不明原因的慢性疼痛对儿童患者日常生活的实质性影响
Children with unexplained chronic pain: Su-bstantial impairment in everyday life作者机构：University Medical Centre Utrecht Department of Psychiatry PO Box 85 500 3508 GA Utrecht Netherlands Dr.
出 版 物：《世界核心医学期刊文摘（儿科学分册）》 (Dkgest of the World Latest Medical Information)
年 卷 期：2005年第1卷第10期
页 面：21-22页
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：慢性疼痛 躯体症状 疼痛强度 实质性影响 临床病史 健康调查表 患者群 功能障碍 肌肉骨骼疼痛 睡眠障碍
摘 要：Aims: To describe and quantify impairment in an outpatient population of child ren with chronic pain of unknown origin (UCP). Methods: A total of 149 children who presented with pain of at least three months’duration and without a satisfa ctory explanation at presentation were studied. Number of somatic complaints (Ch ildren’s Somatisation Inventory, CSI)-, pain intensity (VAS, 0-10 cm), functi onal disability (Child Health Questionnaire (CHQ-CF) and clinical history), and general health perceptions (CHQ) were determined. Results: Mean age of the chil dren was 11.8 years; 73%were girls. Overall, 72%suffered impairment in sports activities, 51%reported absence from school, 40%experienced limitations in soc ial functioning, and 34%had problems with sleeping. Mean number of somatic symp toms differed significantly between boys (8.4) and girls (10.7). The CHQ-CF sco res for physical functioning, role/social functioning, and general health percep tions were 76.4, 70.7, and 57.5, respectively, indicating substantial impairment on all domains. The mean pain intensity was 4.7 for current and 7.1 for worst p ain. Children solely evaluated by a general practitioner prior to referral repor ted less, though still substantial, impairment. Low general health perceptions, impaired role/social functioning, high pain intensity, and having headache or mu sculoskeletal pain were independent predictors of having significant impairment. Conclusions: Referred children with UCP show substantial impairment on multiple domains in daily life.
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