business.industry Chronic pain medicine.disease Psychosocial Functioning Anesthesiology and Pain Medicine Cohort Quality of Life Pain catastrophizing Neurology (clinical) Chronic Pain medicine.symptom business Psychosocial 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Clin J Pain |
| ISSN: | 0749-8047 |
| DOI: | 10.1097/ajp.0000000000000827 |
| Popis: | OBJECTIVES: This study aimed to: 1) examine changes in pain, psychosocial functioning, and healthcare utilization among children and adolescents with sickle cell disease (SCD) over a 2-year period; and 2) identify baseline biopsychosocial variables associated with the development and maintenance of chronic SCD pain at follow-up. METHOD: Forty-two youth (8–18 years old) with SCD completed a battery of self-report measures at baseline and 2-year follow-up. Analgesic, Anesthetic, and Addiction Clinical Trial Translational Innovations Opportunities and Networks and American Pain Society Pain Taxonomy (AAPT) diagnostic criteria were used to categorize patients into pain frequency groups at both time points: chronic (pain on most [≥ 15] days/month for the past 6 months, per AAPT diagnostic criteria), episodic (pain on 1–14 days/month), or asymptomatic (0 days/month). RESULTS: At baseline, 31% (n=13) had chronic pain, 50% (n=21) episodic pain, and 19% (n=8) asymptomatic. At follow-up, 40.5% (n=17) had chronic pain, 52.4% (n=22) episodic pain, and 7.1% (n=3) asymptomatic. Between baseline and 2-year follow-up, 12% (n=5) developed chronic SCD pain. Depressive symptoms and admissions for pain significantly increased over time for youth with chronic pain (p’s |
| Databáze: | OpenAIRE |
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