Pain-related disability in adolescents suffering from chronic pain. Preliminary examination of the Pediatric Pain Disability Index (P-PDI)

被引:0
作者
Huebner, B. [1 ]
Hechler, T. [1 ]
Dobe, M. [1 ]
Damschen, U. [1 ]
Kosfelder, J. [2 ]
Denecke, H. [1 ]
Schroeder, S. [1 ]
Zernikow, B. [1 ]
机构
[1] Univ Witten Herdecke, Vodafone Stiftungsinst Kinderschmerztherapie & Pa, Vest Kinder & Jugendklin Datteln, D-45711 Datteln, Germany
[2] Fachhsch Duesseldorf, Fachbereich Psychol, Dusseldorf, Germany
来源
SCHMERZ | 2009年 / 23卷 / 01期
关键词
Adolescents; Chronic pain; Headache; Disability; Validation; JUVENILE RHEUMATOID-ARTHRITIS; CHRONIC MUSCULOSKELETAL PAIN; FUNCTIONAL DISABILITY; MEASUREMENT TOOL; ABDOMINAL-PAIN; BACK-PAIN; CHILDREN; VALIDATION; HEADACHE; SLEEP;
D O I
10.1007/s00482-008-0730-0
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background. Pain-related disability affects many children and adolescents suffering from chronic pain and may exert an impact on all areas of their lives. Reduction of pain-related disability is, therefore, a fundamental aim of treatment; however, no validated means exist to assess pain-related disability in children and adolescents. The aim of this study was to translate the Pediatric Pain Disability Index (P-PDI) of Varni into German and to investigate its psychometric qualities. Methods. Principal component and item analyses were conducted on outpatient (n=163) and inpatient samples (n=167) of adolescents suffering from chronic pain. Changes in pain-related disability 3 months after starting treatment were analysed in an outpatient sample of 110 adolescents. Correlations between pain-related disability, emotional variables and school absence as well as concordance with parents' ratings were investigated. Results. The P-PDI is a one-dimensional assessment tool with sufficient reliability. There were significant correlations between pain-related disability and pain intensity and school absence but not with pain duration, fear and depression. Parents and adolescents ratings correlated significantly, but 57% of parents underestimated the pain-related disability of their children. Conclusion. There is now a validated German version of the P-PDI to measure pain-related disability in adolescents suffering from chronic pain, which can be used in studies investigating treatment effectiveness.
引用
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页码:20 / +
页数:11
相关论文
共 43 条
[1]  
[Anonymous], 1981, ANGSTFRAGEBOGEN SCHU
[2]  
[Anonymous], 1980, International classification of impairments, disabilities, and handicaps
[3]  
Bloom BJ, 2002, J RHEUMATOL, V29, P169
[4]   Prevalence of sleep disorders in childhood and adolescence with headache: A case-control study [J].
Bruni, O ;
Fabrizi, P ;
Ottaviano, S ;
Cortesi, F ;
Giannotti, F ;
Guidetti, V .
CEPHALALGIA, 1997, 17 (04) :492-498
[5]   Clinical assessment and management of chronic pain and pain-associated disability syndrome [J].
Bursch, B ;
Walco, GA ;
Zeltzer, L .
JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 1998, 19 (01) :45-53
[6]   Sleep, sleepiness, and behavior problems in children with headache [J].
Bursztein, Cendrine ;
Steinberg, Tamar ;
Sadeh, Avi .
JOURNAL OF CHILD NEUROLOGY, 2006, 21 (12) :1012-1019
[7]   Functional assessment of pediatric pain patients: Psychometric properties of the Functional Disability Inventory [J].
Claar, RL ;
Walker, LS .
PAIN, 2006, 121 (1-2) :77-84
[8]  
Cohen J., 1988, Statistical power analysis for the behavioural sciences, V2nd
[9]  
Dillmann U, 1994, Schmerz, V8, P100, DOI 10.1007/BF02530415
[10]  
Dobe M, 2006, SCHMERZ, V20, P51, DOI 10.1007/s00482-005-0457-0