The Influence of Anxiety and Pain Catastrophizing on Pain-Related Impairment in Youth with Functional Abdominal Pain Disorders.

IF 3.1 3区医学 Q2 ANESTHESIOLOGY

Clinical Journal of Pain Pub Date : 2025-06-09 DOI:10.1097/AJP.0000000000001305

Taylor Abounader, Samantha L Ely, Susan Tran, Natoshia R Cunningham

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引用次数: 0

Abstract

Objectives: The current study investigated the concurrent impact of anxiety and pain catastrophizing on both pain-related impairment (i.e., functional disability, pain-intensity) and on pain-related psychological treatment outcomes in youth with FAPD.

Method: This is a secondary analysis of data from a psychological treatment study (Aim to Decrease Anxiety and Pain Treatment; ADAPT) for youth with FAPD. Participants completed six weeks of ADAPT (psychological intervention) and treatment as usual or treatment as usual alone. Regressions and analysis of covariance models examined the relationship between baseline pain catastrophizing and anxiety on baseline functional disability and pain intensity, while analysis of covariance models assessed the effect of these baseline psychological factors on pain-related outcomes at post-assessment (8 weeks later) while accounting for group assignment. The effects of ADAPT on post-assessment pain catastrophizing and anxiety, as well as their moderating effects on pain-related outcomes were also explored.

Results: Results indicated that baseline pain catastrophizing, but not anxiety, predicted baseline functional disability and pain intensity, as well as post-assessment functional disability. Participants in the ADAPT group also demonstrated significantly lower pain catastrophizing at post-assessment. However, there were no moderating effects of post-assessment pain catastrophizing or anxiety on pain-related outcomes.

Discussion: Findings suggest that assessment of pain catastrophizing is important to better understand pain-related impairment in FAPD.

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焦虑和疼痛灾难化对青少年功能性腹痛障碍患者疼痛相关损害的影响。

目的：本研究调查了焦虑和疼痛灾难化对青年FAPD患者疼痛相关损伤（即功能障碍、疼痛强度）和疼痛相关心理治疗结果的同时影响。方法：这是对心理治疗研究数据的二次分析(目的是减少焦虑和疼痛治疗；（ADAPT），适合患有FAPD的青少年。参与者完成了六周的ADAPT（心理干预）和常规治疗或单独治疗。协方差模型的回归和分析检验了基线疼痛灾难化和焦虑对基线功能残疾和疼痛强度的关系，而协方差模型的分析评估了这些基线心理因素对评估后（8周后）疼痛相关结局的影响，同时考虑了组分配。本研究还探讨了ADAPT对评估后疼痛灾难化和焦虑的影响，以及它们对疼痛相关结果的调节作用。结果：结果表明，基线疼痛灾难化预测基线功能障碍、疼痛强度以及评估后功能障碍，而焦虑不预测。ADAPT组的参与者在评估后也表现出明显较低的疼痛灾难。然而，评估后疼痛灾难化或焦虑对疼痛相关结果没有调节作用。讨论：研究结果表明，评估疼痛灾变对于更好地理解FAPD的疼痛相关损害很重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Journal of Pain 医学-临床神经学

CiteScore

5.40

自引率

3.40%

发文量

118

审稿时长

4-8 weeks

期刊介绍： The Clinical Journal of Pain explores all aspects of pain and its effective treatment, bringing readers the insights of leading anesthesiologists, surgeons, internists, neurologists, orthopedists, psychiatrists and psychologists, clinical pharmacologists, and rehabilitation medicine specialists. This peer-reviewed journal presents timely and thought-provoking articles on clinical dilemmas in pain management; valuable diagnostic procedures; promising new pharmacological, surgical, and other therapeutic modalities; psychosocial dimensions of pain; and ethical issues of concern to all medical professionals. The journal also publishes Special Topic issues on subjects of particular relevance to the practice of pain medicine.