PDF(Pubmed)
Abstract：
Background: More could be known about baseline factors related to desirable Intensive Interdisciplinary Pain Treatment (IIPT) outcomes. This study examined how baseline characteristics (age, gender, child pain catastrophizing (PCS-C), pain interference, pain intensity, anxiety, depression, paediatric health-related quality of life (PedsQLTM), and parent catastrophizing (PCS-P)) were associated with discharge and 3-month follow-up scores of PCS-C, pain intensity, and pain interference. Methods: PCS-C, pain intensity, and pain interference T-scores were acquired in 45 IIPT patients aged 12-18 at intake (baseline), discharge, and 3-month follow-up. Using available and imputed data, linear mixed models were developed to explore associations between PCS-C, pain intensity, and pain interference aggregated scores at discharge and follow-up with baseline demographics and a priori selected baseline measures of pain, depression, anxiety, and PCS-C/P. Results: PCS-C and pain interference scores decreased over time compared to baseline. Pain intensity did not change significantly. Baseline PCS-C, pain interference, anxiety, depression, and PedsQLTM were associated with discharge/follow-up PCS-C (available and imputed data) and pain interference scores (available data). Only baseline pain intensity was significantly associated with itself at discharge/follow-up. Conclusions: Participants who completed the IIPT program presented with reduced PCS-C and pain interference over time. Interventions that target pre-treatment anxiety and depression may optimize IIPT outcomes.
摘要：
背景：关于与理想的强化跨学科疼痛治疗（IIPT）结果相关的基线因素，可以了解更多。这项研究检查了基线特征(年龄，性别,儿童疼痛灾难（PCS-C），疼痛干扰，疼痛强度，焦虑,抑郁症,儿科健康相关生活质量（PedsQLTM），和父母的灾难（PCS-P））与PCS-C的出院和3个月随访评分有关，疼痛强度，和疼痛干扰。方法:PCS-C,疼痛强度，45例12-18岁的IIPT患者在摄入时（基线）获得疼痛干扰T评分，放电,和3个月的随访。使用可用和估算的数据，开发了线性混合模型来探索PCS-C之间的关联，疼痛强度，和疼痛干扰在出院和随访基线人口统计学和先验选择的疼痛基线测量时的汇总评分，抑郁症,焦虑,和PCS-C/P结果：与基线相比，PCS-C和疼痛干扰评分随时间下降。疼痛强度没有明显变化。基线PCS-C,疼痛干扰，焦虑,抑郁症,和PedsQLTM与出院/随访PCS-C（可用和估算数据）和疼痛干扰评分（可用数据）相关。在出院/随访时，只有基线疼痛强度与自身显着相关。结论：完成IIPT计划的参与者随着时间的推移，PCS-C和疼痛干扰减少。针对治疗前焦虑和抑郁的干预措施可以优化IIPT结果。
