Differential Risk Factor Profiles in the Prediction of General and Pain-Specific Functional Limitations 12 Months after Major Pediatric Surgery

Children

M.Gabrielle Pagé¹  Jennifer Stinson²  Fiona Campbell³  Lisa Isaac³  BrittanyN. Rosenbloom⁴  P.Maxwell Slepian⁴  Joel Katz⁴ 

[1] Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Montréal, QC H2X 0A9, Canada;Department of Anesthesia and Pain Medicine, Child Health Evaluative Sciences Research Institute, Hospital for Sick Children, Toronto, ON M5G 1X8, Canada;Department of Anesthesia and Pain Medicine, Hospital for Sick Children, Toronto, ON M5G 1X8, Canada;Department of Psychology, York University, Toronto, ON M3J 1P3, Canada;

关键词: pain;    chronic pain;    children;    adolescents;    parents;    functional limitations;   

DOI  :  10.3390/children8050360

来源: DOAJ

【 摘 要 】

Pediatric chronic post-surgical pain is a surgical complication associated with various levels of functional limitation. Two commonly used measures of functional limitations in youth are the Functional Disability Inventory (FDI) and the PROMIS Pediatric Pain Interference Scale (PPIS), where the former is general, and the latter, pain specific. The aim of the present study was to prospectively compare pre-surgical youth and parent risk factors for youth functional limitations, assessed by the FDI and PPIS, 12 months after major pediatric surgery. Risk factors for the FDI and PPIS were compared in 79 dyads consisting of youth (58% female, M = 14.56 years; SD = 2.31) undergoing major surgery and one of their parents. The FDI and PPIS were highly correlated prior to surgery (r = 0.698, p < 0.001) and even more so 12 months after surgery (r = 0.807, p < 0.001). Parent pre-surgical anxiety sensitivity and youth pre-surgical functional disability significantly predicted 12-month FDI (F(6,56) = 4.443, p = 0.001, Adjusted R² = 0.25), whereas parent pre-surgical anxiety sensitivity, trait anxiety, pain anxiety, as well as youth pain-related anxiety and worry significantly predicted 12-month PPIS (F(6,45) = 4.104, p = 0.002, Adjusted R² = 0.27). Risk factors for 12-month general and pain-specific functional limitations differ by dyad member and type. Functional limitations in youth after surgery are predicted by youth and parent factors, however the risk factors differ between the FDI and the PPIS.

【 授权许可】

Unknown