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Pain-related psychological correlates of pediatric acute post-surgical pain

Pain-related psychological correlates of pediatric acute post-surgical pain

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Title: Pain-related psychological correlates of pediatric acute post-surgical pain
Author: Pagé, M. Gabrielle
Stinson, Jennifer
Campbell, Fiona
Issac, Lisa
Katz, Joel
Abstract: Background: Post-surgical pain is prevalent in children, yet is significantly understudied. The goals of this study were to examine gender differences in pain outcomes and pain-related psychological constructs postoperatively and to identify pain-related psychological correlates of acute post-surgical pain (APSP) and predictors of functional disability 2 weeks after hospital discharge. Methods: Eighty-three children aged 8–18 (mean 13.8 ± 2.4) years who underwent major orthopedic or general surgery completed pain and pain-related psychological measures 48–72 hours and 2 weeks after surgery. Results: Girls reported higher levels of acute postoperative anxiety and pain unpleasantness compared with boys. In addition, pain anxiety was significantly associated with APSP intensity and functional disability 2 weeks after discharge, whereas pain catastrophizing was associated with APSP unpleasantness. Conclusion: These results highlight the important role played by pain-related psychological factors in the experience of pediatric APSP by children and adolescents.
Sponsor: MGP is supported by a Canada Graduate Scholarship Doctoral Award from the Canadian Institutes of Health Research. MGP is the recipient of a Lillian Wright Maternal Child Health Scholarship from York University, and a trainee member of Pain in Child Health and a Canadian Institutes of Health Research Strategic Training Fellow in Pain: Molecules to Community. JS is supported by a Ministry of Health and Long-term Care Career Scientist Award. JK is supported by a Canadian Institutes of Health Research Canada Research Chair in Health Psychology at York University.
Subject: acute post-surgical pain, children, adolescents, pain anxiety, pain catastrophizing
Type: Article
Rights: Original publication in: Journal of Pain Research, Dove Medical Press, Ltd.
URI: http://hdl.handle.net/10315/26489
Published: Dove Medical Press Ltd.
Citation: Journal of Pain Research 2012:5 547–558
ISSN: 1178-7090
Date: 12/11/2012

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